Department of Psychology.
Exp Clin Psychopharmacol. 2020 Feb;28(1):87-98. doi: 10.1037/pha0000290.
In this randomized trial, 121 mandated college students (33% female, 74% Caucasian, M age = 19.42 years) received either a Brief Motivational Intervention (BMI) with personalized normative feedback (PNF) or the Expectancy Challenge Alcohol Literacy Curriculum (ECALC) to compare effectiveness in reducing alcohol use and associated harms. All participants received either BMI content (n = 63) or ECALC (n = 58). ECALC was delivered as a web-based program with clinician assistance. Measures of alcohol use and harms were completed at baseline and 4 weeks postintervention. ECALC produced significant reductions on all 4 positive expectancy subscales of the Comprehensive Effects of Alcohol Scale (CEOA). Both programs were associated with significant reductions on all alcohol use variables and harms, and expectancies significantly mediated the intervention to outcome relationship in the ECALC condition. There were no significant gender differences. Two one-sided equivalence test indicated superior effects for ECALC compared to BMI on four alcohol use variables (mean blood alcohol concentration, peak blood alcohol concentration, peak drinks per sitting, and drinking days per month), and noninferior to BMI in reducing others (mean drinks per sitting, mean drinks per week, & binge drinking). Superior effects of ECALC versus BMI are based on a short-term follow-up, and longevity of ECALC effects have yet to be established. ECALC has previously been found to be effective as a group-delivered program for male fraternity members, and these findings provide preliminary support for effectiveness for both males and females when delivered individually using a web-based clinician-assisted format. (PsycINFO Database Record (c) 2020 APA, all rights reserved).
在这项随机试验中,121 名被强制要求参加的大学生(33%为女性,74%为白种人,平均年龄为 19.42 岁)接受了简短动机干预(BMI)加个性化规范反馈(PNF)或期望挑战酒精素养课程(ECALC),以比较减少饮酒和相关危害的效果。所有参与者都接受了 BMI 内容(n=63)或 ECALC(n=58)。ECALC 作为一个基于网络的程序,由临床医生提供帮助。在干预前和干预后 4 周完成饮酒量和危害的测量。ECALC 在酒精综合效应量表(CEOA)的所有 4 个积极期望子量表上都产生了显著的减少。两个项目都与所有饮酒变量和危害的显著减少有关,期望在 ECALC 条件下显著介导了干预与结果的关系。没有显著的性别差异。两个单侧等效性检验表明,ECALC 在四个饮酒变量(平均血液酒精浓度、峰值血液酒精浓度、每次饮酒的峰值量和每月饮酒天数)上的效果优于 BMI,在减少其他变量(每次饮酒的平均量、每周饮酒的平均量和狂饮)上与 BMI 相当。ECALC 优于 BMI 的效果是基于短期随访的,ECALC 效果的持久性还有待确定。ECALC 之前已被证明对男性兄弟会成员进行群体干预是有效的,这些发现为男性和女性在使用基于网络的临床医生辅助格式进行个体干预时的有效性提供了初步支持。(PsycINFO 数据库记录(c)2020 APA,保留所有权利)。