Efficacy of web-based personalized normative feedback: a two-year randomized controlled trial.

C Neighbors, MA Lewis, DC Atkins… - Journal of consulting …, 2010 - psycnet.apa.org
C Neighbors, MA Lewis, DC Atkins, MM Jensen, T Walter, N Fossos, CM Lee, ME Larimer
Journal of consulting and clinical psychology, 2010psycnet.apa.org
Objective: Web-based brief alcohol interventions have the potential to reach a large number
of individuals at low cost; however, few controlled evaluations have been conducted to date.
The present study was designed to evaluate the efficacy of gender-specific versus gender-
nonspecific personalized normative feedback (PNF) with single versus biannual
administration in a 2-year randomized controlled trial targeting a large sample of heavy-
drinking college students. Method: Participants included 818 freshmen (57.6% women; 42 …
Objective
Web-based brief alcohol interventions have the potential to reach a large number of individuals at low cost; however, few controlled evaluations have been conducted to date. The present study was designed to evaluate the efficacy of gender-specific versus gender-nonspecific personalized normative feedback (PNF) with single versus biannual administration in a 2-year randomized controlled trial targeting a large sample of heavy-drinking college students.
Method
Participants included 818 freshmen (57.6% women; 42% non-Caucasian) who reported 1 or more heavy-drinking episodes in the previous month at baseline. Participants were randomly assigned in a 2 (gender-specific vs. gender-nonspecific PNF)× 2 (single vs. biannual administration of PNF)+ 1 (attention control) design. Assessments occurred every 6 months for a 2-year period.
Results
Results from hierarchical generalized linear models provided modest effects on weekly drinking and alcohol-related problems but not on heavy episodic drinking. Relative to control, gender-specific biannual PNF was associated with reductions over time in weekly drinking (d=− 0.16, 95% CI [− 0.02,− 0.31]), and this effect was partially mediated by changes in perceived norms. For women, but not men, gender-specific biannual PNF was associated with reductions over time in alcohol-related problems relative to control (d=− 0.29, 95% CI [− 0.15,− 0.58]). Few other effects were evident.
Conclusions
The present research provides modest support for the use of biannually administered web-based gender-specific PNF as an alternative to more costly indicated prevention strategies.
American Psychological Association
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