Alcohol Risk-Reduction Skills Training in a National Fraternity: A Randomized Intervention Trial With Longitudinal Intent-to-Treat Analysis
Abstract
OBJECTIVE: The potential effectiveness of two group-administered social-skills training interventions for reducing high-risk drinking behavior was evaluated through a prospective randomized intervention trial with 3,406 members of a national college fraternity. METHOD: Ninety eight of 99 chapters of a national fraternity were randomly assigned, within three strata, to receive (1) a 3-hour baseline intervention, (2) the same baseline intervention plus two booster sessions, or (3) assessments only. The current article emphasizes a rigorous intent-to-treat analysis model that compares outcomes among members assigned to receive study interventions (vs assessment-only sites) regardless of whether they actually did receive them; it also includes individuals at intervention sites even if they did not participate. This model allows us to address a social policy issue regarding the effect that introducing such an intervention may have in changing the high-risk normative drinking environment of the fraternity itself. RESULTS: Frequent heavy drinkers (64.2% of members) assigned to either intervention showed significant reductions at a 6-month follow-up in their frequency of drinking, heavy drinking, and drinking to intoxication; plus, they reported consuming fewer drinks overall. At 12 and 18 months postbaseline, these positive outcomes had largely dissipated. Additionally, there was an increase in drinking among lower-risk members 18 months postbaseline, which may be the result of factors other than differential attrition. CONCLUSIONS: Findings suggest that introducing such a brief intervention can effectively reduce risky drinking behavior on a short-term basis in high-risk members of a national fraternity. Future studies may wish to focus on strategies for sustaining positive outcomes for longer, plus would benefit, in general, from learning more about mechanisms of change.
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In a national sample that only included members of a single fraternity distributed across 98 chapters in 32 states (n = 3,406), Caudill et al. (2007) found 86% of members would be classified as binge drinkers.
“Conversely, in a national sample that only included members of a single fraternity distributed across 98 chapters in 32 states (n = 3,406), Caudill et al. (2007) found 86% of members would be classified as binge drinkers.”
From The Influence of Fraternity and Sorority Involvement: A Critical Analysis of Research (1996–2013) (2014) · cites this paper as Caudill et al., 2007
Caudill et al. (2007) found members drank on an average of 10.5 days in a month and consumed an average of 81 drinks in a month.
“Pursing different research questions with the same dataset, Caudill et al. (2007) found members drank on an average of 10.5 days in a month and consumed an average of 81 drinks in a month.”
From The Influence of Fraternity and Sorority Involvement: A Critical Analysis of Research (1996–2013) (2014) · cites this paper as Caudill et al. (2007)
Caudill et al. (2007) found the percentage of binge drinkers was 88% for off-campus, 84% for residence halls, 89% for fraternity house, and 58% for living with parents.
“Caudill et al. (2007), in a large-scale study of a single fraternity in 2000, found the percentage of binge drinkers was 88% for off-campus, 84% for residence halls, 89% for fraternity house, and 58% for living with parents.”
From The Influence of Fraternity and Sorority Involvement: A Critical Analysis of Research (1996–2013) (2014) · cites this paper as Caudill et al. (2007)
Fraternity and sorority house residents had higher rates on several alcohol measures than males and females living in residence halls and apartment complexes, but lower rates than reported in previous national studies.
“This level was much higher than that reported by both males and females living in residence halls and apartment complexes; however, it was much lower than rates reported in previous national studies (e.g., Caudill et al., 2007;Wechsler et al., 1996).”
From The Influence of Fraternity and Sorority Involvement: A Critical Analysis of Research (1996–2013) (2014) · cites this paper as Caudill et al., 2007
In the middle range of chapter size, there was generally an inverse relationship between chapter size and drinking scores.
“In the middle range, however, there was generally an inverse relationship between chapter size and the drinking scores.”
From The Influence of Fraternity and Sorority Involvement: A Critical Analysis of Research (1996–2013) (2014) · cites this paper as Caudill et al. (2007)
In a single national fraternity, the 26 smallest chapters had the lowest average drinking scores and the 20 largest chapters had the highest scores on every drinking measure.
“Caudill et al. (2007) found on every drinking measure that the 26 smallest chapters had the lowest average drinking scores and the 20 largest chapters had the highest scores.”
From The Influence of Fraternity and Sorority Involvement: A Critical Analysis of Research (1996–2013) (2014) · cites this paper as Caudill et al. (2007)
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- Authors
- Caudill, B. D., Luckey, B., Crosse, S. B., Blane, H. T., Ginexi, E. M., & Campbell, B.
- Affiliations
- Westat (United States) (US)
- ORCID
- Ginexi, Elizabeth M.
- Venue
- Journal of Studies on Alcohol and Drugs
- Publisher
- Alcohol Research Documentation, Inc.
- Published
- 2007-05
- Volume
- 68
- Issue
- 3
- Pages
- 399-409
- ISSN
- 1937-1888 (ISSN-L)
- 1938-4114
- OpenAlex
- W1976681124
- Cited by
- 34
- References
- 47
- Citations by year
- 2024: 3 · 2021: 1 · 2019: 2 · 2018: 3 · 2017: 1 · 2016: 3 · 2015: 1 · 2014: 4 · 2013: 2 · 2012: 2
- FWCI
- 1.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Studies on Alcohol and Drugs (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R01AA012532)
- 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
- social skills training, Greek life, hazardous drinking, heavy drinking, brief intervention, booster sessions, drinking norms, university students, intervention sustainability
- MeSH terms
- Adolescent, Adult, Alcohol Drinking, Alcoholic Intoxication, Behavior Therapy, Health Education, Humans, Health Knowledge, Attitudes, Practice, Male, Risk-Taking, Social Environment, Students, United States, Risk Assessment
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