Addressing alcohol use and problems in mandated college students: a randomized clinical trial using stepped care

Borsari, Brian; Hustad, John T. P.; Mastroleo, Nadine R.; Tevyaw, Tracy O'Leary; Barnett, Nancy P.; Kahler, Christopher W.; Short, Erica Eaton; Monti, Peter M.

doi:10.1037/a0029902

Cited by 73Substance Abuse Treatment and OutcomesAlcohol Consumption and Health EffectsBehavioral Health and Interventions

Addressing alcohol use and problems in mandated college students: a randomized clinical trial using stepped care

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Borsari, Brian, Hustad, John T. P., Mastroleo, Nadine R., Tevyaw, Tracy O'Leary, Barnett, Nancy P., Kahler, Christopher W., Short, Erica Eaton, Monti, Peter M.·2012·Journal of Consulting and Clinical Psychology

DOI 10.1037/a0029902PMC PMC3514601

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Abstract

OBJECTIVE: Over the past 2 decades, colleges and universities have seen a large increase in the number of students referred to the administration for alcohol policies violations. However, a substantial portion of mandated students may not require extensive treatment. Stepped care may maximize treatment efficiency and greatly reduce the demands on campus alcohol programs. METHOD: Participants in the study (N = 598) were college students mandated to attend an alcohol program following a campus-based alcohol citation. All participants received Step 1: a 15-min brief advice session that included the provision of a booklet containing advice to reduce drinking. Participants were assessed 6 weeks after receiving the brief advice, and those who continued to exhibit risky alcohol use (n = 405) were randomized to Step 2, a 60- to 90-min brief motivational intervention (n = 211), or an assessment-only control (n = 194). Follow-up assessments were conducted 3, 6, and 9 months after Step 2. RESULTS: Results indicated that the participants who received a brief motivational intervention showed a significantly reduced number of alcohol-related problems compared to those who received assessment only, despite no significant group differences in alcohol use. In addition, low-risk drinkers (n = 102; who reported low alcohol use and related harms at 6-week follow-up and were not randomized to stepped care) showed a stable alcohol use pattern throughout the follow-up period, indicating they required no additional intervention. CONCLUSION: Stepped care is an efficient and cost-effective method to reduce harms associated with alcohol use by mandated students.

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Barnett NP Borsari B Hustad JTP Tevyaw TOL Colby SM Kahler CW Monti PM 2008 Profiles of college students mandated to alcohol interventions Journal of Studies on Alcohol and Drugs 69 684 694 18781243 PMC2575397
Miller WR Rollnick S 2002 Motivational interviewing: Preparing people for change 2 Guilford Press

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Authors: Borsari, B., Hustad, J. T. P., Mastroleo, N. R., Tevyaw, T. O., Barnett, N. P., Kahler, C. W., Short, E. E., & Monti, P. M.
Affiliations: Veterans Health Administration (US)
Pennsylvania State University (US)
Brown University (US)
ORCID: Borsari, Brian
Hustad, John T. P.
Mastroleo, Nadine R.
Barnett, Nancy P.
Kahler, Christopher W.
Monti, Peter M.
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 2012-12
Volume: 80
Issue: 6
Pages: 1062-1074
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/a0029902
PMC: PMC3514601
OpenAlex: W2039453340
Cited by: 73
References: 58
Citations by year: 2026: 1 · 2025: 1 · 2023: 3 · 2022: 5 · 2021: 1 · 2020: 4 · 2019: 5 · 2018: 6 · 2017: 7 · 2016: 13 · 2015: 15 · 2014: 9 · 2013: 2 · 2012: 1
FWCI: 6.44
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Journal of Consulting and Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
eScholarship (California Digital Library) (submittedVersion)
Funders: National Institute on Alcohol Abuse and Alcoholism (R01-AA015518; R01-AA017874, T32 AA07459)
Sponsor name not included (K05AA19681)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords: university students, alcohol consumption, alcohol-related problems, stepped care, brief motivational intervention, brief advice, treatment efficiency, cost-effectiveness
MeSH terms: Adolescent, Humans, Patient Education as Topic, Psychotherapy, Brief, Students, Universities, Treatment Outcome, Alcohol-Related Disorders, Mandatory Programs, Young Adult, Motivational Interviewing

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Addressing alcohol use and problems in mandated college students: a randomized clinical trial using stepped care

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