Stepped Care for Mandated College Students
Primary Purpose
Alcohol Use
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Step 1: Minimal Intervention
Step 2: Brief Motivational Intervention
Alcohol Assessment
Sponsored by

About this trial
This is an interventional treatment trial for Alcohol Use focused on measuring Stepped Care, Brief Motivational Intervention, Minimal Intervention, Treatment response, College Students
Eligibility Criteria
Inclusion Criteria: Male and female students 18 years of age or older. Participants will have signed a witnessed informed consent. Participants will have been referred for an alcohol-related offense Exclusion Criteria: Participants who meet current DSM-IV criteria for substance use disorder Participants who are currently in treatment for substance use.
Sites / Locations
- Roger Williams University
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Other
Active Comparator
Active Comparator
Arm Label
Step 1
Step 2-A
Step 2-B
Arm Description
Minimal Intervention
Brief motivational intervention (BMI)
Assessment-only control
Outcomes
Primary Outcome Measures
Alcohol consumption
Alcohol-related consequences
Secondary Outcome Measures
Predictors of response to treatment
Full Information
NCT ID
NCT00247182
First Posted
October 28, 2005
Last Updated
September 20, 2016
Sponsor
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
1. Study Identification
Unique Protocol Identification Number
NCT00247182
Brief Title
Stepped Care for Mandated College Students
Official Title
Stepped Care for Mandated College Students
Study Type
Interventional
2. Study Status
Record Verification Date
September 2016
Overall Recruitment Status
Completed
Study Start Date
October 2006 (undefined)
Primary Completion Date
April 2010 (Actual)
Study Completion Date
June 2011 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This project provides stepped care to college students mandated for alcohol-related offenses. Students are first provided with a minimal intervention, a 15-minute discussion of their alcohol use. Students who continue to drink in a risky manner are provided with a more intensive, hour-long brief motivational interview. By providing more intensive treatment to the students who exhibit risky drinking, we hope to maximize the efficiency of campus alcohol programs.
Detailed Description
Colleges and universities have seen a large increase in the number of students referred to the administration for the violation of alcohol policies. However, research indicates that the majority of mandated students may not require extensive treatment. Stepped care assigns individuals to different levels of care according to their response to treatment. Encouraging research indicates that minimal interventions and BMIs may reduce heavy drinking in mandated college students. Thus, implementing stepped care using these interventions could maximize treatment efficiency and reduce the demands on campus alcohol programs.
Participants will be students mandated to attend an alcohol program at a northeastern private university. All participants will receive Step 1, a 15-minute minimal intervention including a discussion of the referral incident and the provision of a booklet containing advice to reduce drinking. Participants will be assessed six weeks later, and those continuing to exhibit risky alcohol use will receive Step 2, randomization to: (a) a 60-90 minute brief motivational intervention (BMI) or (b) an assessment-only control. All students will complete 3, 6, and 9 month follow-up assessments. The three groups will be compared on two outcome measures: frequency of binge drinking episodes and alcohol-related problems in the past 30 days. Predictors of treatment response (readiness to change, alcohol expectancies, age of first drink, sensation seeking, descriptive norms, and reaction to the referral) will also be evaluated for both steps of the intervention. Research findings will assist college alcohol programs in determining the most effective and efficient allocation of their limited resources in treating mandated students. The long-term objectives of this research are to inform preventive intervention research about the utility and cost-effectiveness of stepped-care approaches and to identify individual and situational factors that qualify these effects.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alcohol Use
Keywords
Stepped Care, Brief Motivational Intervention, Minimal Intervention, Treatment response, College Students
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Factorial Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
598 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Step 1
Arm Type
Other
Arm Description
Minimal Intervention
Arm Title
Step 2-A
Arm Type
Active Comparator
Arm Description
Brief motivational intervention (BMI)
Arm Title
Step 2-B
Arm Type
Active Comparator
Arm Description
Assessment-only control
Intervention Type
Behavioral
Intervention Name(s)
Step 1: Minimal Intervention
Intervention Description
All participants will receive Step 1, a 15-minute minimal intervention including a discussion of the referral incident and the provision of a booklet containing advice to reduce drinking. Participants will be assessed six weeks later. All students will complete 3, 6, and 9 month follow-up assessments
Intervention Type
Behavioral
Intervention Name(s)
Step 2: Brief Motivational Intervention
Intervention Description
Participants continuing to exhibit risky alcohol use will receive Step 2, randomization to: (a) a 60-90 minute brief motivational intervention (BMI) or (b) an assessment-only control. All students will complete 3, 6, and 9 month follow-up assessments.
Intervention Type
Behavioral
Intervention Name(s)
Alcohol Assessment
Intervention Description
Participants continuing to exhibit risky alcohol use will receive Step 2, randomization to: (a) a 60-90 minute brief motivational intervention (BMI) or (b) an assessment-only control. All students will complete 3, 6, and 9 month follow-up assessments.
Primary Outcome Measure Information:
Title
Alcohol consumption
Time Frame
3, 6, and 9 months
Title
Alcohol-related consequences
Time Frame
3, 6, and 9 months
Secondary Outcome Measure Information:
Title
Predictors of response to treatment
Time Frame
3, 6, and 9 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male and female students 18 years of age or older.
Participants will have signed a witnessed informed consent.
Participants will have been referred for an alcohol-related offense
Exclusion Criteria:
Participants who meet current DSM-IV criteria for substance use disorder
Participants who are currently in treatment for substance use.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Brian E. Borsari, PhD
Organizational Affiliation
Brown University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Roger Williams University
City
Bristol
State/Province
Rhode Island
ZIP/Postal Code
02809
Country
United States
12. IPD Sharing Statement
Citations:
PubMed Identifier
17453615
Citation
Borsari B, O'Leary Tevyaw T, Barnett NP, Kahler CW, Monti PM. Stepped care for mandated college students: a pilot study. Am J Addict. 2007 Mar-Apr;16(2):131-7. doi: 10.1080/10550490601184498.
