Naturalistic Follow-Up of Drinking Behavior Following Participation in an Alcohol Administration Study

1999 ◽  
Vol 17 (1-2) ◽  
pp. 159-162 ◽  
Author(s):  
Rajita Sinha ◽  
Suchitra Krishnan-Sarin ◽  
Conor Farren ◽  
Stephanie O'Malley
Keyword(s):  
Drinking Behavior ◽  
Alcohol Administration

A Social Norms Approach to Reducing Alcohol Consumption Among College Freshmen

NASPA Journal ◽  
2003 ◽  
Vol 40 (4) ◽  
Author(s):  
Jannette Y. Berkley-Patton ◽  
Ellie C. Prosser ◽  
Kathleen A. McCluskey-Fawcett ◽  
Carrie Towns
Keyword(s):  
College Students ◽  
Social Norms ◽  
Drinking Behavior ◽  
School Level ◽  
Drinking Patterns ◽  
Normative Feedback ◽  
High School Level ◽  
University Life ◽  
Incoming Freshmen

The social norms media approach is an intervention designed to change college students’ drinking behavior by correcting false perceptions through normative feedback. The present study is a preliminary assessment of a social norms intervention’s attempt to decrease drinking amounts in students making the transition to university life. Data were collected on three groups of first-year students: (a) spring 1999 for baseline freshmen drinking norms, (b) summer 1999 to assess incoming freshmen drinking patterns, and (c) spring 2000 as a follow-up to assess effectiveness of the intervention for freshmen who entered fall 1999. Results indicated that the majority of freshmen students consistently drank in a moderate range (0–5 drinks), yet consistently overestimated their peers’ drinking levels. Incoming freshmen had significantly higher levels of drinking and greater misperceptions than baseline university freshmen. Results suggest the drinking rates significantly decreased for incoming freshmen from summer 1999 compared to spring 2000 follow-up norms. Also, the results suggest that normative feedback on college students’ drinking may be needed at the high school level to correct faulty perceptions prior to entering a university environment.

Validity and Reliability of Alcoholics' Self-Reports of Use of Alcohol Submitted before and after Treatment

1980 ◽  
Vol 46 (3) ◽  
pp. 999-1005 ◽  
Author(s):  
Edmund J. Freedberg ◽  
William E. Johnston
Keyword(s):  
Drinking Behavior ◽  
Data Sources ◽  
Validity And Reliability ◽  
High Agreement ◽  
Return Rates ◽  
Self Reports ◽  
Before And After ◽  
The Subject ◽  
Adequate Data

The subjects were 239 alcoholics who participated in a treatment program for employed alcoholics. Reports on their drinking behavior were obtained at four points: immediately prior to treatment, and at 3, 6, and 12 mo. of the year following residential treatment. Four data sources were used: the subject, his spouse if any (133 were married), his therapist, and his work supervisor. The results indicated high agreement among all four sources on the subjects' drinking behavior, suggesting that any one of the four sources could provide adequate data for program evaluation. It was noted that return rates from all sources decreased during the follow-up year and that a higher proportion of subjects could be assessed by using several data sources.

scholarly journals Real-Time Mobile Monitoring of Drinking Episodes in Young Adult Heavy Drinkers: Development and Comparative Survey Study

10.2196/13765 ◽  
2019 ◽  
Vol 7 (11) ◽  
pp. e13765 ◽  
Author(s):  
Daniel J Fridberg ◽  
James Faria ◽  
Dingcai Cao ◽  
Andrea C King
Keyword(s):  
Young Adults ◽  
Young Adult ◽  
Alcohol Use ◽  
Binge Drinking ◽  
Real Time ◽  
Real World ◽  
Drinking Behavior ◽  
Heavy Drinking ◽  
Natural Environments

