Online Program

Alcohol interventions for mandated college students: A meta-analytic review

Tuesday, November 5, 2013

Lori Scott-Sheldon, PhD, Centers for Behavioral and Preventive Medicine, The Miriam Hospital, PROVIDENCE, RI
Kate Carey, PhD, Department of Behavioral and Social Sciences & Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, RI
Michael Carey, PhD, Centers for Behavioral and Preventive Medicine, The Miriam Hospital, PROVIDENCE, RI
Background: Higher education institutions in the US must establish and enforce alcohol-related policies, and alcohol education programs and behavioral interventions feature prominently in disciplinary sanctions. It is important to know if mandated interventions reduce consumption and negative consequences, and which interventions are the most efficacious. We conducted a meta-analysis to (a) identify efficacious interventions for mandated students, and (b) determine if sample characteristics or intervention features influence outcomes. Methods: To be included, studies had to sample mandated students, examine interventions focusing on reducing alcohol consumption or problems, and provide sufficient information to calculate within-group effect sizes (ES). Included were 30 studies with 67 separate interventions (N = 8,646; M age = 19 years; 35% women; 84% White). Independent raters coded participant, design, methodological and intervention characteristics. Weighted mean ES, using random-effects models, were calculated; positive ES indicated lower alcohol consumption and fewer alcohol-related problems. Results: Compared to controls, intervention participants reduced alcohol consumption (i.e., typical quantity, specific events, or peak consumption), lowered BAC levels (typical and peak), and reported fewer alcohol-related problems. ES magnitudes were small, ranging from 0.08 (95% CI, 0.02 to 0.13) to 0.20 (95% CI, 0.14 to 0.26). No changes in the frequency of drinking or heavy drinking were found. Sample (e.g., prior alcohol use) and intervention features (e.g., group-based, face-to-face delivery) moderated alcohol consumption. Conclusions: Behavioral interventions for mandated students reduce alcohol use and problems. Our findings offer guidance to campus health professionals who want to provide evidence-based interventions to students who violate campus alcohol policy.

Learning Areas:

Administer health education strategies, interventions and programs
Social and behavioral sciences

Learning Objectives:
Discuss the efficacy of alcohol interventions targeting mandated students. Identify successful intervention approaches for mandated college students.

Keyword(s): Alcohol, Interventions

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: of my academic achievements, research on alcohol use among college students, and expertise in meta-analysis.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.