Using counterattitudinal advocacy to change drinking: A pilot study.

Publisher: American Psychological Association Country of Publication: United States NLM ID: 8802734 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1939-1501 (Electronic) Linking ISSN: 0893164X NLM ISO Abbreviation: Psychol Addict Behav Subsets: MEDLINE

Publication: Washington, DC : American Psychological Association
Original Publication: Indianapolis, Ind. : The Society, [1987-

Attitude* ; Intention*; Alcohol Drinking/*prevention & control ; Alcohol Drinking in College/*psychology; Adolescent ; Adult ; Alcohol Drinking/psychology ; Female ; Humans ; Male ; Pilot Projects ; Young Adult

The persistence of risky drinking among young adults in college calls for continued efforts to prevent alcohol-related harms. This study tested a novel prevention strategy targeting a specific mechanism of change: creating attitude-behavior dissonance. Informed by an extensive literature showing strong and consistent associations between alcohol attitudes and drinking behavior, we adapted a brief counterattitudinal advocacy (CAA) manipulation to the alcohol prevention context. We conducted a small randomized controlled trial with 49 heavy-drinking students who reported drinking 4/5 drinks in 1 sitting (female/male, respectively) and endorsed ≥2 alcohol-related consequences in the previous month. Participants were randomly assigned to 1 of 2 conditions (CAA or control). We examined the number of words written in response to the prompts, evaluated adherence to the core theoretical principles used in CAA, and calculated between- and within-group effect sizes on preliminary outcomes (drinking intentions and alcohol consumption). We found that participants in the CAA condition wrote more, and the experience was perceived as consistent with CAA theory. The between-group effect sizes on drinking intentions and drinks per week were d = .36 and d = .27, respectively, and the within-group effect size for drinks per week was d = .83 for those in the CAA condition. Overall, the results of this pilot study support the feasibility and acceptability of CAA-based alcohol use interventions. This study represents a promising first step in adapting CAA-based interventions for use in the alcohol use domain. (PsycINFO Database Record
((c) 2018 APA, all rights reserved).)

Addict Behav. 2007 Nov;32(11):2469-94. (PMID: 17590277)
Addict Behav. 2004 Aug;29(6):1129-36. (PMID: 15236813)
Health Psychol. 1994 Jan;13(1):73-85. (PMID: 8168474)
J Stud Alcohol Drugs. 2011 Mar;72(2):322-32. (PMID: 21388605)
J Am Coll Health. 2000 Mar;48(5):219-26. (PMID: 10778022)
J Stud Alcohol Drugs. 2014 Jan;75(1):158-69. (PMID: 24411808)
Clin Psychol Rev. 2012 Dec;32(8):690-703. (PMID: 23022767)
Health Psychol. 2007 May;26(3):268-77. (PMID: 17500613)
Clin Psychol Rev. 2015 Aug;40:213-24. (PMID: 26164065)
Eat Disord. 2005 Mar-Apr;13(2):157-69. (PMID: 16864339)
Psychol Addict Behav. 2007 Dec;21(4):498-507. (PMID: 18072832)
J Consult Clin Psychol. 2013 Oct;81(5):810-20. (PMID: 23668667)
Addict Behav. 2013 Dec;38(12):2913-7. (PMID: 24064189)
PLoS One. 2015 Oct 08;10(10):e0139518. (PMID: 26447792)
J Health Commun. 2013;18(4):459-77. (PMID: 23379424)
Br J Health Psychol. 2013 May;18(2):310-37. (PMID: 23480429)
J Abnorm Psychol. 1959 Mar;58(2):203-10. (PMID: 13640824)
Psychol Addict Behav. 2013 Dec;27(4):909-20. (PMID: 23276309)
J Consult Clin Psychol. 1985 Apr;53(2):189-200. (PMID: 3998247)

T32 AA007459 United States AA NIAAA NIH HHS

Date Created: 20171201 Date Completed: 20190701 Latest Revision: 20191008

20221213

PMC6055914

10.1037/adb0000334

29189022