期刊论文详细信息
Substance Abuse Treatment, Prevention, and Policy
Efficacy of brief alcohol screening intervention for college students (BASICS): a meta-analysis of randomized controlled trials
Erikson F Furtado1  Edson Z Martinez2  Poliana P Aliane1  Alexandre Fachini1 
[1]Department of Neurosciences and Behavior, University of Sao Paulo, Av. dos Bandeirantes, 3900 – 3° andar, Monte Alegre, Ribeirão Preto, SP 14048-900, Brazil
[2]Department of Social Medicine, University of Sao Paulo, Av. dos Bandeirantes, 3900 – 2° andar, Monte Alegre, Ribeirão Preto, SP, 14048-900, Brazil
关键词: Meta-analysis;    Prevention;    College;    BASICS;    Brief intervention;    Alcohol;   
Others  :  834472
DOI  :  10.1186/1747-597X-7-40
 received in 2012-04-26, accepted in 2012-09-03,  发布年份 2012
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【 摘 要 】

Background

Many studies reported that brief interventions are effective in reducing excessive drinking. This study aimed to assess the efficacy of a protocol of brief intervention for college students (BASICS), delivered face-to-face, to reduce risky alcohol consumption and negative consequences.

Methods

A systematic review with meta-analysis was performed by searching for randomized controlled trials (RCTs) in Medline, PsycInfo, Web of Science and Cochrane Library databases. A quality assessment of RCTs was made by using a validated scale. Combined mean effect sizes, using meta-analysis random-effects models, were calculated.

Results

18 studies were included in the review. The sample sizes ranged from 54 to 1275 (median = 212). All studies presented a good evaluation of methodological quality and four were found to have excellent quality. After approximately 12 months of follow-up, students receiving BASICS showed a significant reduction in alcohol consumption (difference between means = −1.50 drinks per week, 95% CI: -3.24 to −0.29) and alcohol-related problems (difference between means = −0.87, 95% CI: -1.58 to −0.20) compared to controls.

Conclusions

Overall, BASICS lowered both alcohol consumption and negative consequences in college students. Gender and peer factors seem to play an important role as moderators of behavior change in college drinking. Characteristics of BASICS procedure have been evaluated as more favorable and acceptable by students in comparison with others interventions or control conditions. Considerations for future researches were discussed.

