Finding the Right Balance: A Social Norms Intervention to Reduce Heavy Drinking in University Students

Introduction: Heavy alcohol consumption constitutes a major health risk among University students. Social relationships with peers strongly affect University students' perception of the drinking behavior of others, which in turn plays a crucial role in determining their own alcohol intake. Univ...

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Main Authors: Christine Wolter, Tino Lesener, Tobias Alexander Thomas, Alicia-Carolin Hentschel, Burkhard Gusy
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-06-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2021.653435/full
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author Christine Wolter
Tino Lesener
Tobias Alexander Thomas
Tobias Alexander Thomas
Alicia-Carolin Hentschel
Burkhard Gusy
author_facet Christine Wolter
Tino Lesener
Tobias Alexander Thomas
Tobias Alexander Thomas
Alicia-Carolin Hentschel
Burkhard Gusy
author_sort Christine Wolter
collection DOAJ
description Introduction: Heavy alcohol consumption constitutes a major health risk among University students. Social relationships with peers strongly affect University students' perception of the drinking behavior of others, which in turn plays a crucial role in determining their own alcohol intake. University students tend to overestimate their peers' alcohol consumption – a belief that is associated with an increase in an individual's own consumption. Therefore, we implemented a social norms intervention with personalized normative feedback at a major University in Germany to reduce and prevent excessive drinking among University students.Methods: Our intervention was part of a regular health monitoring survey. We invited all enrolled University students to take part in this survey on two occasions. A total of 862 University students completed the questionnaire, 563 (65.3%) of which received e-mail-based feedback upon request concerning their peers' and their own alcohol consumption. For the intervention group (n = 190) as well as the control group (no feedback requested; n = 101), we included only University students in the evaluation who overestimated their peers' alcohol use and indicated above average consumption of the peers. We applied analyses of variance to assess intervention effects with regard to the correction of overestimated group norms as well as University students' drinking behavior.Results: Within the intervention group, we observed a significantly larger reduction of the previously overestimated behavioral norms compared to the control group (p < 0.001; ηp2 = 0.06). With regard to behavioral outcomes the intervention group showed a significantly larger reduction in the AUDIT-C score (p = 0.020; ηp2 = 0.03).Discussion: Our study confirms previous research whereupon personalized, gender-specific and selective normative feedback is effective for alcohol prevention among University students. However, University students still overestimated their peers' alcohol intake after the intervention. Furthermore, we did not reach high-risk groups (University students with the highest alcohol intake) since no feedback was requested. Future studies should address factors influencing the impact of the intervention and reachability of selective groups.
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spelling doaj.art-5df3f17e17c244579d13c885c95228732022-12-21T22:52:27ZengFrontiers Media S.A.Frontiers in Public Health2296-25652021-06-01910.3389/fpubh.2021.653435653435Finding the Right Balance: A Social Norms Intervention to Reduce Heavy Drinking in University StudentsChristine Wolter0Tino Lesener1Tobias Alexander Thomas2Tobias Alexander Thomas3Alicia-Carolin Hentschel4Burkhard Gusy5Division of Public Health: Prevention and Psychosocial Health Research, Department of Education and Psychology, Freie Universität Berlin, Berlin, GermanyDivision of Public Health: Prevention and Psychosocial Health Research, Department of Education and Psychology, Freie Universität Berlin, Berlin, GermanyInstitute for Experimental Psychology, Faculty of Mathematics and Natural Sciences, Heinrich-Heine-Universität, Düsseldorf, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hanover, GermanyDivision of Public Health: Prevention and Psychosocial Health Research, Department of Education and Psychology, Freie Universität Berlin, Berlin, GermanyDivision of Public Health: Prevention and Psychosocial Health Research, Department of Education and Psychology, Freie Universität Berlin, Berlin, GermanyIntroduction: Heavy alcohol consumption constitutes a major health risk among University students. Social relationships with peers strongly affect University students' perception of the drinking behavior of others, which in turn plays a crucial role in determining their own alcohol intake. University students tend to overestimate their peers' alcohol consumption – a belief that is associated with an increase in an individual's own consumption. Therefore, we implemented a social norms intervention with personalized normative feedback at a major University in Germany to reduce and prevent excessive drinking among University students.Methods: Our intervention was part of a regular health monitoring survey. We invited all enrolled University students to take part in this survey on two occasions. A total of 862 University students completed the questionnaire, 563 (65.3%) of which received e-mail-based feedback upon request concerning their peers' and their own alcohol consumption. For the intervention group (n = 190) as well as the control group (no feedback requested; n = 101), we included only University students in the evaluation who overestimated their peers' alcohol use and indicated above average consumption of the peers. We applied analyses of variance to assess intervention effects with regard to the correction of overestimated group norms as well as University students' drinking behavior.Results: Within the intervention group, we observed a significantly larger reduction of the previously overestimated behavioral norms compared to the control group (p < 0.001; ηp2 = 0.06). With regard to behavioral outcomes the intervention group showed a significantly larger reduction in the AUDIT-C score (p = 0.020; ηp2 = 0.03).Discussion: Our study confirms previous research whereupon personalized, gender-specific and selective normative feedback is effective for alcohol prevention among University students. However, University students still overestimated their peers' alcohol intake after the intervention. Furthermore, we did not reach high-risk groups (University students with the highest alcohol intake) since no feedback was requested. Future studies should address factors influencing the impact of the intervention and reachability of selective groups.https://www.frontiersin.org/articles/10.3389/fpubh.2021.653435/fullsocial norms interventionprevention of alcohol misuseUniversity studentsalcohol interventionheavy drinking
spellingShingle Christine Wolter
Tino Lesener
Tobias Alexander Thomas
Tobias Alexander Thomas
Alicia-Carolin Hentschel
Burkhard Gusy
Finding the Right Balance: A Social Norms Intervention to Reduce Heavy Drinking in University Students
Frontiers in Public Health
social norms intervention
prevention of alcohol misuse
University students
alcohol intervention
heavy drinking
title Finding the Right Balance: A Social Norms Intervention to Reduce Heavy Drinking in University Students
title_full Finding the Right Balance: A Social Norms Intervention to Reduce Heavy Drinking in University Students
title_fullStr Finding the Right Balance: A Social Norms Intervention to Reduce Heavy Drinking in University Students
title_full_unstemmed Finding the Right Balance: A Social Norms Intervention to Reduce Heavy Drinking in University Students
title_short Finding the Right Balance: A Social Norms Intervention to Reduce Heavy Drinking in University Students
title_sort finding the right balance a social norms intervention to reduce heavy drinking in university students
topic social norms intervention
prevention of alcohol misuse
University students
alcohol intervention
heavy drinking
url https://www.frontiersin.org/articles/10.3389/fpubh.2021.653435/full
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