Results Reference
background
PubMed Identifier
17321059
Citation
Borsari B, Murphy JG, Barnett NP. Predictors of alcohol use during the first year of college: implications for prevention. Addict Behav. 2007 Oct;32(10):2062-86. doi: 10.1016/j.addbeh.2007.01.017. Epub 2007 Jan 23.
Results Reference
background
PubMed Identifier
19298324
Citation
Borsari B, Muellerleile P. Collateral reports in the college setting: a meta-analytic integration. Alcohol Clin Exp Res. 2009 May;33(5):826-38. doi: 10.1111/j.1530-0277.2009.00902.x. Epub 2009 Mar 6.
Results Reference
background
PubMed Identifier
21193284
Citation
Hustad JT, Eaton Short E, Borsari B, Barnett NP, O'Leary Tevyaw T, Kahler CW. College alcohol citations result in modest reductions in student drinking. J Subst Abuse Treat. 2011 Apr;40(3):281-6. doi: 10.1016/j.jsat.2010.11.005. Epub 2010 Dec 28.
Results Reference
result
PubMed Identifier
20116962
Citation
Barthelmes CK, Borsari B, Hustad JT, Barnett NP. Hostility in mandated students: exploratory analysis and implications for treatment. J Subst Abuse Treat. 2010 Apr;38(3):284-91. doi: 10.1016/j.jsat.2010.01.004. Epub 2010 Feb 8.
Results Reference
result
PubMed Identifier
18781243
Citation
Barnett NP, Borsari B, Hustad JT, Tevyaw TO, Colby SM, Kahler CW, Monti PM. Profiles of college students mandated to alcohol intervention. J Stud Alcohol Drugs. 2008 Sep;69(5):684-94. doi: 10.15288/jsad.2008.69.684.
Results Reference
result
PubMed Identifier
18612578
Citation
Kahler CW, Hustad J, Barnett NP, Strong DR, Borsari B. Validation of the 30-day version of the Brief Young Adult Alcohol Consequences Questionnaire for use in longitudinal studies. J Stud Alcohol Drugs. 2008 Jul;69(4):611-5. doi: 10.15288/jsad.2008.69.611.
Results Reference
result
PubMed Identifier
17574344
Citation
Borsari B, Boyle KE, Hustad JT, Barnett NP, O'Leary Tevyaw T, Kahler CW. Drinking before drinking: pregaming and drinking games in mandated students. Addict Behav. 2007 Nov;32(11):2694-705. doi: 10.1016/j.addbeh.2007.05.003. Epub 2007 May 17.
Results Reference
result
PubMed Identifier
22924334
Citation
Borsari B, Hustad JT, Mastroleo NR, Tevyaw TO, Barnett NP, Kahler CW, Short EE, Monti PM. Addressing alcohol use and problems in mandated college students: a randomized clinical trial using stepped care. J Consult Clin Psychol. 2012 Dec;80(6):1062-74. doi: 10.1037/a0029902. Epub 2012 Aug 27.
Results Reference
result
PubMed Identifier
24512944
Citation
Borsari B, Short EE, Mastroleo NR, Hustad JT, Tevyaw TO, Barnett NP, Kahler CW, Monti PM. Phone-delivered brief motivational interventions for mandated college students delivered during the summer months. J Subst Abuse Treat. 2014 May-Jun;46(5):592-6. doi: 10.1016/j.jsat.2014.01.001. Epub 2014 Jan 13.
Results Reference
result
PubMed Identifier
26402350
Citation
Teeters JB, Borsari B, Martens MP, Murphy JG. Brief Motivational Interventions Are Associated With Reductions in Alcohol-Impaired Driving Among College Drinkers. J Stud Alcohol Drugs. 2015 Sep;76(5):700-9. doi: 10.15288/jsad.2015.76.700.
Results Reference
result
PubMed Identifier
26098125
Citation
Yurasek AM, Borsari B, Magill M, Mastroleo NR, Hustad JT, Tevyaw TO, Barnett NP, Kahler CW, Monti PM. Descriptive norms and expectancies as mediators of a brief motivational intervention for mandated college students receiving stepped care for alcohol use. Psychol Addict Behav. 2015 Dec;29(4):1003-11. doi: 10.1037/adb0000092. Epub 2015 Jun 22.
Results Reference
result
PubMed Identifier
26460571
Citation
Borsari B, Magill M, Mastroleo NR, Hustad JT, Tevyaw TO, Barnett NP, Kahler CW, Eaton E, Monti PM. Mandated college students' response to sequentially administered alcohol interventions in a randomized clinical trial using stepped care. J Consult Clin Psychol. 2016 Feb;84(2):103-12. doi: 10.1037/a0039800. Epub 2015 Oct 12.
Results Reference
result
PubMed Identifier
27936818
Citation
Fernandez AC, Yurasek AM, Merrill JE, Miller MB, Zamboanga BL, Carey KB, Borsari B. Do brief motivational interventions reduce drinking game frequency in mandated students? An analysis of data from two randomized controlled trials. Psychol Addict Behav. 2017 Feb;31(1):36-45. doi: 10.1037/adb0000239. Epub 2016 Dec 12.
Results Reference
derived
Links:
URL
http://research.brown.edu/research/profile.php?id=1128622883
Description
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Stepped Care for Mandated College Students
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