@article{ref1,
title="Prevention of alcohol-related incidents in the U.S. Air Force: results from a cluster randomized trial",
journal="Military medicine",
year="2021",
author="Little, Melissa A. and Klesges, Robert C. and Mallawaarachchi, Indika and McMurry, Timothy and Pebley, Kinsey and McDevitt-Murphy, Meghan and Murphy, James and Wayne Talcott, G.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Alcohol misuse poses significant public health concerns in the U.S. Military. An Alcohol Misconduct Prevention Program (AMPP), which includes a brief alcohol intervention (BAI) session, plus random breathalyzer program, has been shown to reduce alcohol-related incidents (ARIs) among Airmen undergoing training. <br><br>PURPOSE: The current study sought to examine whether a booster BAI administered at the end of Airmen's training reduced ARIs out to a 1-year follow-up. <br><br>METHODS: Participants were 26,231 U.S. Air Force Technical Trainees recruited between March 2016 and July 2018. Participants were cluster randomized by cohort to two conditions: AMPP + BAI Booster or AMPP + Bystander Intervention. The primary analysis was a comparison of the interventions' efficacies in preventing Article 15 ARIs at a 1-year follow-up, conducted using a generalized estimating equations logistic regression model controlling for covariates. <br><br>RESULTS: There was no significant difference by condition in Article 15 ARIs at the 1-year follow-up (P = .912). <br><br>CONCLUSIONS: Findings suggest that a booster may not be necessary to produce maximum effects beyond the initial AMPP intervention. It is also possible that alcohol behaviors changed as a result of the intervention but were not captured by our outcome measures. Future research should consider alternative outcomes or participant-tracking measures to determine whether a different or more intensive BAI booster is effective. The majority of Article 15 ARIs were for underage drinking; therefore, developing an intervention focused on this problem behavior could lead to large reductions in training costs in the military.<p /> <p>Language: en</p>",
language="en",
issn="0026-4075",
doi="10.1093/milmed/usab489",
url="http://dx.doi.org/10.1093/milmed/usab489"
}