Incorporating Social Networks and Event-Specific Information in a Personalized Feedback Intervention to Reduce Drinking Among Young Adults.

AIMS: To correct risky alcohol use among young adults, current personalized feedback interventions (PFIs) use social influence information related to distal referent groups. Although current PFIs have been effective, little consideration has been given to strategies applying more concrete sources of social influence, namely the influence of specific people within one's social network during actual drinking contexts. The current study evaluated a novel PFI, providing feedback regarding the presence or absence of particular individuals within a participant's close network along with the number of drinks consumed and consequences experienced during several specific drinking occasions. METHODS: TurkPrime users (N = 338) identified five close others with whom they sometimes drank. They also provided details about their five most recent drinking occasions and noted which of their network members were present. Participants were then randomized to receive or not receive feedback consisting of a list of drinking events, negative consequences and who was present. RESULTS: Feedback participants intended to consume fewer drinks over the next month relative to control (b = -0.25, P = 0.001). Analyses were inconclusive as to whether this effect was stronger for those who received more feedback (b = -0.01, P = 0.857). CONCLUSIONS: Results provide preliminary support for the efficacy of a novel social influence-based intervention, which provides personalized feedback indicating social contexts that are more and less likely to lead to negative alcohol-related experiences.

Religion and drinking: Differences between two campuses.

Levels of religiousness vary by geographic location, but studies of the relationship between religiousness and alcohol are often limited to one region. For our participants (N = 1124; 57.5% female), location was significantly associated with both religiousness and alcohol use. Active religiousness was associated with drinking outcomes. The indirect effects of location on drinks per week through active religiousness were significant. At Campus S, subjective religiousness was associated with more drinks per week, whereas active religiousness was associated with fewer drinks per week. Findings indicate active religiousness is especially relevant when exploring drinking, and location is important when exploring religiousness and alcohol use.

Perceived belonging on campus predicts depression among heavy drinkers: A test of three moderators.

Objective: An association exists between perceived belonging and depression among college students. Because a student's sense of belongingness may vary as a function of their social identity, three identities - ethnicity, first-generation college student status, and sex - were investigated as potential moderators of this relationship. Participants: One hundred eighty-seven heavy-drinking college students (63% female; 52% non-Latinx White; M = 20 years of age) were assessed. Methods: Three hierarchical linear regressions were conducted to test whether belonging at baseline predicted depression at six months and whether each identity variable moderated this association. Results: Analyses yielded significant main effects between belonging and depression. Hispanic nor first-generation status interacted with belonging in predicting depression. Sex interacted with belonging where higher belongingness was associated with lower levels of depression only among female students. Conclusion: Mental health providers should consider asking female students about their perceptions of belonging on college campuses to understand their vulnerability to depression.

Fluctuation in the sense of belongingness during college moderates within-person associations between perceived injunctive norms and subsequent drinking.

OBJECTIVE: Explanations for associations between social norms and drinking often focus on wanting to fit in, gain social approval, and/or avoid social exclusion. From this perspective, students who believe that drinking is strongly linked to social approval should be more motivated to drink, especially if their sense of social approval or belongingness in college is low. To evaluate this hypothesis, we examined changes in drinking as a function of fluctuations in perceived injunctive norms (i.e., perceptions of others' approval of drinking) and belongingness (i.e., one's sense of social belonging in college). METHOD: Participants included 383 (60% women) nonabstaining students who, beginning in their first or second year of college, completed assessments every 3 months over a 2-year period. Data were analyzed using multilevel mixed-effects negative binomial models followed by marginal tests to evaluate nonlinear interactions. RESULTS: Within-person results indicated that when individuals believed other students were more approving of alcohol, they subsequently increased their drinking, which is especially true when individuals' sense of belongingness was at or below average. Between-person effects revealed overall positive associations of injunctive norms and belongingness with drinking. In addition, greater alcohol consumption among individuals with higher injunctive norms was less evident among students with lower average levels of belongingness. CONCLUSIONS: Perceiving others as more approving of drinking corresponds to increased drinking only when personal levels of belongingness are at or below average. Elevated feelings of belongingness may buffer social influences on drinking. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Design, efficacy, and methodology considerations for brief interventions: Intervention delivery and incentives.

This research evaluated the effects of two methodological factors (i.e., delivery modality and incentives) on attrition, data quality, depth of processing, and perceived value of a personalized normative feedback (PNF) intervention targeting drinking reduction in college students. We expected in lab (vs. remote) participation would be associated with lower attrition, better data quality, and greater depth of processing and intervention value. We further expected that being offered an incentive (vs. not) would be associated with less attrition and better data quality, but lower depth of processing and intervention value. Finally, we expected depth of processing and intervention value to be related to reductions in drinking among PNF participants. Heavy drinking college students (N = 498) participated in a 2 (in-person vs. remote delivery) × 2 (incentive [$30 gift card] vs. no incentive) × 2 (PNF vs. attention control) design. Follow-ups occurred remotely 3 and 6 months later; all participants were compensated with a $15 giftcard per completed follow-up. In-lab participants and those offered an incentive were less likely to drop out of the study. In-lab participants gave higher quality data at baseline and reported greater depth of processing and higher intervention value. PNF was related to reductions in drinking, but depth of processing and intervention value were not, nor was the interaction with PNF. Results suggest several benefits for motivating students to come into the lab and a few for offering an incentive but suggest that this is not a necessary requirement for PNF brief interventions to work. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Expressing Discrepancies between Religious Affiliations and Drinking Reduces Drinking Intentions.

