Cost-effectiveness analysis of motivational interviewing with feedback to reduce drinking among a sample of college students.

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 Drugs

authors

Cowell AJ,Brown JM,Mills MJ,Bender RH,Wedehase BJ

doi

10.15288/jsad.2012.73.226

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

226-37

issue

2

eissn

1937-1888

issn

1938-4114

journal_volume

73

pub_type

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