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Mechanisms and Moderators of Intervention Efficacy for Soldiers With Untreated Alcohol Use Disorder.
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- Author(s): Rodriguez, Lindsey M.; Neighbors, Clayton; Walker, Denise; Walton, Thomas
- Source:
Journal of Consulting & Clinical Psychology; Feb2020, Vol. 88 Issue 2, p137-148, 12p- Subject Terms:
- Source:
- Additional Information
- Abstract: Objective: This research evaluates changes in perceived military and civilian drinking norms as mechanisms of the effects of a motivational enhancement therapy (MET) intervention on changes in alcohol consumption among active-duty military personnel with a substance use disorder. We also evaluate the value of providing tolerance and family history risk-related personalized feedback by testing whether those receiving feedback indicating higher risk reduce their drinking more than those receiving feedback indicating lower risk or receiving no feedback. Method: Participants (N = 242; M
age = 28 years; 92% male; 59% Caucasian) completed a baseline questionnaire and were randomly assigned to a MET or educational control condition. Both conditions were single session and took place over the telephone. Outcomes were assessed 3 and 6 months later. The study was preregistered at ClinicalTrials.gov (NCT01128140). Results: We found evidence that reductions in perceived norms for other military personnel, but not for civilians, mediated intervention efficacy on reductions in alcohol use. Further, the MET intervention was successful at reducing drinking among soldiers who reported higher levels of baseline tolerance and family history risk, but not succuessful at reducing drinking among those who reported low or medium levels of risk. Conclusions: Systematic evaluation of whether and how individual intervention components contribute to efficacy is a promising approach for refining and improving interventions. This research suggests that MET interventions may wish to target focal perceived norms and provides support for discussion of feedback indicating elevated risks due to tolerance and family history. This research supports the utility of changing military-specific perceived norms for drinking among military service members in interventions targeting heavy drinking service members. It also suggests that receipt of feedback regarding alcohol tolerance and family history as a risk factor uniquely contributes to the efficacy of a motivational enhancement therapy intervention. [ABSTRACT FROM AUTHOR] - Abstract: Copyright of Journal of Consulting & Clinical Psychology is the property of American Psychological Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Abstract:
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