The majority of young adults express a religious affiliation. Most widely-practiced religions have some proscriptions against excessive drinking and/or drunkenness. Yet many religious college students engage in drinking in excess of these proscriptions, albeit at lower levels than non-religious students. At present, virtually no empirically-evaluated brief interventions in this population have directly incorporated religious affiliation. OBJECTIVE: The present study evaluated an expressive writing intervention that elicits awareness and expression of discrepancy between religious affiliation and drinking behaviors, especially for students expressing moderate to high subjective religiousness and drinking levels. We expected discrepancy to result in lower drinking intentions. METHOD: Undergraduate students (N=344) were randomly assigned to a 2 (priming: religious affiliation vs. college major) X 2 (comparison of current drinking with: religious affiliation vs. college major) expressive writing design in which those in the experimental condition were asked to describe how their current drinking fit with their religious affiliation. RESULTS: Writing about the fit between current drinking and one's religious affiliation (versus college major) was associated with expressing more discrepancy, which was, in turn, associated with intentions to reduce drinking. No effects were found for priming, nor for the interaction between priming and comparison. Subjective religiousness and current drinking were evaluated as moderators of the indirect effect of comparing one's current drinking and religious affiliation on future drinking intentions through expressed discrepancy. The effect of comparison on discrepancy was stronger at higher levels of subjective religiousness. The association between discrepancy and intentions to reduce drinking was stronger for heavier drinkers, especially when also accompanied by higher subjective religiousness. CONCLUSION: Results provide preliminary support for a novel intervention strategy with the potential to reduce drinking in a significant proportion of students that has previously received little consideration.

Contrasting the effects of harmonious and obsessive passion for religion on stress and drinking: Give me that old time religion and a beer.

Research has established two types of passion (i.e., harmonious and obsessive) for several activities, behaviors, and relationships (Vallerand & Houlfourt, 2003). Harmonious passion is characterized by an autonomous orientation toward an activity, while obsessive passion is characterized by a more controlled orientation toward an activity. Similar but not congruent conceptualizations of approaches to religion have been explored. Moreover, the preponderance of research suggests that religiousness is associated with decreased problematic alcohol use. However, little research has been done into contrasting approaches to religious devotion. We explored harmonious and obsessive passion for religious beliefs and practices and their association with alcohol use and alcohol-related problems. Perceived stress and satisfaction with life were examined as mediators. Participants included 707 undergraduate students (54.8% female) from a large southwestern university who were recruited as a part of a larger alcohol-related intervention trial. Data were collected at three time points: baseline, 3-month follow-up, and 6-month follow-up, and were analyzed prospectively, with passion and mental health at time 1 and time 2 predicting alcohol outcomes at time 2 and time 3. The indirect effects of both obsessive passion and harmonious passion on alcohol problems through perceived stress were significant, and in opposite directions. Additionally, moderation analyses showed that both obsessive and harmonious passion for religion moderated the associations between perceived stress and drinking and between perceived stress and alcohol problems.

Cognitive factors and addiction.

The present paper provides a brief review of cognitive factors related to addiction. Five representative cognitive constructs were selected from the current literature. These include the distinction between implicit and explicit cognitions; metacognitions; expectancies; motives; and social norms. For each of these a general overview is provided along with specific findings from selected recent studies. The intention is to provide the reader with a succinct but reasonable view of how each construct is currently studied in relation to the use of alcohol and other substances and to become aware of some of the strengths and limitations corresponding to the study of these constructs.

Testing a motivational model of delivery modality and incentives on participation in a brief alcohol intervention.

OBJECTIVES: The current research evaluated delivery modality and incentive as factors affecting recruitment into a personalized normative feedback (PNF) alcohol intervention for heavy drinking college students. We also evaluated whether these factors were differentially associated with participation based on relevance of the intervention (via participants' drinking levels). METHOD: College students aged 18-26 who endorsed at least one heavy drinking episode and one alcohol-related consequence in the past month (N = 2059; 59.1% female) were invited to participate in a PNF intervention study. In this 2 × 2 design, participants were randomized to: (1) complete the computer-based baseline survey and intervention procedure remotely (i.e., at a time and location of their convenience) or in-person in the laboratory, and (2) receive an incentive ($30) for their participation in the baseline/intervention procedure or no incentive. RESULTS: Consistent with hypotheses, students were more likely to participate when participation occurred remotely (OR = 1.87, p < .001) and when an incentive (OR = 1.64, p = .007) was provided. Moderation analyses suggested that incentives were only associated with higher recruitment rates among remote participants (OR = 2.10, p < .001), consistent with cognitive evaluation theory. Moreover, heavier drinkers were more likely to participate if doing so remotely, whereas drinking was not associated with likelihood of participation among in-person participants. DISCUSSION: The present results showed a strong selection bias for participation in a web-based intervention study relative to one in which participants were required to participate in-person. Results have implications for researchers recruiting college students for alcohol interventions.

Friends in low places: The impact of locations and companions on 21st birthday drinking.

The present research examined how various locations and companions were associated with hazardous drinking during 21st birthday celebrations. The sample included 912 college students (57% female) who completed an online survey to examine 21st birthday drinking. Locations included bars, friends' houses, restaurants, outdoor barbecues, homes, parents' homes, and Fraternity/Sorority houses. Companions included friends, family members, casual acquaintances, roommates, significant others, Fraternity/Sorority members, and none (alone). Participants consumed an average of 7.6 drinks and reached an average eBAC of .15 during their 21st birthday celebrations. Locations accounted for 20%/18% of the variance in number of drinks and eBAC, respectively, whereas companions accounted for 23%/20% of the variance. Drinking with romantic partners was associated with less drinking, whereas drinking with Fraternity/Sorority members was associated with more drinking. Stepwise regressions combining locations and companions suggested that, overall, celebrating in a bar setting and with Fraternity and Sorority members were the strongest variables associated with drinking. With the exception of a bar setting, companions were the most important contextual factors associated with 21st birthday drinking.