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EVALUATION OF AN EXPECTNACY CHALLENGE CURRICULUM IN REDUCING HIGH RISK ALCOHOL USE AMONG COLLEGE STUDENTS WHEN MODIFIED FOR LARGE CLASSES
Title
EVALUATION OF AN EXPECTNACY CHALLENGE CURRICULUM IN REDUCING HIGH RISK ALCOHOL USE AMONG COLLEGE STUDENTS WHEN MODIFIED FOR LARGE CLASSES.
Creator
Schreiner, Amy, Dunn, Michael, University of Central Florida
Abstract / Description
Alcohol consumption has repeatedly been recognized as the primary public health concern impacting students on college campuses. In response to the prevalence of risky alcohol use and lack of effective response among colleges and universities, the National Advisory Council of the National Institute on Alcohol Abuse and Alcoholism created a task force to review the relevant research literature on alcohol interventions to advise college administrators on effective program implementation and...
Show moreAlcohol consumption has repeatedly been recognized as the primary public health concern impacting students on college campuses. In response to the prevalence of risky alcohol use and lack of effective response among colleges and universities, the National Advisory Council of the National Institute on Alcohol Abuse and Alcoholism created a task force to review the relevant research literature on alcohol interventions to advise college administrators on effective program implementation and evaluation as well as provide recommendations for future research directions. Only three strategies met criteria for Tier 1 designation (empirical support specifically with college students) and two of these strategies are intensive and time-consuming individual methods. The third Tier 1 strategy, challenging alcohol expectancies, was the only method that was validated for administration in a group setting. For widespread utility of expectancy-based prevention strategies, effective interventions must be developed for delivery in typical settings. The focus of the present study was to modify an existing classroom curriculum designed to alter expectancy processes of college students for use in classroom settings of 100+ students as they have become the typical class size in college and university settings. The modified expectancy curriculum was implemented in a single session with students during their actual classes. Measures of alcohol consumption and alcohol related harms were collected anonymously for the 30 days prior and the 30 days following the curriculum. Measures of alcohol expectancies were also collected anonymously immediately prior and immediately following the curriculum. Analyses revealed significant reductions in average drinks per sitting males and key expectancy changes for both males and females. A low number of high-risk drinkers led to further exploratory analyses with the exclusion of a proportion of the lighter drinkers in the sample. These analyses revealed significant decreases in average drinks per sitting and peak drinks per sitting for both males and females. There were no significant changes in alcohol related harms. This study represents an important extension of expectancy-based interventions for a college population. An intervention that began as a multi-session, time and resource intensive protocol for a small group of participants has been successfully modified for use with groups of 100+ people. The current protocol can be given to this large a group in a single session curriculum that can be delivered in any standard classroom.
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Date Issued
2010
Identifier
CFE0003114, ucf:48628
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0003114
Evaluation of a Digitally-Automated Alcohol Curriculum Designed to Alter Expectancies and Alcohol Use in First Year College Students
Title
Evaluation of a Digitally-Automated Alcohol Curriculum Designed to Alter Expectancies and Alcohol Use in First Year College Students.
Creator
Schreiner, Amy, Dunn, Michael, Cassisi, Jeffrey, Bowers, Clint, Linkovich Kyle, Tiffany, University of Central Florida
Abstract / Description
High-risk alcohol consumption remains a primary public health concern for students on college campuses. In response to this concern the National Advisory Council of the National Institute on Alcohol Abuse and Alcoholism created a task force to identify and recommend strategies to aid college administrators in implementing effective alcohol programming at their institutions. While most administrators report being aware of these recommendations, many have not successfully implemented...
Show moreHigh-risk alcohol consumption remains a primary public health concern for students on college campuses. In response to this concern the National Advisory Council of the National Institute on Alcohol Abuse and Alcoholism created a task force to identify and recommend strategies to aid college administrators in implementing effective alcohol programming at their institutions. While most administrators report being aware of these recommendations, many have not successfully implemented empirically supported interventions on their campuses. One significant barrier is the cost and difficulty of training and hiring skilled staff to implement these interventions. Of the strategies identified as effective, challenging alcohol expectancies is the only strategy validated for group administration with college students and has significant potential to address this remaining barrier. However, current expectancy-based interventions still require highly trained expert facilitators for implementation. The present study aimed to convert the previously validated Expectancy Challenge Alcohol Literacy Curriculum (ECALC) into a digital format amenable to non-expert facilitation. The resulting digital ECALC was implemented in 48 class sections of a first year student course in a group randomized trial. It was hypothesized that receiving the digital ECALC would result in significant changes in alcohol expectancies and subsequent changes in alcohol use and related harms. Analyses revealed significant changes in both positive and negative expectancies following the digital ECALC, however no significant changes in alcohol consumption or alcohol-related harms were observed at a 30 day follow-up. Exploratory subgroup analyses revealed significant differences between experimental and control groups on average and peak drinks per sitting for classes receiving the digital ECALC during the fall semester only. Semester specific variables, environmental context, and social influence variables may have contributed to the lack of behavioral changes in the overall sample following observed expectancy changes. This study represents an important development in expectancy-based interventions for college students as the digital format removed the need for an expert facilitator and maintained significant changes in expectancies. Future studies should focus on replication of these expectancy changes and on demonstrating subsequent changes in alcohol use and related harms. The present study also represents the first evaluation of a group-administered expectancy intervention to report on intra-class correlations which will aid future researchers in designing sufficiently powered studies going forward.
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Date Issued
2014
Identifier
CFE0005412, ucf:50425
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0005412