Sleep-related functional impairment as a moderator of risky drinking and subsequent negative drinking consequences in college students

BACKGROUND Hazardous alcohol consumption, and binge drinking in particular, continues to be common among college students, posing the greatestrisk for their health and safety. Despite widespread exposure to evidence-based preventive interventions among U.S. undergraduates, only modest and temporary effects on risky drinking occur. Formative studies have demonstrated that students want a more engaging intervention tool for risky drinking that can be used “just in time.” OBJECTIVE The purpose of this study was to test the appeal, relevance, and perceived utility of a draft mobile app for safer student drinking. METHODS Undergraduate student participants tested the draft mobile app via an interactive online prototype with hot spots that responded to their taps to mimic app functionality. They narrated their impressions, navigation, and comments in a standardized Think-Aloud procedure. After each round of Think-aloud interviews, researchers debriefed the investigators and developers to discuss findings and brainstorm app modifications. RESULTS Data indicated that minor changes to the functionality and aesthetics would improve usability of the app. Student testers recommended tailoring the app to the needs of college students and to aspects of the local university’s drinking culture. CONCLUSIONS Findings from this study will be synthesized with information gained from other formative work to determine the final app features. We will test the app in a pilot randomized trial to assess app usage and the impact of the app on college student drinking behavior over several months.

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College Students Lack Knowledge of Standard Drink Volumes: Implications for Definitions of Risky Drinking Based on Survey Data

Alcoholism Clinical and Experimental Research ◽

10.1097/01.alc.0000158836.77407.e6 ◽

2005 ◽

Vol 29 (4) ◽

pp. 631-638 ◽

Cited By ~ 65

Author(s):

Aaron M. White ◽

Courtney L. Kraus ◽

Julie D. Flom ◽

Lori A. Kestenbaum ◽

Jamie R. Mitchell ◽

...

Keyword(s):

College Students ◽

Survey Data ◽

Risky Drinking ◽

Standard Drink

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Calorie Restriction on Drinking Days: An Examination of Drinking Consequences Among College Students

Journal of American College Health ◽

10.3200/jach.57.6.603-610 ◽

2009 ◽

Vol 57 (6) ◽

pp. 603-610 ◽

Cited By ~ 49

Author(s):

Steven M. Giles ◽

Heather Champion ◽

Erin L. Sutfin ◽

Thomas P. McCoy ◽

Kim Wagoner

Keyword(s):

College Students ◽

Calorie Restriction ◽

Drinking Consequences

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College Students’ Alcohol Use: A Critical Review

Annual Review of Nursing Research ◽

10.1891/0739-6686.23.1.179 ◽

2005 ◽

Vol 23 (1) ◽

pp. 179-211 ◽

Cited By ~ 27

Author(s):

Carol J. Boyd ◽

Sean E. McCabe ◽

Michele Morales

Keyword(s):

College Students ◽

Alcohol Use ◽

Binge Drinking ◽

Critical Review ◽

College Drinking ◽

Future Research ◽

Risky Drinking ◽

Research Papers ◽

Reference Center ◽

Initial List

This integrative review of college students’ alcohol use covers research papers as well as review and theoretical papers published between 1990 and 2004. To conduct this review, abstracts were identified by searching Medline (PubMed), Ingenta, ERIC, PsycInfo, and Health Reference Center Academic using the following words: alcohol and college drinking, binge drinking, college students and undergraduates and the years 1990 to 2004. From an initial list of over 400 abstracts, 203 papers were identified and considered for this review. A developmental perspective of college drinking was assumed, and the chapter is organized within five domains: biology, identity, cognition, affiliation, and achievement. In addition, research pertaining to the harmful consequences of college drinking and the assessment of risky drinking is reviewed and discussed. The chapter concludes with the identification of gaps in knowledge and implications for future research.

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DSM-5 and Other Symptom Thresholds for ADHD: Which Is the Best Predictor of Impairment in College Students?

Journal of Attention Disorders ◽

10.1177/1087054716629216 ◽

2016 ◽

Vol 23 (13) ◽

pp. 1637-1646 ◽

Cited By ~ 10

Author(s):

Cynthia M. Hartung ◽

Elizabeth K. Lefler ◽

Will H. Canu ◽

Anne E. Stevens ◽

Maryanne Jaconis ◽

...

Keyword(s):

College Students ◽

Emerging Adults ◽

Functional Impairment ◽

Diagnostic Dilemma ◽

Statistical Manual ◽

Mature Adults ◽

Diagnostic And Statistical Manual ◽

Dsm 5 ◽

Diagnosis Method ◽

Strong Consensus

Objective: Approximately 5% of adults have ADHD. Despite recommendations regarding the diagnosis of emerging adults, there is not a strong consensus regarding the ideal method for diagnosing ADHD in both emerging and mature adults. We were interested in determining whether a threshold of four, five, or six ADHD symptoms would be associated with significantly different levels of functional impairment and be more or less indicative of a potential ADHD diagnosis. Method: We examined the relation between functional impairment and these ADHD symptom thresholds in 2,577 college students. Results: Our findings suggest that none of these symptom thresholds are differentially better at predicting functional impairment. Conclusion: The Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) threshold of five symptoms for ages 17 years and older is not necessarily predictive of ADHD-related impairment in college students and may not be preferable to other thresholds. Options for resolving this diagnostic dilemma are discussed.

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Collaborative information exchange using elicit-provide-elicit to reduce risky drinking among college students

Journal of Communications In Healthcare ◽

10.1080/17538068.2017.1336359 ◽

2017 ◽

Vol 10 (2) ◽

pp. 108-115 ◽

Cited By ~ 2

Author(s):

Jennifer E. Hettema ◽

Lara A. Barbir ◽

Kelsey R. Viar ◽

Lauren Hund

Keyword(s):

College Students ◽

Information Exchange ◽

Risky Drinking

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Drinking Behavior Among College Students: Interventions to Increase Mindfulness and Social Capital

Journal of Social, Behavioral, and Health Sciences ◽

10.5590/jsbhs.2020.15.1.05 ◽

2021 ◽

Vol 15 (1) ◽

Author(s):

Jenna C Anderson ◽

Antonio J. Gardner ◽

Barry Hunt

Keyword(s):

College Students ◽

Social Capital ◽

Adverse Childhood Experiences ◽

Drinking Behavior ◽

College Campuses ◽

Risky Drinking ◽

Childhood Experiences ◽

Student Drinking ◽

Adverse Childhood ◽

Drinking Behaviors

The impacts of drinking behaviors are far-reaching, with college student drinking contributing to over 1,500 deaths and an estimated 696,000 assaults on college campuses each year (National Institute on Alcohol Abuse and Alcoholism [NIAAA], 2019). There are a variety of explanations to explain why college students engage in risky drinking behaviors. However, there is evidence to suggest that drinking and other substance use may be a result of complex psychological origins, including adverse childhood experiences (ACEs). This paper reviews the literature available on ACEs among college students, how these experiences impact alcohol use among this population, and potential areas for intervention, including those with a focus on mindfulness and social capital.

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