Does abstaining from alcohol in high school moderate intervention effects for college students? Implications for tiered intervention strategies

Frontiers in Psychology

article

Lin Tan¹  Zachary Friedman²  Zhengyang Zhou¹  David Huh³  Helene R. White²  Eun-Young Mun¹ 

[1] School of Public Health, The University of North Texas Health Science Center at Fort Worth;Center of Alcohol and Substance Studies, Rutgers University;School of Social Work, University of Washington

关键词: Brief alcohol intervention;    Adolescent drinking;    personalized normative feedback;    Alcohol misuse;    Moderator analysis;    college students;   

DOI  :  10.3389/fpsyg.2022.993517

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Brief motivational intervention (BMI) and personalized feedback intervention (PFI) are individual-focused brief alcohol intervention approaches that have been proven efficacious for reducing alcohol use among college students and young adults. Although the efficacy of these two intervention approaches has been well established, little is known about the factors that may modify their effects on alcohol outcomes. In particular, high school drinking may be a risk factor for continued and heightened use of alcohol in college, and thus may influence the outcomes of BMI and PFI. The purpose of this study was to investigate whether high school drinking was associated with different intervention outcomes among students who received PFI compared to those who received BMI. We conducted moderation analyses examining 348 mandated students (60.1% male; 73.3% White; and 61.5% first-year student) who were randomly assigned to either a BMI or a PFI and whose alcohol consumption was assessed at 4-month and 15-month follow-ups. Results from marginalized zero-inflated Poisson models showed that high school drinking moderated the effects of PFI and BMI at the 4-month follow-up but not at the 15-month follow-up. Specifically, students who reported no drinking in their senior year of high school consumed a 49% higher mean number of drinks after receiving BMI than PFI at the 4-month follow-up. The results suggest that alcohol consumption in high school may be informative when screening and allocating students to appropriate alcohol interventions to meet their different needs.

【 授权许可】

CC BY