@article{ref1,
title="Examining engagement effects in an adaptive preventive intervention for college student drinking",
journal="Journal of consulting and clinical psychology",
year="2023",
author="Patrick, Megan E. and Sur, Aparajita and Arterberry, Brooke and Peterson, Sarah and Morrell, Nicole and Vock, David M.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: This study determined the characteristics of engagement and whether engagement in an adaptive preventive intervention (API) was associated with reduced binge drinking and alcohol-related consequences. <br><br>METHOD: Incoming students were recruited for a sequential multiple assignment randomized trial (SMART; N = 891, 62.4% female, 76.8% non-Hispanic White) with an assessment-only control group. The API occurred during the first semester of college, with outcomes assessed at the end of the semester. The API involved two stages. Stage 1 included universal intervention components (personalized normative feedback [PNF] and self-monitoring). Stage 2 bridged heavy drinkers to access additional resources. We estimated the effect of engagement in Stage 1 only and in the whole API (Stages 1 and 2) among the intervention group, and the effect of the API versus control had all students assigned an API engaged, on alcohol-related outcomes. <br><br>RESULTS: Precollege binge drinking, intention to pledge a fraternity/sorority, and higher conformity motives were most associated with lower odds of Stage 1 engagement. Action (readiness to change) and PNF engagement were associated with Stage 2 engagement. API engagement was associated with significant reductions in alcohol-related consequences among heavy drinkers. Compared to the control, we estimated the API would reduce the relative increase in alcohol-related consequences from baseline to follow-up by 25%, had all API students engaged. <br><br>CONCLUSIONS: Even partial engagement in each component of the &quot;light-touch&quot; API rendered benefits. Analyses suggested that had all students in the intervention group engaged, the API would significantly reduce the change in alcohol-related consequences over the first semester in college. (PsycInfo Database Record (c) 2023 APA, all rights reserved).<p /> <p>Language: en</p>",
language="en",
issn="0022-006X",
doi="10.1037/ccp0000845",
url="http://dx.doi.org/10.1037/ccp0000845"
}