Background Binge drinking, defined as consuming five or more standard alcoholic drinks for men (four for women) within a 2-hour period, is common among young adults and is associated with significant alcohol-related morbidity and mortality. To date, most research on this problem in young adults has relied upon retrospective questionnaires or costly laboratory-based procedures. Smartphone-based ecological momentary assessment (EMA) may address these limitations by allowing researchers to measure alcohol use and related consequences in real time and in drinkers’ natural environments. To date, however, relatively less research has systematically examined the utility of this approach in a sample of young adults targeting real-world heavy drinking episodes specifically. Objective This study aimed to evaluate the feasibility, acceptability, and safety of a smartphone-based EMA method targeting binge drinking and related outcomes in heavy drinking young adults during real-world drinking occasions. Methods Young adult binge drinkers in the smartphone group (N=83; mean 25.4 (SD 2.6) years; 58% (48/83) male; bingeing on 23.2% (6.5/28) days in the past month) completed baseline measures of alcohol use and drinking-related consequences, followed by up to two smartphone-based EMA sessions of typical drinking behavior and related outcomes in their natural environments. They also completed next-day and two-week follow-up surveys further assessing alcohol use and related consequences during the EMA sessions and two weeks after study participation, respectively. A separate demographic- and drinking-matched safety comparison group (N=25) completed the baseline and two-week follow-up surveys but did not complete EMA of real-world drinking behavior. Results Most participants (71%, 59/83) in the smartphone group engaged in binge drinking during at least one 3-hour EMA session, consuming 7.3 (SD 3.0) standard alcoholic drinks. They completed 87.2% (507/581) system-initiated EMA prompts during the real-world drinking episode, supporting the feasibility of this approach. The procedure was acceptable, as evidenced by high participant ratings for overall satisfaction with the EMA software and study procedures and low ratings for intrusiveness of the mobile surveys. Regarding safety, participants endorsed few drinking-related consequences during or after the real-world drinking episode, with no adverse or serious adverse events reported. There were no differences between the groups in terms of changes in drinking behavior or consequences from baseline to two-week follow-up. Conclusions This study provided preliminary support for the feasibility, acceptability, and safety of a smartphone-based EMA of real-time alcohol use and related outcomes in young adult heavy drinkers. The results suggest that young adults can use smartphones to safely monitor drinking even during very heavy drinking episodes. Smartphone-based EMA has strong potential to inform future research on the epidemiology of and intervention for alcohol use disorder by providing researchers with an efficient and inexpensive way to capture large amounts of data on real-world drinking behavior and consequences.

Real-Time Mobile Monitoring of Drinking Episodes in Young Adult Heavy Drinkers: Development and Comparative Survey Study (Preprint)

2019 ◽  
Author(s):  
Daniel J Fridberg ◽  
James Faria ◽  
Dingcai Cao ◽  
Andrea C King
Keyword(s):  
Young Adults ◽  
Young Adult ◽  
Alcohol Use ◽  
Binge Drinking ◽  
Real Time ◽  
Real World ◽  
Drinking Behavior ◽  
Heavy Drinking ◽  
Natural Environments

BACKGROUND Binge drinking, defined as consuming five or more standard alcoholic drinks for men (four for women) within a 2-hour period, is common among young adults and is associated with significant alcohol-related morbidity and mortality. To date, most research on this problem in young adults has relied upon retrospective questionnaires or costly laboratory-based procedures. Smartphone-based ecological momentary assessment (EMA) may address these limitations by allowing researchers to measure alcohol use and related consequences in real time and in drinkers’ natural environments. To date, however, relatively less research has systematically examined the utility of this approach in a sample of young adults targeting real-world heavy drinking episodes specifically. OBJECTIVE This study aimed to evaluate the feasibility, acceptability, and safety of a smartphone-based EMA method targeting binge drinking and related outcomes in heavy drinking young adults during real-world drinking occasions. METHODS Young adult binge drinkers in the smartphone group (N=83; mean 25.4 (SD 2.6) years; 58% (48/83) male; bingeing on 23.2% (6.5/28) days in the past month) completed baseline measures of alcohol use and drinking-related consequences, followed by up to two smartphone-based EMA sessions of typical drinking behavior and related outcomes in their natural environments. They also completed next-day and two-week follow-up surveys further assessing alcohol use and related consequences during the EMA sessions and two weeks after study participation, respectively. A separate demographic- and drinking-matched safety comparison group (N=25) completed the baseline and two-week follow-up surveys but did not complete EMA of real-world drinking behavior. RESULTS Most participants (71%, 59/83) in the smartphone group engaged in binge drinking during at least one 3-hour EMA session, consuming 7.3 (SD 3.0) standard alcoholic drinks. They completed 87.2% (507/581) system-initiated EMA prompts during the real-world drinking episode, supporting the feasibility of this approach. The procedure was acceptable, as evidenced by high participant ratings for overall satisfaction with the EMA software and study procedures and low ratings for intrusiveness of the mobile surveys. Regarding safety, participants endorsed few drinking-related consequences during or after the real-world drinking episode, with no adverse or serious adverse events reported. There were no differences between the groups in terms of changes in drinking behavior or consequences from baseline to two-week follow-up. CONCLUSIONS This study provided preliminary support for the feasibility, acceptability, and safety of a smartphone-based EMA of real-time alcohol use and related outcomes in young adult heavy drinkers. The results suggest that young adults can use smartphones to safely monitor drinking even during very heavy drinking episodes. Smartphone-based EMA has strong potential to inform future research on the epidemiology of and intervention for alcohol use disorder by providing researchers with an efficient and inexpensive way to capture large amounts of data on real-world drinking behavior and consequences.

