The Utility of a Brief Web-Based Prevention Intervention as a Universal Approach for Risky Alcohol Use in College Students: Evidence of Moderation by Family History
Background: Alcohol use on college campuses is prevalent and contributes to problems that affect the health, emotional wellbeing, and academic success of college students. Risk factors, such as family history of alcohol problems, predict future alcohol problems, but less is known about their potenti...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2018-05-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fpsyg.2018.00747/full |
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| author | Zoe E. Neale Zoe E. Neale Jessica E. Salvatore Jessica E. Salvatore Megan E. Cooke Jeanne E. Savage Fazil Aliev Fazil Aliev Kristen K. Donovan Linda C. Hancock Danielle M. Dick Danielle M. Dick Danielle M. Dick |
| author_facet | Zoe E. Neale Zoe E. Neale Jessica E. Salvatore Jessica E. Salvatore Megan E. Cooke Jeanne E. Savage Fazil Aliev Fazil Aliev Kristen K. Donovan Linda C. Hancock Danielle M. Dick Danielle M. Dick Danielle M. Dick |
| author_sort | Zoe E. Neale |
| collection | DOAJ |
| description | Background: Alcohol use on college campuses is prevalent and contributes to problems that affect the health, emotional wellbeing, and academic success of college students. Risk factors, such as family history of alcohol problems, predict future alcohol problems, but less is known about their potential impact on intervention effectiveness. The purpose of this study was to examine the effect of an intervention implemented in a non-randomized sample of drinking and non-drinking college freshmen.Methods: Freshmen college students recruited for the intervention study (n = 153) completed a web-adaptation of the Brief Alcohol Screening and Intervention for College Students (BASICS) at the start of spring semester. We compared their 30-days post-intervention alcohol initiation, number of drinking days (DAYS), drinks per occasion (DRINKS), maximum drinks in 24 h (MAX24) and alcohol use disorder symptoms (AUDsx) to 151 comparison participants retrospectively matched on demographics and baseline alcohol use behaviors. We also tested baseline DRINKS, DAYS, AUDsx, MAX24, and parental family history (PFH) of alcohol problems as moderators of the effect of the intervention.Results: At follow-up, intervention participants had lower rates of AUDsx than comparison participants, especially among baseline drinkers. Among participants drinking 3+ days/month at baseline, intervention participants showed fewer DAYS at follow-up than the comparison group participants. BASICS was also associated with a decreased likelihood of initiation among baseline non-drinkers. PFH significantly interacted with treatment group, with positive PFH intervention participants reporting significantly fewer AUDsx at follow-up compared to positive PFH comparison participants. We found no evidence for an effect of the intervention on DRINKS or MAX24 in our analyses.Conclusions: Results suggest some indication that novel groups, such as non-drinkers, regular drinkers, and PFH positive students may experience benefits from BASICS. Although conclusions were limited by lack of randomization and short follow-up period, PFH positive and low to moderate drinking groups represent viable targets for future randomized studies. |
| first_indexed | 2024-12-23T19:55:10Z |
| format | Article |
| id | doaj.art-20edb2edcb6f4ba1ad1356f342956aa5 |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-12-23T19:55:10Z |
| publishDate | 2018-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-20edb2edcb6f4ba1ad1356f342956aa52022-12-21T17:33:15ZengFrontiers Media S.A.Frontiers in Psychology1664-10782018-05-01910.3389/fpsyg.2018.00747340439The Utility of a Brief Web-Based Prevention Intervention as a Universal Approach for Risky Alcohol Use in College Students: Evidence of Moderation by Family HistoryZoe E. Neale0Zoe E. Neale1Jessica E. Salvatore2Jessica E. Salvatore3Megan E. Cooke4Jeanne E. Savage5Fazil Aliev6Fazil Aliev7Kristen K. Donovan8Linda C. Hancock9Danielle M. Dick10Danielle M. Dick11Danielle M. Dick12Department of Psychology, Virginia Commonwealth University, Richmond, VA, United StatesVirginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA, United StatesDepartment of Psychology, Virginia Commonwealth University, Richmond, VA, United StatesVirginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA, United StatesLaboratory of NeuroGenetics, Department of Psychology and Neuroscience, Duke University, Durham, NC, United StatesComplex Trait Genetics Lab, Center for Neurogenomics and Cognitive Research, Vrije Universiteit Amsterdam, Amsterdam, NetherlandsDepartment of Psychology, Virginia