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Stand-Alone Personalized Normative Feedback for College Student Drinkers: A Meta-Analytic Review, 2004 to 2014
Open accessAbstract
BACKGROUND: Norms clarification has been identified as an effective component of college student drinking interventions, prompting research on norms clarification as a single-component intervention known as Personalized Normative Feedback (PNF). Previous reviews have examined PNF in combination with other components but not as a stand-alone intervention. OBJECTIVES: To investigate the degree to which computer-delivered stand-alone personalized normative feedback interventions reduce alcohol consumption and alcohol-related harms among college students and to compare gender-neutral and gender-specific PNF. DATA SOURCES: Electronic databases were searched systematically through November 2014. Reference lists were reviewed manually and forward and backward searches were conducted. SELECTION CRITERIA: Outcome studies that compared computer-delivered, stand-alone PNF intervention with an assessment only, attention-matched, or active treatment control and reported alcohol use and harms among college students. METHODS: Between-group effect sizes were calculated as the standardized mean difference in change scores between treatment and control groups divided by pooled standard deviation. Within-group effect sizes were calculated as the raw mean difference between baseline and follow-up divided by pooled within-groups standard deviation. RESULTS: Eight studies (13 interventions) with a total of 2,050 participants were included. Compared to control participants, students who received gender-neutral (dbetween = 0.291, 95% CI [0.159, 0.423]) and gender-specific PNF (dbetween = 0.284, 95% CI [0.117, 0.451]) reported greater reductions in drinking from baseline to follow-up. Students who received gender-neutral PNF reported 3.027 (95% CI [2.171, 3.882]) fewer drinks per week at first follow-up and gender-specific PNF reported 3.089 (95% CI [0.992, 5.186]) fewer drinks. Intervention effects were small for harms (dbetween = 0.157, 95% CI [0.037, 0.278]). CONCLUSIONS: Computer-delivered PNF is an effective stand-alone approach for reducing college student drinking and has a small impact on alcohol-related harms. Effects are small but clinically relevant when considered from a public health perspective. Additional research is needed to examine computer-delivered, stand-alone PNF as a population-level prevention program.
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“For instance, daily-level findings can inform personalized interventions which are often effective as they can directly address specific challenges and behaviors of each participant (Dotson et al., 2015;Riper et al., 2009).”
From Daily Communication Between First-Year College Students and Their Parents: Associations With Perceived Relationship Positivity (2024) · cites this paper as Dotson et al., 2015
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Metadata
- Authors
- Dotson, K. B., Dunn, M. E., & Bowers, C. A.
- Affiliations
- University of Central Florida (US)
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2015-10-08
- Volume
- 10
- Issue
- 10
- Pages
- e0139518
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4598082
- OpenAlex
- W2124616725
- Cited by
- 181
- References
- 54
- Citations by year
- 2026: 4 · 2025: 21 · 2024: 12 · 2023: 15 · 2022: 21 · 2021: 25 · 2020: 15 · 2019: 20 · 2018: 21 · 2017: 16 · 2016: 11
- FWCI
- 12.55
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Journal of International Crisis and Risk Communication Research (submittedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Social Sciences › Communication › Media Influence and Health
- Keywords
- personalized normative feedback, college drinking, alcohol consumption, alcohol-related harm, computer-based intervention, alcohol prevention
- MeSH terms
- Alcohol Drinking in College, Alcohol Drinking, Humans, Databases, Factual, Internet, Feedback, Psychological
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