Do Brief Alcohol Interventions Reduce Driving After Drinking Among College Students? A Two-step Meta-analysis of Individual Participant Data.
Journal
Alcohol and alcoholism (Oxford, Oxfordshire)
ISSN: 1464-3502
Titre abrégé: Alcohol Alcohol
Pays: England
ID NLM: 8310684
Informations de publication
Date de publication:
08 Jan 2022
08 Jan 2022
Historique:
received:
27
08
2020
revised:
28
10
2020
accepted:
22
11
2020
pubmed:
17
2
2021
medline:
15
1
2022
entrez:
16
2
2021
Statut:
ppublish
Résumé
College students who drink are at an increased risk of driving after drinking and alcohol-involved traffic accidents and deaths. Furthermore, the persistence of driving after drinking over time underscores a need for effective interventions to prevent future drunk driving in adulthood. The present study examined whether brief alcohol interventions (BAIs) for college students reduce driving after drinking. A two-step meta-analysis of individual participant data (IPD) was conducted using a combined sample of 6801 college students from 15 randomized controlled trials (38% male, 72% White and 58% first-year students). BAIs included individually delivered Motivational Interviewing with Personalized Feedback (MI + PF), Group Motivational Interviewing (GMI), and stand-alone Personalized Feedback (PF) interventions. Two outcome variables, driving after two+/three+ drinks and driving after four+/five+ drinks, were checked, harmonized and analyzed separately for each study and then combined for meta-analysis and meta-regression analysis. BAIs lowered the risk of driving after four+/five+ drinks (19% difference in the odds of driving after drinking favoring BAIs vs. control), but not the risk of driving after two+/three+ drinks (9% difference). Subsequent subgroup analysis indicated that the MI + PF intervention was comparatively better than PF or GMI. BAIs provide a harm reduction approach to college drinking. Hence, it is encouraging that BAIs reduce the risk of driving after heavy drinking among college students. However, there may be opportunities to enhance the intervention content and timing to be more relevant for driving after drinking and improve the outcome assessment and reporting to demonstrate its effect.
Identifiants
pubmed: 33592624
pii: 6137891
doi: 10.1093/alcalc/agaa146
pmc: PMC8753781
doi:
Types de publication
Journal Article
Meta-Analysis
Langues
eng
Sous-ensembles de citation
IM
Pagination
125-135Subventions
Organisme : NIAAA NIH HHS
ID : K02 AA028630
Pays : United States
Organisme : NIMH NIH HHS
ID : P30 MH123248
Pays : United States
Organisme : NIAAA NIH HHS
ID : R01 AA019511
Pays : United States
Organisme : NIH HHS
Pays : United States
Informations de copyright
© The Author(s) 2021. Medical Council on Alcohol and Oxford University Press.
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