Commonwealth University, Richmond, VA, United StatesVirginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA, United StatesDivision of Student Affairs, Wellness Resource Center, Virginia Commonwealth University, Richmond, VA, United StatesDivision of Student Affairs, Wellness Resource Center, Virginia Commonwealth University, Richmond, VA, United StatesDepartment of Psychology, Virginia Commonwealth University, Richmond, VA, United StatesDepartment of Human and Molecular Genetics, Virginia Commonwealth University, Richmond, VA, United StatesCollege Behavioral and Emotional Health Institute, Virginia Commonwealth University, Richmond, VA, United StatesBackground: Alcohol use on college campuses is prevalent and contributes to problems that affect the health, emotional wellbeing, and academic success of college students. Risk factors, such as family history of alcohol problems, predict future alcohol problems, but less is known about their potential impact on intervention effectiveness. The purpose of this study was to examine the effect of an intervention implemented in a non-randomized sample of drinking and non-drinking college freshmen.Methods: Freshmen college students recruited for the intervention study (n = 153) completed a web-adaptation of the Brief Alcohol Screening and Intervention for College Students (BASICS) at the start of spring semester. We compared their 30-days post-intervention alcohol initiation, number of drinking days (DAYS), drinks per occasion (DRINKS), maximum drinks in 24 h (MAX24) and alcohol use disorder symptoms (AUDsx) to 151 comparison participants retrospectively matched on demographics and baseline alcohol use behaviors. We also tested baseline DRINKS, DAYS, AUDsx, MAX24, and parental family history (PFH) of alcohol problems as moderators of the effect of the intervention.Results: At follow-up, intervention participants had lower rates of AUDsx than comparison participants, especially among baseline drinkers. Among participants drinking 3+ days/month at baseline, intervention participants showed fewer DAYS at follow-up than the comparison group participants. BASICS was also associated with a decreased likelihood of initiation among baseline non-drinkers. PFH significantly interacted with treatment group, with positive PFH intervention participants reporting significantly fewer AUDsx at follow-up compared to positive PFH comparison participants. We found no evidence for an effect of the intervention on DRINKS or MAX24 in our analyses.Conclusions: Results suggest some indication that novel groups, such as non-drinkers, regular drinkers, and PFH positive students may experience benefits from BASICS. Although conclusions were limited by lack of randomization and short follow-up period, PFH positive and low to moderate drinking groups represent viable targets for future randomized studies.https://www.frontiersin.org/article/10.3389/fpsyg.2018.00747/fullalcoholcollege studentsfamily historyBASICSprevention |
| spellingShingle | Zoe E. Neale Zoe E. Neale Jessica E. Salvatore Jessica E. Salvatore Megan E. Cooke Jeanne E. Savage Fazil Aliev Fazil Aliev Kristen K. Donovan Linda C. Hancock Danielle M. Dick Danielle M. Dick Danielle M. Dick The Utility of a Brief Web-Based Prevention Intervention as a Universal Approach for Risky Alcohol Use in College Students: Evidence of Moderation by Family History Frontiers in Psychology alcohol college students family history BASICS prevention |
| title | The Utility of a Brief Web-Based Prevention Intervention as a Universal Approach for Risky Alcohol Use in College Students: Evidence of Moderation by Family History |
| title_full | The Utility of a Brief Web-Based Prevention Intervention as a Universal Approach for Risky Alcohol Use in College Students: Evidence of Moderation by Family History |
| title_fullStr | The Utility of a Brief Web-Based Prevention Intervention as a Universal Approach for Risky Alcohol Use in College Students: Evidence of Moderation by Family History |
| title_full_unstemmed | The Utility of a Brief Web-Based Prevention Intervention as a Universal Approach for Risky Alcohol Use in College Students: Evidence of Moderation by Family History |
| title_short | The Utility of a Brief Web-Based Prevention Intervention as a Universal Approach for Risky Alcohol Use in College Students: Evidence of Moderation by Family History |
| title_sort | utility of a brief web based prevention intervention as a universal approach for risky alcohol use in college students evidence of moderation by family history |
| topic | alcohol college students family history BASICS prevention |
| url | https://www.frontiersin.org/article/10.3389/fpsyg.2018.00747/full |
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