Bernstein Michael H, Baird Grayson L, Yusufov Miryam, Mastroleo Nadine R, Carey Kate B, Graney Daniel D, Wood Mark D
a Department of Psychology , University of Rhode Island , Kingston , Rhode Island , USA.
f Brown University, Center for Alcohol and Addiction Studies , Brown University School of Public Health , Providence , RI , USA.
Subst Use Misuse. 2017 Dec 6;52(14):1883-1891. doi: 10.1080/10826084.2017.1318148. Epub 2017 Aug 16.
Mandated college students (those in violation of a campus alcohol policy) are heterogenous with respect to alcohol consumption. Thus, when universities consider required treatment for mandated students, one promising option is to match treatment intensity according to level of alcohol involvement. The present study evaluates such an approach with minimal resources.
Mandated students (N = 285) were required to complete a baseline assessment. Participants identified as high-risk (5+ past month alcohol problems AND 2+ past month heavy drinking episodes) received a one session individual Brief Motivational Intervention (I-BMI) whereas those identified as low-risk (all others) received a one session group Brief Motivational Intervention (G-BMI). I-BMI and G-BMI sessions were delivered by doctoral students in Clinical Psychology. Follow-up assessments were collected 1 month post-intervention (response rate = 73%).
The vast majority of students complied with their requirement. Participants assigned to I-BMI reported an 82% reduction in drinks per week, a 58% reduction in heavy episodic drinking, and a 74% reduction in alcohol-related problems at a 1 month follow-up. Participants assigned to G-BMI reported a 61% reduction in drinks per week and a 42% reduction in alcohol-related problems at follow-up relative to baseline. Conclusion/Importance: We demonstrate that matching intervention intensity on baseline alcohol involvement with mandated students is feasible and associated with short-term reductions in alcohol use and consequences. Universities may wish to consider the procedure outlined here as a way of allocating more resources to those who drink at problematic levels.
被要求接受处理的大学生（违反校园酒精政策者）在饮酒方面存在异质性。因此，当大学考虑对被要求接受处理的学生进行必要治疗时，一个有前景的选择是根据酒精涉入程度匹配治疗强度。本研究以最少的资源评估了这种方法。
要求被要求接受处理的学生（N = 285）完成基线评估。被确定为高风险的参与者（过去一个月有5次及以上酒精相关问题且过去一个月有2次及以上重度饮酒事件）接受一次个体简短动机干预（I - BMI），而被确定为低风险的参与者（其他所有人）接受一次团体简短动机干预（G - BMI）。I - BMI和G - BMI课程由临床心理学博士生授课。干预后1个月收集随访评估（应答率 = 73%）。
绝大多数学生遵守了要求。被分配到I - BMI的参与者在1个月随访时报告每周饮酒量减少了82%，重度饮酒事件减少了58%，与酒精相关的问题减少了74%。被分配到G - BMI的参与者在随访时报告相对于基线每周饮酒量减少了61%，与酒精相关的问题减少了42%。结论/重要性：我们证明，根据被要求接受处理的学生的基线酒精涉入程度匹配干预强度是可行的，并且与短期内酒精使用及后果的减少相关。大学可能希望考虑此处概述的程序，作为一种将更多资源分配给饮酒量处于问题水平者的方式。
