Evidence map›Paper›PMID 25872599›Full record

SynthesisAlcoholism, clinical and experimental research2015

Brief motivational interventions for college student drinking may not be as powerful as we think: an individual participant-level data meta-analysis.

David Huh, Eun-Young Mun, Mary E Larimer, Helene R White, Anne E Ray, Isaac C Rhew, Su-Young Kim, Yang Jiao, David C Atkins

Open access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in Alcoholism, clinical and experimental research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 13 pooled it
12.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

98 citing papers in PubMed, 13 syntheses or guidelines pooled it, 139 citations in OpenAlex.

  1. Pooled it
  2. Investigating for Whom Brief Substance Use Interventions Are Most Effective: An Individual Participant Data Meta-analysis.Prevention science : the official journal of the Society for Prevention Research · 2023
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  12. Project INTEGRATE: An integrative study of brief alcohol interventions for college students.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2015
    Pooled it
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  17. A pilot trial of a brief intervention for cannabis use supplemented with a substance-free activity session or relaxation training.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2024
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  18. A mobile-based pregaming drinking prevention intervention for college students: A pilot randomized controlled trial.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2023
    Trial
  19. A randomized pilot trial of a mobile delivered brief motivational interviewing and behavioral economic alcohol intervention for emerging adults.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2023
    Trial
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38 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

David HuhDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington.
Eun-Young Mun
Mary E Larimer
Helene R White
Anne E Ray
Isaac C Rhew
Su-Young Kim
Yang Jiao
David C Atkins
Rutgers, The State University of New Jersey · USUniversity of Washington · USEwha Womans University · KR

Funding

Psychology Training in Alcohol Research (PTAR)T32AA007455 · NIAAA · UNIVERSITY OF WASHINGTON · PI MARY E. LARIMER · 1985 to 2026
$11.4M
Innovative Analyses of Alcohol Intervention Trials for College StudentsR01AA019511 · NIAAA · UNIVERSITY OF NORTH TEXAS HLTH SCI CTR · PI MUN, EUN-YOUNG · 2010 to 2021
$4.6M
NIAAA NIH HHS AA019511NIAAA NIH HHS R01 AA019511NIAAA NIH HHS T32 AA007455
6 · The paper itself

Abstract

backgroundFor over 2 decades, brief motivational interventions (BMIs) have been implemented on college campuses to reduce heavy drinking and related negative consequences. Such interventions include in-person motivational interviews (MIs), often incorporating personalized feedback (PF), and stand-alone PF interventions delivered via mail, computer, or the Web. Both narrative and meta-analytic reviews using aggregate data from published studies suggest at least short-term efficacy of BMIs, although overall effect sizes have been small.

methodsThis study was an individual participant-level data (IPD) meta-analysis of 17 randomized clinical trials evaluating BMIs. Unlike typical meta-analysis based on summary data, IPD meta-analysis allows for an analysis that correctly accommodates the sampling, sample characteristics, and distributions of the pooled data. In particular, highly skewed distributions with many zeroes are typical for drinking outcomes, but have not been adequately accounted for in existing studies. Data are from Project INTEGRATE, one of the largest IPD meta-analysis projects to date in alcohol intervention research, representing 6,713 individuals each with 2 to 5 repeated measures up to 12 months postbaseline.

resultsWe used Bayesian multilevel over dispersed Poisson hurdle models to estimate intervention effects on drinks per week and peak drinking, and Gaussian models for alcohol problems. Estimates of overall intervention effects were very small and not statistically significant for any of the outcomes. We further conducted post hoc comparisons of 3 intervention types (individual MI with PF, PF only, and group MI) versus control. There was a small, statistically significant reduction in alcohol problems among participants who received an individual MI with PF. Short-term and long-term results were similar.

conclusionsThis study questions the efficacy and magnitude of effects of BMIs for college drinking prevention and intervention and suggests a need for the development of more effective intervention strategies.

Indexed as

Motivational InterviewingPsychotherapy, BriefAlcohol Drinking in CollegeBayes TheoremBiofeedback, PsychologyFemaleHumansMaleRandomized Controlled Trials as TopicBayesian Multilevel ModelsBrief Motivational InterventionsCollege DrinkingIntegrative Data AnalysisMeta-Analysis

Identifiers

PMID25872599
PMCPMC4502982
OpenAlexW2128625962

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.