Abstract:
OBJECTIVE:This study evaluated the costs and cost-effectiveness of combining motivational interviewing with feedback to address heavy drinking among university freshmen. METHOD:Microcosting methods were used in a prospective cost and cost-effectiveness study of a randomized trial of assessment only (AO), motivational interviewing (MI), feedback only (FB), and motivational interviewing with feedback (MIFB) at a large public university in the southeastern United States. Students were recruited and screened into the study during freshman classes based on recent heavy drinking. A total of 727 students (60% female) were randomized, and 656 had sufficient data at 3-months' follow-up to be included in the cost-effectiveness analysis. Effectiveness outcomes were changes in average drinks per drinking occasion and number of heavy drinking occasions. RESULTS:Mean intervention costs per student were $16.51 for MI, $17.33 for FB, and $36.03 for MIFB. Cost-effectiveness analysis showed two cost-effective interventions for both outcomes: AO ($0 per student) and MIFB ($36 per student). CONCLUSIONS:This is the first prospective cost-effectiveness study to our knowledge to examine MI for heavy drinking among students in a university setting. Despite being the most expensive intervention, MIFB was the most effective intervention and may be a cost-effective intervention, depending on a university's willingness to pay for changes in the considered outcomes.
journal_name
J Stud Alcohol Drugsjournal_title
Journal of studies on alcohol and drugsauthors
Cowell AJ,Brown JM,Mills MJ,Bender RH,Wedehase BJdoi
10.15288/jsad.2012.73.226subject
Has Abstractpub_date
2012-03-01 00:00:00pages
226-37issue
2eissn
1937-1888issn
1938-4114journal_volume
73pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:The National Institute on Alcohol Abuse and Alcoholism (NIAAA) has developed a two-question tool for the detection of unhealthy drinking (NIAAA-2Q) that investigates excessive alcohol consumption per single occasion. NIAAA-2Q can be commuted into a four-question tool (NIAAA-4Q) by the addition of two question...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2012.73.126
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:This article summarizes existing research on the relationship between alcohol policies and intimate partner violence (IPV). Because alcohol use represents an important risk factor for IPV, interventions and policies aimed at decreasing problem drinking may also lead to reductions in IPV. METHOD:Electronic da...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章,评审
doi:
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:Cannabis is the most widely used illicit drug in the United States, and as a result, it is associated with significant public health costs. The present study sought to investigate whether item response theory (IRT) methods could be used to identify meaningful differences in how cannabis abuse and dependence s...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2013.74.320
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVE:To understand the association of alcohol use with sex and unprotected sex among hazardously drinking incarcerated women, we examined the relationship of these behaviors on any given day. METHOD:Participants endorsed unprotected sex and hazardous alcohol consumption (four or more drinks at a time on at least ...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2009.70.508
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVE:Religious affiliation is inversely associated with the development of alcohol-dependence symptoms in adolescents, but the mechanisms of this effect are unclear. The degree to which religious affiliations accommodate to or differentiate from cultural values may influence attitudes about alcohol use. We hypothe...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2007.68.912
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVE:Alcohol consumption is characterized by bi-phasic stimulant and sedative effects. In previous studies, various tools were used to assess these effects, including expectancy questionnaires, implicit association tests, and self-report scales. The present study was aimed at clarifying the relationships between t...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章,随机对照试验
doi:10.15288/jsad.2013.74.923
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVE:The current study examined the relationship between severity of alcohol use disorders (AUDs) and the neural circuits that underlie response inhibition and error monitoring. In addition, we explored pre- and post-inhibition trial processes to determine the potential causal mechanisms responsible for disinhibit...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2013.74.141
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:The objectives of the present study were twofold: (1) to determine whether gender differences exist in the roles of drinking in the event (i.e., self-reported drinking before the injury and estimated blood alcohol concentration [BAC] captured after injury) and drinking pattern (i.e., heavy episodic drinking) ...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2007.68.824
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVE:Adult cannabis use has increased in the United States since 2002, particularly after 2007, contrasting with stable/declining trends among youth. We investigated whether specific age groups disproportionately contributed to changes in daily and nondaily cannabis use trends. METHOD:Participants ages 12 and old...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2018.79.423
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVE:Increasing numbers of substance users report simultaneous alcohol and marijuana (SAM) use such that their effects overlap. More research is needed to understand what motivates this behavior, especially to inform interventions that address SAM use. A 26-item measure of SAM motives was designed and tested in pr...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:Alcohol-impaired (AI) driving among college students remains a significant public health concern and may be the single most risky drinking outcome among young adults. Brief motivational interventions (BMIs) have been shown to reduce alcohol use and problems, but their specific efficacy for decreasing AI drivi...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章,随机对照试验
doi:10.15288/jsad.2015.76.700
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVE:The first year of college is an important transitional period for young adults; it is also a period associated with elevated risk of incapacitated rape (IR) for female students. The goal of this study was to identify prospective risk factors associated with experiencing attempted or completed IR during the fi...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2015.76.829