【 授权许可】

   
2012 Fachini et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Carter AC, Brandon KO, Goldman MS: The college and noncollege experience: a review of the factors that influence drinking behavior in young adulthood. J Stud Alcohol Drugs 2010, 71:742-750.
  • [2]Nelson TF, Xuan Z, Lee H, Weitzman ER, Wechsler H: Persistence of heavy drinking and ensuing consequences at heavy drinking colleges. J Stud Alcohol Drugs 2008, 70:726-734.
  • [3]Jennison KM: The short-term effects and unintended long-term consequences of binge drinking in college: a 10-year follow-up study. Am J Drug Alcohol Abuse 2004, 30:659-684.
  • [4]Karam E, Kypri K, Salamoun M: Alcohol use among college students: an international perspective. Curr Opin Psychiatry 2007, 20:213-221.
  • [5]Perkins HW: Surveying the damage: a review of research on consequences of alcohol misuse in college populations. J Stud Alcohol 2002, 14:91-100.
  • [6]Weitzman ER, Nelson TF: College student binge drinking and the “prevention paradox”: Implications for prevention and harm reduction. J Drug Educ 2004, 34:247-266.
  • [7]Ballesteros J, Duffy J, Querejeta I, Ariño J, González-Pinto A: Efficacy of brief interventions for hazardous drinkers in primary care: systematic review and meta-analyses. Alcohol Clinical Experimental Research 2004, 28:608-618.
  • [8]Emmen MJ, Schippers GM, Bleijenberg G, Wollersheim H: Effectiveness of opportunistic brief interventions for problem drinking in a general hospital setting: systematic review. Br Med J 2004, 328:1-5.
  • [9]Cronce JM, Larimer ME: Individual-focused approaches to the prevention of college student drinking. Alcohol Res Health 2011, 34:210-221.
  • [10]Larimer ME, Cronce JM: Identification, prevention, and treatment revisited: individual-focused college drinking prevention strategies 1999–2006. Addict Behav 2007, 32:2439-2468.
  • [11]Larimer ME, Cronce JM: Identification, prevention and treatment: A review of individual-focused strategies to reduce problematic alcohol consumption by college students. J Stud Alcohol 2002, 14:148-163.
  • [12]Seigers DK, Carey KB: Screening and brief interventions for alcohol use in college health centers: a review. J Am Coll Health 2011, 59:151-158.
  • [13]Carey KB, Scott-Sheldon AJ, Carey MP, DeMartini KS: Individual-level interventions to reduce college student drinking: a meta-analytic review. Addictive Behavior 2007, 32:2469-2494.
  • [14]Dimeff LA, Baer JS, Kivlahan DR, Marlatt GA: Brief Alcohol Screening and Intervention for College Students (BASICS): A harm reduction approach. Guilford Press, New York; 1999.
  • [15]Miller WR, Rollnick S: Motivational Interviewing: Preparing People to Change Addictive Behavior. Guilford Press, New York; 2002.
  • [16]Miller WR, Brown JM, Simpson TL, Handmaker NS, Bien TH, Luckie LF, Montgomery HA, Hester RK, Tonigan JS: What works? A methodological analysis of the alcohol treatment outcome literature. In Handbook of Alcoholism Treatment Approaches: Effective Alternatives. 3rd edition. Edited by Hester RK, Miller WR. Allyn and Bacon, Boston; 1995:12-44.
  • [17]Whitehead A: Meta-Analysis of Controlled Clinical Trials. John Wiley & Sons, New York; 2002.
  • [18]Wagener TL, Leffingwell TR, Mignogna J, Weaver CC, Cooney NJ, Claborn KR: Randomized trial comparing computer-delivered and face-to-face personalized feedback interventions for high-risk drinking among college students. J Subst Abuse Treat 2011. http://www.journalofsubstanceabusetreatment.com/inpress webcite
  • [19]Fernandez AC, Wood MD, Laforge R, Black JT: Randomized trials of alcohol-use interventions with college students and their parents: lessons from the Transitions Project. Clin Trials 2011, 8:205-213.
  • [20]Mastroleo NR, Turrisi R, Carney JV, Ray AE, Larimer ME: Examination of posttraining supervision of peer counselors in a motivational enhancement intervention to reduce drinking in a sample of heavy-drinking college students. J Subst Abuse Treat 2010, 39:289-297.
  • [21]Murphy JG, Dennhardt AA, Skidmore JR, Martens MP, McDevitt-Murphy ME: Computerized versus motivational interviewing alcohol interventions: impact on discrepancy, motivation, and drinking. Psychol Addict Behav 2010, 24:628-639.
  • [22]Turrisi R, Larimer ME, Mallett KA, Kilmer JR, Ray AE, Mastroleo NR, Geisner IM, Grossbard J, Tollison S, Lostutter TW, Montoya H: A randomized clinical trial evaluating a combined alcohol intervention for high-risk college students. J Stud Alcohol Drugs 2009, 70:555-567.
  • [23]Schaus JF, Sole ML, McCoy TP, Mullett N, O’Brien MC: Alcohol screening and brief intervention in a college student health center: A randomized controlled trial. J Stud Alcohol Drugs 2009, 16:131-141.
  • [24]Butler LH, Correia CJ: Brief alcohol intervention with college student drinkers: face-to-face versus computerized feedback. Psychol Addict Behav 2009, 23:163-167.
  • [25]Simão MO, Kerr-Corrêa F, Smaira SI, Trinca LA, Floripes TMF, Dalben I, Martins RA, Oliveira JB, Cavariani MB, Tucci MA: Prevention of “risky” drinking among students at a Brazilian university. Alcohol Alcohol 2008, 43:470-476.
  • [26]Wood MD, Capone C, Laforge R, Erickson DJ, Brand NH: Brief motivational intervention and alcohol expectancy challenge. Addicitve Behaviors 2007, 32:2509-2528.
  • [27]Carey KB, Carey MP, Maisto SA, Henson JM: Brief motivational interventions for heavy college drinkers: A randomized controlled trial. J Consult Clin Psychol 2006, 74:943-954.
  • [28]Murphy JG, Benson TA, Vuchinich RE, Deskins MM, Eakin D, Flood AM, McDevitt-Murphy ME, Torrealday O: A comparison of personalized feedback for college student drinkers delivered with and without a motivational interview. J Stud Alcohol 2004, 65:200-203.
  • [29]Murphy JG, et al.: Relative efficacy of a brief motivational intervention for college student drinkers. Psychol Addict Behav 2001, 15:373-379.
  • [30]Larimer ME, et al.: Evaluating a brief alcohol intervention with fraternities. J Stud Alcohol 2001, 62:370-380.
  • [31]Baer JS, Kivlahan DR, Blume AW, McKnight P, Marlatt GA: Brief intervention for heavy-drinking college students: 4-year follow-up and natural history. Am J Public Health 2001, 91:1310-1316.
  • [32]Roberts LJ, Neal DJ, Kivlahan DR, Baer JS, Marlatt GA: Individual drinking changes following a brief intervention among college students: clinical significance in an indicated preventive context. J Consult Clin Psychol 2000, 68:500-505.
  • [33]Borsari B, Carey KB: Effects of a brief motivational intervention with college students drinkers. J Consult Clin Psychol 2000, 68:728-733.
  • [34]Marlatt GA, Baer JS, Kivlahan DR, Dimeff LA, Larimer LA, Quigley LA, Somers JM, Williams E: Screening and brief intervention for high-risk college student drinkers: results from a 2-year follow-up assessment. J Consult Clin Psychol 1998, 66:604-615.
  • [35]Baer JS, Marlatt A, Kivlahan DR, Frome K, Larimer LA, Williams E: An experimental test of three methods of alcohol risk reduction with young adults. J Consult Clin Psychol 1992, 60:974-979.
  • [36]Borsari B, Carey KB: How the quality of peer relationships influences college alcohol use. Drug Alcohol Rev 2006, 25:361-370.
  • [37]Schulenberg J, O'Malley PM, Bachman JG, Wadsworth KN, Johnston LD: Getting drunk and growing up: Trajectories of frequent binge drinking during the transition to young adulthood. J Stud Alcohol 1996, 57:289-304.
  • [38]O’Leary TA, Brown SA, Colby SM, Cronce JM, D’Amico EJ, Fader JS, Geisner IM, Larimer ME, Maggs JL, McCrady B, Palmer RS, Schulenberg J, Monti PM: Treating adolescents together or individually? Issues in adolescent substance abuse interventions. Alcohol Clin Exp Res 2002, 26:890-899.
  • [39]Fromme K, Corbin W: Prevention of heavy drinking and associated negative consequences among mandated and voluntary college students. J Consult Clin Psychol 2004, 72:1038-1049.
  • [40]Carey KB, Henson JM, Carey MP, Maisto AS: Computer versus in-person intervention for students violating campus alcohol policy. J Consult Clin Psychol 2009, 77:74-87.
  • [41]American College Health Association: The American College Health Association National College Health Assessment (ACHA-NCHA), Spring 2003 Reference Group Report. J Am Coll Health 2005, 53:199-210.
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