Weinstock Jeremiah, Petry Nancy M, Pescatello Linda S, Henderson Craig E
Department of Psychology, Saint Louis University.
Department of Medicine, University of Connecticut Health Center.
Psychol Addict Behav. 2016 Dec;30(8):791-801. doi: 10.1037/adb0000207. Epub 2016 Sep 26.
Heavy drinking by college students is exceedingly harmful to the individuals and to the overall college environment. Current interventions to reduce drinking and negative consequences are infrequently utilized. This randomized clinical trial examined an alternative approach that sought to increase exercise behavior, a substance free activity, in sedentary heavy drinking college students. Participants (N = 70) were randomized to an 8-week exercise intervention: (a) motivational interviewing plus weekly exercise contracting (MI + EC) or (b) motivational interviewing and weekly contingency management for exercise (MI + CM). Follow-up evaluations occurred at posttreatment (2 months) and 6 months post baseline. Participants in both interventions significantly increased exercise frequency initially, and the MI + CM participants exercised significantly more than the MI + EC intervention participants during the intervention period (d = 1.70). Exercise behavior decreased during the follow-up period in both groups. Significant reductions in drinking behaviors and consequences were noted over time, but were not related to changes in exercise or the interventions (ds ≤ 0.01). This study underscores the complex nature of promoting 1 specific health behavior change with the goal of changing another. (PsycINFO Database Record
大学生酗酒对个人和整个校园环境都极其有害。目前用于减少饮酒及其负面后果的干预措施很少被采用。这项随机临床试验研究了一种替代方法，该方法试图在久坐不动的酗酒大学生中增加锻炼行为，这是一种无物质参与的活动。参与者（N = 70）被随机分配到一个为期8周的锻炼干预组：（a）动机访谈加每周锻炼契约（MI + EC）或（b）动机访谈和每周锻炼应急管理（MI + CM）。在治疗后（2个月）和基线后6个月进行随访评估。两种干预措施的参与者最初锻炼频率均显著增加，并且在干预期内，MI + CM组的参与者比MI + EC干预组的参与者锻炼得明显更多（d = 1.70）。在随访期内，两组的锻炼行为均有所下降。随着时间的推移，饮酒行为及其后果显著减少，但与锻炼变化或干预措施无关（d值≤0.01）。本研究强调了以改变另一种健康行为为目标来促进一种特定健康行为改变的复杂性。（PsycINFO数据库记录）