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVE:Impulsive personality traits have been found to be robust predictors of substance use and problems in both cross-sectional and longitudinal research. Studies examining the relations of substance use and impulsive personality over time indicate a bidirectional relation, where substance use is also predictive o...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2016.77.473
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:Alcohol outlets tend to be located in lower income areas, exposing lower income populations to excess risks associated with alcohol sales through these establishments. The objective of this study was to test two hypotheses about the etiology of these differential exposures based on theories of the economic ge...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2015.76.439
更新日期:2015-05-01 00:00:00
abstract:OBJECTIVE:A large minority of collegiate athletes report past-year marijuana use even though there is a significant possibility of experiencing negative athlete-specific consequences related to performance, eligibility, and scholarship. The present study examined risk factors that can drive or curb marijuana use in col...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2011.72.586
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVE:Medications for the treatment of substance use disorders (SUDs) are not widely available in publicly funded SUD treatment programs. Few studies have drawn on longitudinal data to examine the organizational characteristics associated with programs transitioning from not delivering any pharmacotherapy to adopti...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章,随机对照试验
doi:10.15288/jsad.2014.75.476
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVE:Sexual behavior that incurs increased risk for sexually transmitted infections and HIV incidence is associated with both heavy alcohol and marijuana use. Whereas detrimental effects of alcohol on increased sexual risk have been documented in event-level and laboratory studies, less is known about the combined...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2016.77.104
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:A high proportion of individuals convicted of driving under the influence (DUI) are repeat offenders. Efforts have sought to identify specific factors underlying DUI recidivism. Of particular interest is the role that alcohol-related cognitions might play in the development and escalation of alcohol use. The ...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2014.75.1018
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to test whether the link between alcohol expectancies and alcohol use (drinking frequency, usual quantity, five-plus drinking) is mediated by drinking motives. METHOD:Linear structural equation models were estimated based on a nationally representative sample of 5,616 8th, 9th, ...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2007.68.76
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVE:Suicide attempts are common in patients being treated for alcohol-use disorders (AUDs). However, clinical assessment of suicide risk is difficult. In this Swiss multisite study, we propose a decision tree to facilitate identification of profiles of AUD patients at high risk for suicidal behavior. METHOD:In t...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章,多中心研究
doi:10.15288/jsad.2009.70.668
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVE:The use of protective behavioral strategies (PBS) has been shown to reduce heavy alcohol consumption and alcohol-related problems among college students. Limited research has examined how mental health is related to PBS use in the prediction of alcohol outcomes. Consequently, the aims of the present study wer...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2013.74.413
更新日期:2013-05-01 00:00:00
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journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2007.68.759
更新日期:2007-09-01 00:00:00
abstract:OBJECTIVE:The current study tested the associations between a dual-systems model of self-control and alcohol use and problem severity. METHOD:The sample consisted of 491 college students (77.0% women) from a rural state university. Participants completed a series of online surveys that assessed aspects of self-control...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2011.72.678
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVE:Relatively little research has evaluated motives for using marijuana based on users' self-reported reasons. This article details the construction and psychometric validation of a new marijuana motives questionnaire. METHOD:Participants included 346 marijuana-using college students who completed online assess...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2009.70.279
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVE:Chronic alcoholism is associated with impaired cognitive abilities, with a more severe deficit in visual than in verbal functions. The visual processing deficits have classically been associated with impaired function of the visual cortex, located in the occipital lobe. The present study sought to increase cu...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2014.75.817
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to determine the long-term effects of child abuse and neglect on alcohol use in middle adulthood. METHOD:Individuals with documented cases of childhood physical and sexual abuse and/or neglect (n = 500) and matched controls (n = 396) from a metropolitan county in the Midwest wer...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2007.68.317
更新日期:2007-05-01 00:00:00
abstract:OBJECTIVE:The purpose of this article is to identify the factors that predict initial Alcoholics Anonymous (AA)-related helping following treatment admission. METHOD:Data were derived from Project MATCH (Matching Alcoholism Treatments to Client Heterogeneity), a longitudinal investigation of the efficacy of three beha...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2009.70.117
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:Research suggests associations between adolescent alcohol use and early reproduction, but other findings show that alcohol use disorder (AUD) may actually predict delayed reproduction. However, most studies generally do not consider the effects of parental AUD, which is correlated with AUD and may influence r...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to measure compliance with age and personal ID regulations by state-licensed recreational marijuana stores in two states. METHOD:Recreational marijuana stores (N = 175) in Colorado and Washington State were each visited twice by pseudo-buyer assessment teams in September 2016 to...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVE:The current study investigated the relationship between different types of academic motives-specifically, intrinsic motivation, introjected regulation, and external regulation-and high school students' current and lifetime alcohol consumption. METHOD:One thousand sixty-seven high school students completed me...
journal_title:Journal of studies on alcohol and drugs
pub_type: 杂志文章
doi:10.15288/jsad.2011.72.965
更新日期:2011-11-01 00:00:00