Computerized versus motivational interviewing alcohol interventions: impact on discrepancy, motivation, and drinking

Murphy, James G.; Dennhardt, Ashley A.; Skidmore, Jessica R.; Martens, Matthew P.; McDevitt-Murphy, Meghan E.

doi:10.1037/a0021347

Cited by 102Substance Abuse Treatment and OutcomesBehavioral Health and InterventionsSmoking Behavior and Cessation

Computerized versus motivational interviewing alcohol interventions: impact on discrepancy, motivation, and drinking

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Murphy, James G., Dennhardt, Ashley A., Skidmore, Jessica R., Martens, Matthew P., McDevitt-Murphy, Meghan E.·2010·Psychology of Addictive Behaviors

DOI 10.1037/a0021347PMC PMC5070604

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Abstract

The authors conducted two randomized clinical trials with ethnically diverse samples of college student drinkers in order to determine (a) the relative efficacy of two popular computerized interventions versus a more comprehensive motivational interview approach (BASICS) and (b) the mechanisms of change associated with these interventions. In Study 1, heavy drinking participants recruited from a student health center (N = 74, 59% women, 23% African American) were randomly assigned to receive BASICS or the Alcohol 101 CD-ROM program. BASICS was associated with greater post-session motivation to change and self-ideal and normative discrepancy relative to Alcohol 101, but there were no group differences in the primary drinking outcomes at 1-month follow-up. Pre to post session increases in motivation predicted lower follow-up drinking across both conditions. In Study 2, heavy drinking freshman recruited from a core university course (N = 133, 50% women, 30% African American) were randomly assigned to BASICS, a web-based feedback program (e-CHUG), or assessment-only. BASICS was associated with greater post-session self-ideal discrepancy than e-CHUG, but there were no differences in motivation or normative discrepancy. There was a significant treatment effect on typical weekly and heavy drinking, with participants in BASICS reporting significantly lower follow-up drinking relative to assessment only participants. In Study 2, change in the motivation or discrepancy did not predict drinking outcomes. Across both studies, African American students assigned to BASICS reported medium effect size reductions in drinking whereas African American students assigned to Alcohol 101, e-CHUG, or assessment did not reduce their drinking.

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Authors: Murphy, J. G., Dennhardt, A. A., Skidmore, J. R., Martens, M. P., & McDevitt-Murphy, M. E.
Affiliations: University of Memphis (US)
University of Missouri (US)
ORCID: Murphy, James G.
Dennhardt, Ashley A.
Venue: Psychology of Addictive Behaviors
Publisher: American Psychological Association (APA)
Published: 2010-12
Volume: 24
Issue: 4
Pages: 628-639
ISSN: 0893-164X (ISSN-L)
1939-1501
DOI: 10.1037/a0021347
PMC: PMC5070604
OpenAlex: W2006974059
Cited by: 102
References: 50
Citations by year: 2026: 2 · 2025: 2 · 2023: 4 · 2022: 2 · 2021: 7 · 2020: 5 · 2019: 7 · 2018: 6 · 2017: 6 · 2016: 13 · 2015: 12 · 2014: 15 · 2013: 8 · 2012: 12
FWCI: 4.89
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Psychology of Addictive Behaviors (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: ABMRF/The Foundation for Alcohol Research
National Institutes of Health (AA016304)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
Keywords: motivational interviewing, web-based feedback, college drinking, heavy drinking, motivation for change, self-ideal discrepancy, African American students, mechanisms of change
MeSH terms: Alcohol Drinking, Analysis of Variance, Female, Humans, Interviews as Topic, Male, Motivation, Psychotherapy, Brief, Students, Therapy, Computer-Assisted, Universities, Treatment Outcome, Alcohol-Related Disorders, Internet, Young Adult

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Computerized versus motivational interviewing alcohol interventions: impact on discrepancy, motivation, and drinking

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