Effects of Assertion Training within Context of a Multi-Modal Alcoholism Treatment Program for Employed Alcoholics

1981 ◽  
Vol 48 (2) ◽  
pp. 379-386 ◽  
Author(s):  
Edmund J. Freedberg ◽  
William E. Johnston
Keyword(s):  
Outcome Measures ◽  
Treatment Program ◽  
Psychological Functioning ◽  
Work Performance ◽  
Drinking Behavior ◽  
Specific Treatment ◽  
Job Retention ◽  
Assertion Training ◽  
Treatment Procedures

Of 101 alcoholic subjects participating in an intensive 3-wk. program, 56 received assertion training and 45 did not. All subjects were asked to take part in a 1-yr. follow-up program, during which data were collected on drinking behavior, work performance, job retention, and psychological functioning. Subjects who received assertion training achieved better results on all 4 outcome measures. While several recent studies have suggested that specific treatment procedures have little effect on outcome, this study indicates that assertion training in a comprehensive program significantly improves outcome.

A Follow-Up Study of Tuberculous Skid Row Alcoholics I. Social Adjustment and Drinking Behavior

1969 ◽  
Vol 30 (1) ◽  
pp. 119-128 ◽  
Author(s):  
Robert J. Rhodes ◽  
Richard M. Hudson
Keyword(s):  
Social Adjustment ◽  
Drinking Behavior ◽  
Skid Row ◽  
Follow Up Study

scholarly journals An effective hangover treatment: Friend or foe?

2017 ◽  
Vol 3 ◽  
pp. 205032451774103 ◽  
Author(s):  
Marlou Mackus ◽  
Marith van Schrojenstein Lantman ◽  
Aurora JAE van de Loo ◽  
David Nutt ◽  
Joris C Verster
Keyword(s):  
Alcohol Consumption ◽  
Online Survey ◽  
Drinking Behavior ◽  
Harmful Substance ◽  
Social Drinkers ◽  
Consumption Behavior

Background The purpose of this study was to examine whether drinkers would change their alcohol consumption behavior if an effective hangover treatment became available. Methods An online survey was held among Dutch students, aged 18–30 years, who recently had a hangover. Participants were asked (1) whether they would buy an effective hangover treatment if it became available and (2) whether using such a product would increase their alcohol consumption. In a follow-up survey, the same participants could clarify their answers in detail. Results A total of 1837 subjects completed the survey: 69.9% of the participants indicated they would buy an effective hangover treatment if available, 8.1% answered “no”, and 22.1% did not know. Only 13.4% stated that using such a treatment would increase their alcohol consumption. The majority of 71.6% stated it would not increase their alcohol consumption and 15.1% did not know. The follow-up survey was completed by N = 471 participants, of which 11.9% stated consuming more alcohol, 70.3% reported not to drink more alcohol, and 17.8% did not know. Motives for not consuming more alcohol were “The risk of having a hangover does not influence my drinking behavior” (24.2%), and “alcohol is a harmful substance” (20.3%). Discussion Social drinkers second the need for an effective hangover treatment. However, according to the vast majority of them, the availability of an effective hangover treatment would not result in an increase of alcohol consumption.

scholarly journals Efficacy of a Web-Based, Tailored, Alcohol Prevention/Intervention Program for College Students: 3-Month Follow-up

2011 ◽  
Vol 41 (4) ◽  
pp. 405-430 ◽  
Author(s):  
C. Raymond Bingham ◽  
Andrea Ippel Barretto ◽  
Maureen A. Walton ◽  
Christopher M. Bryant ◽  
Jean T. Shope ◽  
...  
Keyword(s):  
College Students ◽  
Risk Reduction ◽  
Intervention Program ◽  
Drinking Behavior ◽  
Alcohol Prevention ◽  
Efficacy Evaluation ◽  
Web Based ◽  
Prevention Intervention ◽  
Positive Effects

This study presents the results of an efficacy evaluation of a web-based brief motivational alcohol prevention/intervention program called Michigan Prevention and Alcohol Safety for Students (M-PASS). Four on-line sessions providing individually-tailored feedback were delivered to first-year college students over 9 weeks. Non- and low-risk drinking participants received risk prevention, while high-risk drinking participants received a risk-reduction intervention. Both intervention and control groups were surveyed at baseline and at a 3-month follow-up. Analysis showed positive effects for both men and women on stage of change, drinking behavior, drinking motivation and attitudes, and use of risk-reduction strategies. These results provided evidence of efficacy and found that M-PASS had both intervention and prevention effects, making it unique among currently developed brief alcohol interventions for college students.

