Suzanne M Colby1,2,3, Lindsay Orchowski2, Molly Magill1,3, James G Murphy4, Linda A Brazil1,2, Timothy R Apodaca5,6, Christopher W Kahler1,3, Nancy P Barnett1,3. 1. Center for Alcohol and Addiction Studies , Brown University, Providence, Rhode Island. 2. Department of Psychiatry and Human Behavior , Brown University, Providence, Rhode Island. 3. Department of Behavioral and Social Sciences , School of Public Health, Brown University, Providence, Rhode Island. 4. Department of Psychology , University of Memphis, Memphis, Tennessee. 5. Children's Mercy Kansas City , Kansas City, Missouri. 6. School of Medicine , University of Missouri-Kansas City, Kansas City, Missouri.
Abstract
BACKGROUND: While there is a substantial literature on the efficacy of brief motivational intervention (BMI) for college student drinkers, research has focused less on young adults who do not attend a 4-year college, despite their elevated risk for excessive alcohol use and associated harmful consequences. METHODS: This randomized controlled trial (NCT01546025) compared the efficacy of BMI to a time-matched attention control intervention (relaxation training [REL]) for reducing alcohol consumption and related negative consequences in an underage young adult sample. BMI was tailored to the developmental transition out of high school for young adults who were not immediately planning to enroll in a 4-year college. Non-treatment-seeking underage drinkers who reported past-month heavy drinking (N = 167; ages 17 to 20; 42% female; 59% non-Hispanic White) were randomly assigned to receive a single session of BMI or REL. Outcomes were evaluated 6 weeks and 3 months postintervention via in-person assessments. RESULTS: Generalized estimating equation models provided strong support for the efficacy of BMI for reducing harmful drinking in these young adults. Compared to REL, and after controlling for baseline covariates including gender, those who received BMI subsequently reported significantly fewer average drinks per week, percent drinking days, percent heavy drinking days, lower peak and typical estimated blood alcohol concentration on drinking days, and fewer adverse consequences of drinking (all ps < 0.05). These between-group effects did not weaken over the course of the 3-month follow-up period. CONCLUSIONS: These findings demonstrate an efficacious approach to tailoring BMI for non-college-attending young adults. Future research should replicate and extend these findings over a longer follow-up period.
RCT Entities:
BACKGROUND: While there is a substantial literature on the efficacy of brief motivational intervention (BMI) for college student drinkers, research has focused less on young adults who do not attend a 4-year college, despite their elevated risk for excessive alcohol use and associated harmful consequences. METHODS: This randomized controlled trial (NCT01546025) compared the efficacy of BMI to a time-matched attention control intervention (relaxation training [REL]) for reducing alcohol consumption and related negative consequences in an underage young adult sample. BMI was tailored to the developmental transition out of high school for young adults who were not immediately planning to enroll in a 4-year college. Non-treatment-seeking underage drinkers who reported past-month heavy drinking (N = 167; ages 17 to 20; 42% female; 59% non-Hispanic White) were randomly assigned to receive a single session of BMI or REL. Outcomes were evaluated 6 weeks and 3 months postintervention via in-person assessments. RESULTS: Generalized estimating equation models provided strong support for the efficacy of BMI for reducing harmful drinking in these young adults. Compared to REL, and after controlling for baseline covariates including gender, those who received BMI subsequently reported significantly fewer average drinks per week, percent drinking days, percent heavy drinking days, lower peak and typical estimated blood alcohol concentration on drinking days, and fewer adverse consequences of drinking (all ps < 0.05). These between-group effects did not weaken over the course of the 3-month follow-up period. CONCLUSIONS: These findings demonstrate an efficacious approach to tailoring BMI for non-college-attending young adults. Future research should replicate and extend these findings over a longer follow-up period.
Authors: David Huh; Eun-Young Mun; Mary E Larimer; Helene R White; Anne E Ray; Isaac C Rhew; Su-Young Kim; Yang Jiao; David C Atkins Journal: Alcohol Clin Exp Res Date: 2015-05 Impact factor: 3.455
Authors: Molly Magill; Nadine R Mastroleo; Timothy R Apodaca; Nancy P Barnett; Suzanne M Colby; Peter M Monti Journal: J Subst Abuse Treat Date: 2010-12
Authors: James G Murphy; Ashley A Dennhardt; Matthew P Martens; Brian Borsari; Katie Witkiewitz; Lidia Z Meshesha Journal: J Consult Clin Psychol Date: 2019-05-09
Authors: Rachel N Cassidy; Michael H Bernstein; Molly Magill; James MacKillop; James G Murphy; Suzanne M Colby Journal: Addict Behav Date: 2019-07-05 Impact factor: 3.913
Authors: Carolyn Lauckner; Justin Walthers; Jennifer Stuck; Kendall Bryant; E Jennifer Edelman; David A Fiellin; Nathan B Hansen; Christopher W Kahler; Molly Magill; Nadine R Mastroleo; Stephen A Maisto Journal: AIDS Behav Date: 2022-01-10
Authors: Lauren E Oddo; Michael C Meinzer; Alva Tang; James G Murphy; John M Vasko; Carl W Lejuez; Andrea Chronis-Tuscano Journal: Behav Ther Date: 2021-02-03