Alcohol screening and brief intervention in a college student health center: a randomized controlled trial

Schaus, James F; Sole, Mary Lou; McCoy, Thomas P; Mullett, Natalie; O'Brien, Mary Claire

doi:10.15288/jsads.2009.s16.131

Cited by 122Substance Abuse Treatment and OutcomesAlcohol Consumption and Health EffectsBehavioral Health and Interventions

Alcohol screening and brief intervention in a college student health center: a randomized controlled trial

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Schaus, James F, Sole, Mary Lou, McCoy, Thomas P, Mullett, Natalie, O'Brien, Mary Claire·2009·Journal of Studies on Alcohol and Drugs, Supplement

DOI 10.15288/jsads.2009.s16.131PMC PMC2701092

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Abstract

OBJECTIVE: This study tested the effectiveness of brief primary care provider interventions delivered in a college student health center to a sample of college students who screened positive for high-risk drinking. METHOD: Between November 2005 and August 2006, 8,753 students who presented as new patients to the health service at a large public university were screened for high-risk drinking, and 2,484 students (28%) screened positive on the 5/4 gender-specific high-risk drinking question (i.e., five or more drinks per occasion for men and four or more for women). Students who screened positive for high-risk drinking and consented to participate (N= 363; 52% female) were randomly assigned either to a control group (n = 182) or to an experimental group (n = 181). Participants in the experimental group received two brief intervention sessions that were founded in motivational interviewing techniques and delivered by four specially trained providers within the student health center. Data on alcohol use and related harms were obtained from a Web-based Healthy Lifestyle Questionnaire, 30-day Timeline Followback alcohol-use diaries, the Rutgers Alcohol Problem Index (RAPI), and eight items from the Drinker Inventory of Consequences-2L. RESULTS: Repeated measures analysis showed that, compared with the control group (C), the intervention group (I) had significant reductions in typical estimated blood alcohol concentration (BAC) (C = .071 vs I = .057 at 3 months; C = .073 vs I = .057 at 6 months), peak BAC (C = . 142 vs I = .112 at 3 months; C = .145 vs I = .108 at 6 months), peak number of drinks per sitting (C = 8.03 vs I = 6.87 at 3 months; C = 7.98 vs I = 6.52 at 6 months), average number of drinks per week (C = 9.47 vs I = 7.33 at 3 months; C = 8.90 vs I = 6.16 at 6 months), number of drunk episodes in a typical week (C = 1.24 vs I = 0.85 at 3 months; C = 1.10 vs I = 0.71 at 6 months), number of times taken foolish risks (C = 2.24 vs I = 1.12 at 3 months), and RAPI sum scores (C = 6.55 vs I = 4.96 at 6 months; C = 6.17 vs I = 4.58 at 9 months). CONCLUSIONS: Brief interventions delivered by primary care providers in a student health center to high-risk-drinking students may result in significantly decreased alcohol consumption, high-risk drinking, and alcohol-related harms.

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Three trials in the primary meta-analysis (1638 participants) recruited only adolescents or young adults.
“Three trials in the primary meta-analysis (1638 participants) recruited only adolescents or young adults (defined as maximum 21 years, 24 years and 25 years in Bernstein 2010; Fleming 2010; Schaus 2009, respectively).”
From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Schaus 2009
The Study participants section describes this as a trial of 363 college students with a mean age of 20.6 years, supporting its identification as a young-adult trial. But its eligibility criteria specify a minimum age of 18 and no maximum age of 25; the paper also does not establish the citing meta-analysis’s total of three trials and 1,638 participants. (LLM, conf=0.85)
Experimental — accuracy not yet measured
Two included studies took place in college health clinics.
“Two studies took place in college health clinics (Fleming 2010; Schaus 2009)”
From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Schaus 2009

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Authors: Schaus, J. F., Sole, M. L., McCoy, T. P., Mullett, N., & O'Brien, M. C.
Affiliations: University of Central Florida (US)
ORCID: Sole, Mary Lou
McCoy, Thomas P
Venue: Journal of Studies on Alcohol and Drugs, Supplement
Publisher: Alcohol Research Documentation, Inc.
Published: 2009-07
Issue: s16
Pages: 131-142
ISSN: 1946-584X (ISSN-L)
1946-5858
DOI: 10.15288/jsads.2009.s16.131
PMC: PMC2701092
OpenAlex: W2105203367
Semantic Scholar: cf10cde7cd692c4f03be767ccf2c380fd3e8c6b9
Cited by: 121
References: 49
Citations by year: 2026: 1 · 2025: 1 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 5 · 2019: 6 · 2018: 6 · 2017: 2 · 2016: 4 · 2015: 20 · 2014: 12 · 2013: 15 · 2012: 15
FWCI: 9.22
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Journal of Studies on Alcohol and Drugs Supplement (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Journal of International Crisis and Risk Communication Research (submittedVersion)
Funders: National Institutes of Health (5u18aa015673-02)
National Institute on Alcohol Abuse and Alcoholism (U01AA014741, U18 AA015673, U01-AA14741, 1 U18 AA015673-01)
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: brief intervention, alcohol screening, university students, hazardous drinking, motivational interviewing, student health center, alcohol-related harm, blood alcohol concentration, binge drinking, alcohol-related consequences
MeSH terms: Alcohol Drinking, Counseling, Humans, Mass Screening, Motivation, Surveys and Questionnaires, Student Health Services, Students, Universities, Treatment Outcome, Alcohol-Related Disorders, Internet

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Alcohol screening and brief intervention in a college student health center: a randomized controlled trial

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