Advanced

Two-Year Outcome of Alcohol Interventions in Swedish University Halls of Residence: A Cluster Randomized Trial of a Brief Skills Training Program, Twelve-Step-Influenced Intervention, and Controls.

Ståhlbrandt, Henrietta LU ; Johnsson, Kent LU and Berglund, Mats LU (2007) In Alcoholism: Clinical and Experimental Research 31(3). p.458-466
Abstract
Background: High-risk alcohol consumption among university students is well documented. Several types of intervention have proved to be effective in reducing alcohol consumption. This study examines the 2-year outcome of 2 different alcohol intervention programs at university halls of residence.



Methods: Ninety-eight university halls of residence (with 556 students) were cluster randomized to 2 different intervention groups: a brief skills training program (BSTP) with interactive lectures and discussions, a twelve-step–influenced (TSI) program with didactic lectures by therapists trained in the 12-step approach, and a control group. All students completing the baseline assessment received personalized feedback by mail.... (More)
Background: High-risk alcohol consumption among university students is well documented. Several types of intervention have proved to be effective in reducing alcohol consumption. This study examines the 2-year outcome of 2 different alcohol intervention programs at university halls of residence.



Methods: Ninety-eight university halls of residence (with 556 students) were cluster randomized to 2 different intervention groups: a brief skills training program (BSTP) with interactive lectures and discussions, a twelve-step–influenced (TSI) program with didactic lectures by therapists trained in the 12-step approach, and a control group. All students completing the baseline assessment received personalized feedback by mail. Students responded to mailed follow-up questionnaires after 1, 2, and 3 years, including alcohol use disorders identification test (AUDIT; years 2 and 3), short index of problems (SIP), and estimated blood alcohol concentration (eBAC).



Results: All groups significantly reduced their AUDIT scores from baseline to the second year follow-up, with no significant differences between the groups. Seventy-seven percent of the students belonged to a population with high-risk consumption, using the AUDIT cut-off scores of 8 and 4 for men and women, respectively. Students with high-risk alcohol consumption showed significant differences in AUDIT score reduction in favor of the BSTP compared with controls, and had a tendency to show better results than the TSI intervention (p=0.06). Similar trends could be seen using SIP and eBAC. The TSI did not differ significantly from the control group within the group of students with high-risk alcohol consumption.



Conclusions: This study suggests that a BSTP is effective as an intervention in students with high-risk alcohol consumption. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
students in residence halls, cluster randomized controlled trial, alcohol intervention, twelve-step-influenced program, brief skills training program, university
in
Alcoholism: Clinical and Experimental Research
volume
31
issue
3
pages
458 - 466
publisher
Wiley-Blackwell
external identifiers
  • wos:000244097900013
  • scopus:33846915695
ISSN
0145-6008
DOI
10.1111/j.1530-0277.2006.00327.x
language
English
LU publication?
yes
id
6522eded-e1c7-4c0e-898a-bf7c8e77cf34 (old id 165746)
date added to LUP
2007-07-25 08:36:11
date last changed
2017-01-01 04:23:43
@article{6522eded-e1c7-4c0e-898a-bf7c8e77cf34,
  abstract     = {Background: High-risk alcohol consumption among university students is well documented. Several types of intervention have proved to be effective in reducing alcohol consumption. This study examines the 2-year outcome of 2 different alcohol intervention programs at university halls of residence.<br/><br>
<br/><br>
Methods: Ninety-eight university halls of residence (with 556 students) were cluster randomized to 2 different intervention groups: a brief skills training program (BSTP) with interactive lectures and discussions, a twelve-step–influenced (TSI) program with didactic lectures by therapists trained in the 12-step approach, and a control group. All students completing the baseline assessment received personalized feedback by mail. Students responded to mailed follow-up questionnaires after 1, 2, and 3 years, including alcohol use disorders identification test (AUDIT; years 2 and 3), short index of problems (SIP), and estimated blood alcohol concentration (eBAC).<br/><br>
<br/><br>
Results: All groups significantly reduced their AUDIT scores from baseline to the second year follow-up, with no significant differences between the groups. Seventy-seven percent of the students belonged to a population with high-risk consumption, using the AUDIT cut-off scores of 8 and 4 for men and women, respectively. Students with high-risk alcohol consumption showed significant differences in AUDIT score reduction in favor of the BSTP compared with controls, and had a tendency to show better results than the TSI intervention (p=0.06). Similar trends could be seen using SIP and eBAC. The TSI did not differ significantly from the control group within the group of students with high-risk alcohol consumption.<br/><br>
<br/><br>
Conclusions: This study suggests that a BSTP is effective as an intervention in students with high-risk alcohol consumption.},
  author       = {Ståhlbrandt, Henrietta and Johnsson, Kent and Berglund, Mats},
  issn         = {0145-6008},
  keyword      = {students in residence halls,cluster randomized controlled trial,alcohol intervention,twelve-step-influenced program,brief skills training program,university},
  language     = {eng},
  number       = {3},
  pages        = {458--466},
  publisher    = {Wiley-Blackwell},
  series       = {Alcoholism: Clinical and Experimental Research},
  title        = {Two-Year Outcome of Alcohol Interventions in Swedish University Halls of Residence: A Cluster Randomized Trial of a Brief Skills Training Program, Twelve-Step-Influenced Intervention, and Controls.},
  url          = {http://dx.doi.org/10.1111/j.1530-0277.2006.00327.x},
  volume       = {31},
  year         = {2007},
}