A quasi-randomized group trial of a brief alcohol intervention on risky single occasion drinking among secondary school students
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To show the effectiveness of a brief group alcohol intervention. Aims of the intervention were to reduce the frequency of heavy drinking occasions, maximum number of drinks on an occasion and overall weekly consumption.
A cluster quasi-randomized control trial (intervention n = 338; control n = 330) among 16- to 18-year-old secondary school students in the Swiss Canton of Zürich. Groups homogeneous for heavy drinking occasions (5+/4+ drinks for men/women) consisted of those having medium risk (3–4) or high risk (5+) occasions in the past 30 days. Groups of 8–10 individuals received two 45-min sessions based on motivational interviewing techniques.
Borderline significant beneficial effects (p < 0.10) on heavy drinking occasions and alcohol volume were found 6 months later for the medium-risk group only, but not for the high-risk group. None of the effects remained significant after Bonferroni corrections.
Group intervention was ineffective for all at-risk users. The heaviest drinkers may need more intensive treatment. Alternative explanations were iatrogenic effects among the heaviest drinkers, assessment reactivity, or reduction of social desirability bias at follow-up through peer feedback.
KeywordsGroup randomized trial Brief alcohol intervention Risky single occasion drinking Secondary school students
- Babor TF, Higgins-Biddle JC (2001) Brief intervention for hazardous and harmful drinking: a manual for use in primary care. In: World Health Organization (WHO), Department of Health and Substance Department (ed) Screening and brief intervention: for alcohol problems in primary care, 2nd edn. WHO, GenevaGoogle Scholar
- Bachmann K (1999) Lust oder Last—Berufszufriedenheit und Belastung im Beruf bei Lehrerinnen und Lehrern an berufsbildenden Schulen. Schneider Verlag Hohengehren GmbH, BaltmannsweilerGoogle Scholar
- Ezzati M, Lopez AD, Rodgers A, Murray CJL (2004) Comparative quantification of health risks. Global and regional burden of disease attributable to selected major risk factors, vol 1 and 2. World Health Organization (WHO), GenevaGoogle Scholar
- Faggiano F, Vigna-Taglianti F, Burkhart G, Bohrn K, Cuomo L, Gregori D, Panella M, Scatigna M, Siliquini R, Varona L, van der Kreeft P, Vassara M, Wiborg G, Galanti MR (2010) The effectiveness of a school-based substance abuse prevention program: 18-month follow-up of the EU-Dap cluster randomized controlled trial. Drug Alcohol Depend 108(1–2):56–64. doi: 10.1016/j.drugalcdep.2009.11.018
- Fields A (2006) Resolving patient ambivalence. A five session motivational interviewing intervention. Hollifield Associates, WashingtonGoogle Scholar
- Handmaker NS, Miller WR, Manicke M (1999) Findings of a pilot study of motivational interviewing with pregnant drinkers. J Stud Alcohol Drugs 60(2):285–287Google Scholar
- Hibell B, Adlaf EM, Andersson B, Bjarnason T, Delapenha C, Hasbun J, Johnston L, Sathianathan R (2003) Conducting school surveys on drug abuse. Toolkit module 3. United Nations Office on Drugs and Crime, Vienna, AustriaGoogle Scholar
- Hintze JL (ed) (2008) PASS 2008 User’s Guide. NCSS, Dr. Jerry L. Hintze, Kaysville, UTGoogle Scholar
- Kaner EF, Beyer F, Dickinson HO, Pienaar E, Campbell F, Schlesinger C, Heather N, Saunders J, Burnand B (2007) Effectiveness of brief alcohol interventions in primary care populations. Cochrane Database Syst Rev 2:CD004148. doi:10.1002/14651858.CD004148.pub3
- LaBrie JW, Huchting KK, Lac A, Tawalbeh S, Thompson AD, Larimer ME (2009) Preventing risky drinking in first-year college women: further validation of a female-specific motivational-enhancement group intervention. J Stud Alcohol Suppl 16:77–85Google Scholar
- Miller WR, Rollnick S (2002) Motivational interviewing: preparing people for change, 2nd edn. Guilford Press, New YorkGoogle Scholar
- Murphy JG, Benson TA, Vuchinich RE, Deskins MM, Eakin D, Flood AM, McDevitt-Murphy ME, Torrealday O (2004) A comparison of personalized feedback for college student drinkers delivered with and without a motivational interview. J Stud Alcohol Drugs 65(2):200–203Google Scholar
- Nelson TF, Naimi TS, Brewer RD, Wechsler H (2005) The state sets the rate: the relationship among state-specific college binge drinking, state binge drinking rates, and selected state alcohol control policies. Am J Public Health 95(3):441–446. doi:10.2105/AJPH.2004.043810 PubMedCrossRefGoogle Scholar
- Petitti DB (2000) Meta-analysis, decision analysis, and cost-effectiveness analyses. Methods for quantitative synthesis in medicine, 2nd edn. Oxford University Press, New YorkGoogle Scholar
- Roberts C, Tynjälä J, Currie D, King M (2004) Annex 1. Methods. In: Currie C, Roberts C, Morgan A et al (eds) Young people’s health in context—health behaviour in school-aged children (HBSC) study: International Report from the 2001/2002 Survey. World Health Organization (WHO), Regional Office for Europe, Copenhagen, pp 217–227Google Scholar
- Whitlock EP, Polen MR, Green CA, Orleans T, Klein JD (2004) Behavioral counseling interventions in primary care to reduce risky/harmful alcohol use by adults: a summary of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med 140 (7):557–568. pii:140/7/557Google Scholar