Home-Based Contingency Management Delivered by Community Health Workers to Improve Alcohol Abstinence: A Randomized Control Trial

2020 ◽  
Vol 55 (2) ◽  
pp. 171-178 ◽  
Author(s):  
Tawanchai Jirapramukpitak ◽  
Keerati Pattanaseri ◽  
Kia-Chong Chua ◽  
Patcharapim Takizawa
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Contingency Management ◽  
Drinking Behavior ◽  
Dependent Manner ◽  
Intervention Period ◽  
Delayed Treatment ◽  
Home Based

Abstract Aim To evaluate the effectiveness of home-based contingency management (CM) in improving abstinence in an incentive-dependent manner among alcoholic individuals. Methods A 12-week, home-visit (HV) only controlled, randomized incentive-ranging trial of 161 adults with current alcohol dependence was recruited using social network theory techniques. Participants randomly received HV, low- (CM-L) or higher-magnitude CM (CM-H). Community health workers made regular home visits, monitored drinking behavior and delivered CM as appropriate. Two follow-up visits at weeks 13 and 16 were conducted to assess whether abstinence would still be maintained after the interventions discontinued. Rates of continuous reported abstinence (primary), numbers of positive breath samples (secondary) over the intervention period and rates of prolonged reported abstinence (secondary) were evaluated. Results CM did not significantly improve the rates of continuous reported abstinence across the 12-week intervention period (odds ratio (OR) for trend 1.2, 95% confidence interval (CI) 0.7–2.1, P = 0.601). There was a significant reduction, however, in the average number of positive breath samples submitted by the CM-H group (generalized linear model, β −0.5, 95% CI −0.9 to −0.2, P = 0.005). The CM-H arm also had a significantly higher abstinence rate during the follow-up period (OR 3.4, 95% CI 1.3–8.8, P = 0.013). Event history model suggested that the CM-H condition had significantly higher chances of achieving renewed abstinence across the study period (OR 2.0, 95% CI 1.3–3.2, P = 0.003). Conclusions Home-based CM with sufficient incentive is promising in reducing alcohol use and in improving rates of abstinence over time. Allowing for a certain grace period may better capture the delayed treatment effect of home-based CM.

scholarly journals Components of alcohol use and all-cause mortality

2017 ◽  
Author(s):  
Sarah M. Hartz ◽  
Mary Oehlert ◽  
Amy C. Horton ◽  
Richard Grucza ◽  
Sherri L. Fisher ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Binge Drinking ◽  
Drinking Behavior ◽  
Health Administration ◽  
Increased Risk ◽  
All Cause Mortality ◽  
Typical Day ◽  
Drinking Frequency ◽  
The Impact

AbstractImportanceCurrent recommendations for low-risk drinking are based on drinking quantity: up to one drink daily for women and two drinks daily for men. Drinking frequency has not been independently examined for its contribution to mortality.ObjectiveTo evaluate the impact of drinking frequency on all-cause mortality after adjusting for drinks per day and binge drinking behavior.DesignTwo independent observational studies with self-reported alcohol use and subsequent all-cause mortality: the National Health Interview Survey (NHIS), and data from Veteran’s Health Administration clinics (VA).SettingEpidemiological sample (NHIS) and VA outpatient database (VA Corporate Data Warehouse).Participants208,661 individuals from the NHIS interviewed between 1997 and 2009 at the age of 30 to 70 with mortality follow-up in the last quarter of 2011; 75,515 VA outpatients born between 1948 and 1968 who completed an alcohol survey in 2008 with mortality follow-up in June 2016.ExposuresQuantity of alcohol use when not binging (1-2 drinks on typical day, 3-4 drinks on typical day), frequency of non-binge drinking (never, weekly or less, 2-3 times weekly, 4 or more times weekly), and frequency of binge drinking (never, less than weekly, 1-3 times weekly, 4 or more times weekly). Covariates included age, sex, race, and comorbidity.Main Outcomes and MeasuresAll-cause mortality.ResultsAfter adjusting for binge drinking behavior, survival analysis showed an increased risk for all-cause mortality among people who typically drink 1-2 drinks four or more times weekly, relative to people who typically drink 1-2 drinks at a time weekly or less (NHIS dataset HR=1.15, 95% CI 1.06-1.26; VA dataset HR=1.31, 95% CI 1.15-1.49).Conclusions and RelevanceDrinking four or more times weekly increased risk of all-cause mortality, even among those who drank only 1 or 2 drinks daily. This was seen in both a large epidemiological database and a large hospital-based database, suggesting that the results can be generalized.

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