142nd APHA Annual Meeting and Exposition

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Clinical Outcomes of a Brief Motivational Intervention for Heavy Drinking Mandated and Voluntary Freshmen: A 1-year Follow-up Assessment

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Donna M. Kazemi, PhD , College of Health and Human Services,School of Nursing, University of North Carolina at Charlotte, Charlotte, NC
Maureen Levine, PhD, ABPP , School of Psychology College of Social and Behavioral Science, Walden University, Minneapolis, MN
Jacek Dmochowski, PhD , Department of Mathematics and Statistics, University of North Carolina at Charlotte, Charlotte, NC
Li Qi, MS , Department of Mathematics and Statistics, Univeristy of North Carolina at Charlotte, Charlotte, NC
Introduction:  Alcohol abuse among freshmen students is a major public health issue with associated costs to the individual and to society including substantial morbidity, high risk negative behaviors, (e.g., blackouts, rape, suicide, violence, and HIV-related sexual risk-taking), and mortality.  Mandated freshmen who have violated campus alcohol policies must attend an alcohol intervention program.

Purpose: This longitudinal study compared the effectiveness of Brief Motivational Intervention (BMI) in decreasing alcohol consumption and its related consequences among mandated (Group 1) and voluntary students (Group 2).

Methods: Eligible participants (710 voluntary, 190 mandated, N = 900) who agreed to be in the study received BMI at baseline and again at 2 weeks, with boosters at 3, 6 and 12 months. Repeated measures ANOVA were used to compare both groups.

Results: Alcohol use and related consequences in both groups decreased significantly between baseline and 12 months. At baseline significantly larger percent of Mandated group were in the Action stage than the voluntary group (52.1% vs. 27.5%), and a significant smaller percent of mandated were in the precontempation stage (p<.0001).

Conclusions: This study showed that the BMI effects were sustained over 12 months. Both alcohol consumption and related consequences decreased significantly among freshman who were mandated to attend the program as well as among voluntary students. It is important for colleges to select evidence–based intervention programs. The results of this study suggest that when implemented with fidelity, BMI is effective in reducing heavy drinking and related consequences among both mandated and voluntary students.

Learning Areas:

Clinical medicine applied in public health
Implementation of health education strategies, interventions and programs

Learning Objectives:
Explain the alcohol-related consequences associated with heavy drinking among freshmen college students. Compare the clinical outcomes for Mandated and Voluntary Freshmen who participated in a one year intervention program.

Keyword(s): College Students, Alcohol Use

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Dr, Kazemi, PhD,MSN,RN is a faculty member in the School of Nursing at the University of North Carolina-Charlotte. Her program of research has focused on applied and clinical research on addictive behaviors among populations at high risk such as young adults, college students, military personnel, and underserved ethnic minority populations. Specializing in the assessment, treatment and prevention of alcohol induced disorders among vulnerable populations.
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.

Back to: 3295.0: Treatment (Alcohol)