Brief group-delivered motivational interviewing is equally effective as brief group-delivered cognitive-behavioral therapy at reducing alcohol use in risky college drinkers
College students are particularly vulnerable to risky alcohol use, which increases their likelihood of developing an alcohol use disorder in the future. As such, preventing and reducing alcohol use among college students should be a priority for health and social policies. This work was aimed to sho...
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| Veröffentlicht in: | PloS one 2019-12, Vol.14 (12), p.e0226271-e0226271 |
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| creator | Martín-Pérez, Cristina Navas, Juan F Perales, José C López-Martín, Ángela Cordovilla-Guardia, Sergio Portillo, Mónica Maldonado, Antonio Vilar-López, Raquel |
| description | College students are particularly vulnerable to risky alcohol use, which increases their likelihood of developing an alcohol use disorder in the future. As such, preventing and reducing alcohol use among college students should be a priority for health and social policies. This work was aimed to show that brief group-delivered MI is as effective as brief-group CBT at reducing alcohol use in college students. Eighty-nine college students (69 females; mean age = 21.01, SD = 2.85) with risky alcohol use, as measured by the AUDIT-C, were assigned to two groups, receiving three sessions of either brief group-delivered MI or CBT (bMI/bCBT). Alcohol use was assessed 3 and 6 months after the interventions, and analyzed according to an Intention-to-treat design. Changes in alcohol use at both points (relative to baseline) as well as post-intervention scores of intention to continue treatment and satisfaction with the psychologist were compared across groups, using one-sided Bayesian t-tests. Alcohol use decreased in both groups at the 3- and 6-months measurement points (relative to baseline). However, using bCBT superiority as an alternative hypothesis and the absence of such superiority as a point-null hypothesis, the Bayes factors supported the null at both the 3- and the 6-months follow-up (BF01 = 7.13, and BF01 = 5.22 respectively). Furthermore, the intention to continue treatment was substantially higher in the bMI group (BF10 = 9.77). These results are considerably robust to changes in analyses' priors. This study suggests that bCBT is not more effective than bMI at reducing alcohol use in our college student group (in which females are overrepresented). Additionally, bMI showed higher intention to continue treatment scores. The comparable results of brief and group-delivered CBT and MI interventions in alcohol use reduction allows clinicians to select treatments based on their own skills or preferences without any detriment to efficacy. |
| doi_str_mv | 10.1371/journal.pone.0226271 |
| format | Article |
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As such, preventing and reducing alcohol use among college students should be a priority for health and social policies. This work was aimed to show that brief group-delivered MI is as effective as brief-group CBT at reducing alcohol use in college students. Eighty-nine college students (69 females; mean age = 21.01, SD = 2.85) with risky alcohol use, as measured by the AUDIT-C, were assigned to two groups, receiving three sessions of either brief group-delivered MI or CBT (bMI/bCBT). Alcohol use was assessed 3 and 6 months after the interventions, and analyzed according to an Intention-to-treat design. Changes in alcohol use at both points (relative to baseline) as well as post-intervention scores of intention to continue treatment and satisfaction with the psychologist were compared across groups, using one-sided Bayesian t-tests. Alcohol use decreased in both groups at the 3- and 6-months measurement points (relative to baseline). However, using bCBT superiority as an alternative hypothesis and the absence of such superiority as a point-null hypothesis, the Bayes factors supported the null at both the 3- and the 6-months follow-up (BF01 = 7.13, and BF01 = 5.22 respectively). Furthermore, the intention to continue treatment was substantially higher in the bMI group (BF10 = 9.77). These results are considerably robust to changes in analyses' priors. This study suggests that bCBT is not more effective than bMI at reducing alcohol use in our college student group (in which females are overrepresented). Additionally, bMI showed higher intention to continue treatment scores. The comparable results of brief and group-delivered CBT and MI interventions in alcohol use reduction allows clinicians to select treatments based on their own skills or preferences without any detriment to efficacy.