Randomized controlled trial of a very brief, multicomponent web-based alcohol intervention for undergraduates with a focus on protective behavioral strategies

Robert F. Leeman, Kelly S. Demartini, Ralitza Gueorguieva, Christine Nogueira, William Corbin, Clayton Neighbors, Stephanie S. O'Malley

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Objective: Tertiary Health Research Intervention via Email (THRIVE), a very brief, freely available, multicomponent Web-based alcohol intervention originally developed and tested among students in Australia and New Zealand, was tested in the United States. We also evaluated effects of systematically varying the protective behavioral strategies (PBS) component of the intervention to include shorter, focused lists of direct (e.g., alternating alcoholic with nonalcoholic drinks) or indirect (e.g., looking out for friends) strategies. Method: Undergraduates with past-month heavy drinking (N = 208) were randomized to education/assessment control or one of three U.S.-THRIVE variants, including direct PBS only, indirect PBS only, or full (direct and indirect PBS). Results: After 1 month, compared to the control condition, full condition participants reported fewer drinks per week (rate ratio [RR] = .62) and lower peak drinking (RR = .74). The indirect-only condition reported reduced peak drinking (RR = .74) and a trend toward fewer drinks per week (RR = .78). Changes in drinking relative to control were significant through 6 months for the full and indirect-only conditions. There were no significant differences between the direct-only and control conditions. U.S.-THRIVE was not associated with decreased heavy drinking or alcohol-related problems relative to control. Conclusions: To our knowledge, this was the first study to systematically vary the types of PBS provided in an intervention. Initial results suggest U.S.-THRIVE is efficacious. Compared to control, presenting indirect PBS only as part of U.S.-THRIVE was associated with lower drinks per week and peak past 30-day drinking. Targeting indirect PBS may be more appropriate for non-treatment-seeking young adults receiving a brief intervention.

Original languageEnglish (US)
Pages (from-to)1008-1015
Number of pages8
JournalJournal of consulting and clinical psychology
Volume84
Issue number11
DOIs
StatePublished - Nov 1 2016

Keywords

  • THRIVE
  • Web based
  • brief intervention
  • computer based
  • young adult

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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