Effects of motivational interviewing intervention on blackouts among college freshmen.

PURPOSE: Alcohol and illicit drug abuse is a serious public health issue facing college students. This study examined the impact of motivational interviewing (MI) as an intervention on the rate of blackouts among freshmen who engaged in high-risk drinking and illicit drug use. DESIGN: A sample of 188 volunteer freshmen from a university were administered the Daily Drinking Questionnaire, the Rutgers Alcohol Problem Index, and the Government Performance and Results Act at baseline and again at 6 months postintervention. MI was applied at baseline and then again at 2 weeks, 3 months, and 6 months. METHODS: Generalized estimated equations and logistic regression models were used to determine associations between the rate of blackouts and time, ethnicity, gender, illicit drug use, and alcohol consumption. FINDINGS: At 6 months, the rate of blackouts decreased from 40% at baseline to 16% (p < .0001). The average number, time, and days of drinking and frequency of drug use also decreased significantly (p < .0001). An association between rate of blackouts and gender was observed, but not with ethnicity. CONCLUSIONS: MI had an impact on reducing alcohol consumption and the rate of blackouts among college freshmen who were engaging in high-risk drinking and illicit drug use. CLINICAL RELEVANCE: The findings support the importance of using MI with freshmen college students to decrease drinking and the associated negative consequences, including blackouts, which has particular relevance for advanced practice registered nurses, physicians, and community health nurses who conduct MI as an intervention with college students.

Relationship of body mass index to alcohol consumption in college freshmen.

OBJECTIVE: Assess the relationship between body mass index (BMI) and drinking in college freshman. METHOD: College freshman (N = 199) at a university completed the drinking questionnaires. Drinking amount and the alcohol problem index (RAPI) served as outcomes, and BMI was the independent variable. RESULTS: RAPI scores were associated with gender, amount of drinking, and BMI (P < 0.001, F = 13.44). Increase of RAPI with drinking amount was larger for females (slope = 0.06) than for males (slope = 0.03). CONCLUSION: This information can be helpful when providing health promotion strategies to college students regarding nutrition modifications that would be most beneficial for their health.

Baseline characteristics of college freshmen enrolled in an alcohol intervention program.

This study is a baseline analysis of the demographic and behavioral characteristics of freshmen students recruited to enter a longitudinal multi-component intervention program based on the Brief Alcohol Screening, and Intervention for College Students (BASICS) program. The aim of the study was to determine the associations among the participants' gender, ethnicity, age, drinking, psychological problems, sexual contacts, and illegal substance use. Freshmen participants (n = 186) were between the ages of 18 and 20 with a mean age of 18.51 ± 0.62, and 37.6% of the participants were males. Three surveys were administered at baseline: the Daily Drinking Questionnaire (DDQ; Collins, Parks, & Marlatt, 1985 ); Rutgers Alcohol Problem Index (RAPI; White & Labouvie, 1989 ), Government Performance and Results Act (GPRA; Office of Management and Budget [OMB], 1993 ), Client Outcome Measures for Discretionary Programs and Best Practices grantees. Descriptive statistics were used to determine the behavioral characteristics. During past 30 days participants on average consumed alcohol on 7.3 ± 5.2 days, used illegal substances 3.0 ± 7.2 days and had 5.3 ± 7.0 sexual contacts and less 2.1 ± 4.6 unprotected sexual contacts (USC). Results of this baseline analysis demonstrate the diversity of the program participant demographic characteristics and behavioral patterns. This study contributes valuable implications for the design of interventions programs to address high-risk behaviors among freshmen college students.

Alcohol screening and brief interventions for college freshmen.

This study examined the effectiveness of the Brief Alcohol Screening and Intervention for College Students using theory-driven harm reduction brief motivational interviewing (BMI) for decreasing high-risk drinking and negative consequences. Three surveys were administered to 102 volunteer freshmen college students at baseline and 3 months postintervention. The BMI intervention was administered at baseline and 2 weeks later. Descriptive statistics and summary graphs were used to determine longitudinal changes in drinking quantity, frequency, and negative outcomes. Number of drinks, hours of drinking, and negative consequences decreased, indicating a significant decrease in alcohol consumption and negative consequences. This study contributes valuable implications for the design of theory-driven harm reduction, evidence-based interventions for high-risk drinking among freshmen college students.