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0226271</identifier><identifier>PMID: 31821350</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Addictive behaviors ; Adolescent ; Alcohol Drinking - prevention & control ; Alcohol Drinking in College ; Alcohol use ; Alcohols ; Bayesian analysis ; Behavior modification ; Behavior therapy ; Behavioral medicine ; Biology and Life Sciences ; Brain research ; Cognitive ability ; Cognitive Behavioral Therapy ; College students ; Colleges & universities ; Drinking (Alcoholic beverages) ; Drug use ; Evaluation ; Experimental psychology ; Female ; Females ; Health ; Humans ; Hypothesis testing ; Internet ; Intervention ; Male ; Medicine and Health Sciences ; Meta-analysis ; Motivation ; Motivational Interviewing ; Null hypothesis ; People and Places ; Physical Sciences ; Prevention ; Psychologists ; Psychology ; Psychotherapy, Group ; Social Sciences ; Students ; Substance abuse treatment ; Treatment Outcome ; Young Adult ; Young adults</subject><ispartof>PloS one, 2019-12, Vol.14 (12), p.e0226271-e0226271</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Martín-Pérez et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 Martín-Pérez et al 2019 Martín-Pérez et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-436e280538f7ad511bf993e0009c77c31108f32e88dc9c0354690f04eac7327e3</citedby><cites>FETCH-LOGICAL-c692t-436e280538f7ad511bf993e0009c77c31108f32e88dc9c0354690f04eac7327e3</cites><orcidid>0000-0001-7651-5017 ; 0000-0001-9639-0143</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6903743/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6903743/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,2096,2915,23847,27905,27906,53772,53774,79349,79350</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31821350$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Francis, Joel Msafiri</contributor><creatorcontrib>Martín-Pérez, Cristina</creatorcontrib><creatorcontrib>Navas, Juan F</creatorcontrib><creatorcontrib>Perales, José C</creatorcontrib><creatorcontrib>López-Martín, Ángela</creatorcontrib><creatorcontrib>Cordovilla-Guardia, Sergio</creatorcontrib><creatorcontrib>Portillo, Mónica</creatorcontrib><creatorcontrib>Maldonado, Antonio</creatorcontrib><creatorcontrib>Vilar-López, Raquel</creatorcontrib><title>Brief group-delivered motivational interviewing is equally effective as brief group-delivered cognitive-behavioral therapy at reducing alcohol use in risky college drinkers</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>College students are particularly vulnerable to risky alcohol use, which increases their likelihood of developing an alcohol use disorder in the future. 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The comparable results of brief and group-delivered CBT and MI interventions in alcohol use reduction allows clinicians to select treatments based on their own skills or preferences without any detriment to efficacy.</description><subject>Addictive behaviors</subject><subject>Adolescent</subject><subject>Alcohol Drinking - prevention & control</subject><subject>Alcohol Drinking in College</subject><subject>Alcohol use</subject><subject>Alcohols</subject><subject>Bayesian analysis</subject><subject>Behavior modification</subject><subject>Behavior therapy</subject><subject>Behavioral medicine</subject><subject>Biology and Life Sciences</subject><subject>Brain research</subject><subject>Cognitive ability</subject><subject>Cognitive Behavioral Therapy</subject><subject>College students</subject><subject>Colleges & universities</subject><subject>Drinking (Alcoholic beverages)</subject><subject>Drug use</subject><subject>Evaluation</subject><subject>Experimental 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group-delivered motivational interviewing is equally effective as brief group-delivered cognitive-behavioral therapy at reducing alcohol use in risky college drinkers</title><author>Martín-Pérez, Cristina ; Navas, Juan F ; Perales, José C ; López-Martín, Ángela ; Cordovilla-Guardia, Sergio ; Portillo, Mónica ; Maldonado, Antonio ; Vilar-López, Raquel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-436e280538f7ad511bf993e0009c77c31108f32e88dc9c0354690f04eac7327e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Addictive behaviors</topic><topic>Adolescent</topic><topic>Alcohol Drinking - prevention & control</topic><topic>Alcohol Drinking in College</topic><topic>Alcohol