Bystander intervention for problematic alcohol use among graduate and international students: opportunities and challenges.

OBJECTIVES: Bystander intervention (BI) is a prevention approach commonly used for interpersonal violence, but is less studied for problematic alcohol use (PAU). Domestic graduate and international students' life experiences bring a unique context for the potential application of BI to PAU. METHODS AND MEASURES: We conducted a mixed methods study that consisted of a needs assessment and focus groups at a southeastern university in the U.S. The aims of this study were to understand (1) differences in PAU BI opportunities for domestic graduate versus international students, (2) reasons for differences in PAU BI use, and (3) barriers/facilitators in use of PAU BI. RESULTS: Overall, participants had few opportunities to use BI. Domestic graduate students had slightly more opportunities compared to international students. Most prominent reasons for lack of opportunities included not wanting to drive, the cost of drinking, and holding a graduate student identity (e.g. not interested in heavy drinking). Trusting others to be responsible for themselves was a common barrier noted for not using BI for PAU. CONCLUSION: PAU BI programs should contextualize experiences of domestic graduate and international students to provide appropriate skill development that considers unique barriers and facilitators to intervention use.

Bad Break-Up Behavior: Break-Up Characteristics, Emotional Dysregulation, and Alcohol Use as Risk Factors for Cyber Dating Abuse Among Sexual Orientation Diverse College Students.

Cyber dating abuse (CDA) is a growing public health concern among college students. CDA includes monitoring and abusive behaviors perpetrated toward an ex-partner via technology. Little is known about the predictors of CDA, particularly among sexual minority (SM) college students. Some theorized but relatively untested predictors include break-up characteristics, emotional regulation deficits, and alcohol use. The current study investigates what factors are associated with an increased risk for CDA toward an ex-partner (i.e., break-up characteristics, emotional dysregulation, and alcohol use) and the differences in associations with CDA between heterosexual and SM college students. Participants (N = 661) self-reported their CDA perpetration following their worst romantic break-up. They also answered questions about the break-up, their emotional regulation skills, and their current alcohol use. While SM students (n = 191) reported greater emotion regulation difficulties and alcohol use, they did not significantly differ from heterosexual participants (n = 470) in their reported CDA perpetration post-break-up. Hierarchical regressions were conducted to determine the impact of break-up characteristics and individual factors on CDA perpetration. Break-up characteristics, emotional dysregulation, and alcohol use significantly predicted heterosexual participants' CDA perpetration and accounted for 17% of the variance. Conversely, for SM students, only alcohol use was predictive of CDA, accounting for 5% of the variance. Although SM students report similar break-up experiences and levels of CDA as heterosexual students, additional, unmeasured factors may drive perpetration. However, given the generally high rates of alcohol use and CDA, and their robust association, interventions targeting alcohol reduction and healthy relationship dissolution strategies may be beneficial.

The bystander intervention for problematic alcohol use model (BIPAUM).

Objective: The study aimed to identify phases of bystander intervention (BI) for problematic alcohol use (PAU) among college students. Participants: Twenty focus groups and nine interviews were conducted. Methods: Transcripts were thematically analyzed. Results: The phases of the Bystander Intervention for Problematic Alcohol Use Model (BIPAUM) include: (1) plan in advance, (2) notice and interpret a sign, (3) decide (i.e., assume responsibility, assess support/feasibility to intervene, and identify intervention strategy), (4) intervene, and (5) assess outcomes. Assessing outcomes loops to influence future behavior and each phase is influenced by barriers and facilitators. Conclusions: These unique phases should be considered when designing and evaluating intervention programs for PAU to meet students' needs and better reduce PAU. Future research should empirically test the BIPAUM. The results of the current study demonstrate a promising opportunity for applying BI to PAU, with the goal of reducing risky drinking among college students.

A Systematic Review of Validated Measures of U.S.-Based Bystander Intervention-Related Constructs.

This review aimed to identify U.S.-based, construct-validated measures of bystander intervention. Following PRISMA-P guidelines, electronic databases were searched, and emails were solicited identifying 8,559 articles for title screening. Abstracts and full texts were double screened, resulting in 24 scales meeting inclusion criteria: (a) measured a bystander-related construct in a situation where there was a potential for actual or perceived imminent physical or emotional harm, (b) written in English, and (c) statistically validated on U.S. samples. Most scales addressed the domain of interpersonal violence (67%), with fewer relating to bias/bullying (8.2%), mental health crises (12.5%), and substance use (12.5%). Most scales (71%) assessed the "take action" step of the situational model. The modal construct represented was intent/willingness/likelihood to intervene (50%). The average number of items on a scale was 14, and most (79%) provided Likert-style response options. None of the validated scales assessing behavior first accounted for an opportunity. Sample sizes ranged from 163 to 3,397, with the modal setting from colleges. Overall, samples were young (21.8 years old), White (75%), women (64%), and heterosexual (89%). Results indicate the need to validate additional measures that capture the "interpreting the situation as problematic" step of the situational model. Scales also need to be validated using diverse samples, particularly within the mental health crisis domain. Across all domains, validated measures need to be developed that first account for an opportunity when measuring actual bystander behavior. The information gleaned can be used to assist researchers in selecting measures and guide future measure development.