use</topic><topic>Alcohols</topic><topic>Bayesian analysis</topic><topic>Behavior modification</topic><topic>Behavior therapy</topic><topic>Behavioral medicine</topic><topic>Biology and Life 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One</addtitle><date>2019-12-10</date><risdate>2019</risdate><volume>14</volume><issue>12</issue><spage>e0226271</spage><epage>e0226271</epage><pages>e0226271-e0226271</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>College students are particularly vulnerable to risky alcohol use, which increases their likelihood of developing an alcohol use disorder in the future. As such, preventing and reducing alcohol use among college students should be a priority for health and social policies. This work was aimed to show that brief group-delivered MI is as effective as brief-group CBT at reducing alcohol use in college students. Eighty-nine college students (69 females; mean age = 21.01, SD = 2.85) with risky alcohol use, as measured by the AUDIT-C, were assigned to two groups, receiving three sessions of either brief group-delivered MI or CBT (bMI/bCBT). Alcohol use was assessed 3 and 6 months after the interventions, and analyzed according to an Intention-to-treat design. Changes in alcohol use at both points (relative to baseline) as well as post-intervention scores of intention to continue treatment and satisfaction with the psychologist were compared across groups, using one-sided Bayesian t-tests. Alcohol use decreased in both groups at the 3- and 6-months measurement points (relative to baseline). However, using bCBT superiority as an alternative hypothesis and the absence of such superiority as a point-null hypothesis, the Bayes factors supported the null at both the 3- and the 6-months follow-up (BF01 = 7.13, and BF01 = 5.22 respectively). Furthermore, the intention to continue treatment was substantially higher in the bMI group (BF10 = 9.77). These results are considerably robust to changes in analyses' priors. This study suggests that bCBT is not more effective than bMI at reducing alcohol use in our college student group (in which females are overrepresented). Additionally, bMI showed higher intention to continue treatment scores. The comparable results of brief and group-delivered CBT and MI interventions in alcohol use reduction allows clinicians to select treatments based on their own skills or preferences without any detriment to efficacy.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31821350</pmid><doi>10.1371/journal.pone.0226271</doi><tpages>e0226271</tpages><orcidid>https://orcid.org/0000-0001-7651-5017</orcidid><orcidid>https://orcid.org/0000-0001-9639-0143</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | PloS one, 2019-12, Vol.14 (12), p.e0226271-e0226271 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2323444228 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Addictive behaviors Adolescent Alcohol Drinking - prevention & control Alcohol Drinking in College Alcohol use Alcohols Bayesian analysis Behavior modification Behavior therapy Behavioral medicine Biology and Life Sciences Brain research Cognitive ability Cognitive Behavioral Therapy College students Colleges & universities Drinking (Alcoholic beverages) Drug use Evaluation Experimental psychology Female Females Health Humans Hypothesis testing Internet Intervention Male Medicine and Health Sciences Meta-analysis Motivation Motivational Interviewing Null hypothesis People and Places Physical Sciences Prevention Psychologists Psychology Psychotherapy, Group Social Sciences Students Substance abuse treatment Treatment Outcome Young Adult Young adults |
| title | Brief group-delivered motivational interviewing is equally effective as brief group-delivered cognitive-behavioral therapy at reducing alcohol use in risky college drinkers |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-20T21%3A31%3A42IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Brief%20group-delivered%20motivational%20interviewing%20is%20equally%20effective%20as%20brief%20group-delivered%20cognitive-behavioral%20therapy%20at%20reducing%20alcohol%20use%20in%20risky%20college%20drinkers&rft.jtitle=PloS%20one&rft.au=Mart%C3%ADn-P%C3%A9rez,%20Cristina&rft.date=2019-12-10&rft.volume=14&rft.issue=12&rft.spage=e0226271&rft.epage=e0226271&rft.pages=e0226271-e0226271&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0226271&rft_dat=%3Cgale_plos_%3EA608122675%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2323444228&rft_id=info:pmid/31821350&rft_galeid=A608122675&rft_doaj_id=oai_doaj_org_article_cc06473ebc9c42ba8e3f3bb0d96ee2db&rfr_iscdi=true |