Evidence map›Paper›PMID 28287800›Full record

Trial reportJournal of consulting and clinical psychology2017

How does brief motivational intervention change heavy drinking and harm among underage young adult drinkers?

Molly Magill, Suzanne M Colby, Lindsay Orchowski, James G Murphy, Ariel Hoadley, Linda A Brazil, Nancy P Barnett

Open access · hybridAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. A systematic review of the associations between protective behavioral strategies and heavy alcohol consumption and consequences among young adults.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2024
    Pooled it
  2. Motivational interviewing for substance use reduction.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. Trial
  4. Motivational interviewing plus behavioral activation for alcohol misuse in college students with ADHD.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2021
    Trial
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  6. Trial
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  8. Mechanisms of behavior change in a brief dual-target motivational intervention: Reduction in alcohol use mediates intervention effects on risky sex.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2019
    Trial
  9. Motivational interviewing technical process and moderated relational process with underage young adult heavy drinkers.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2019
    Trial
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  12. Review
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  20. Gender and Childhood Victimization: A Longitudinal Study of Heavy Drinking in Young Adulthood.International journal of environmental research and public health · 2021
    Article
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

7 authors at 2 institutions in 1 country.

Molly MagillCenter for Alcohol and Addiction Studies, Brown University.
Suzanne M ColbyCenter for Alcohol and Addiction Studies, Brown University.
Lindsay OrchowskiDepartment of Psychiatry and Human Behavior, Brown University.
James G MurphyDepartment of Psychology, University of Memphis.
Ariel HoadleyCenter for Alcohol and Addiction Studies, Brown University.
Linda A BrazilCenter for Alcohol and Addiction Studies, Brown University.
Nancy P BarnettCenter for Alcohol and Addiction Studies, Brown University.
John Brown University · USUniversity of Memphis · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Brief Alcohol Intervention for School-to-Work TransitionsR01AA016000 · NIAAA · BROWN UNIVERSITY · PI COLBY, SUZANNE M · 2009 to 2010
$1.1M
Intervention Ingredients and Mechanisms of an Efficacious Motivational InterviewR01AA023194 · NIAAA · BROWN UNIVERSITY · PI MAGILL, MOLLY · 2014 to 2016
$957k
NCATS NIH HHS UL1 TR001863NIAAA NIH HHS R01 AA016000NIAAA NIH HHS R01 AA023194
6 · The paper itself

Abstract

objectiveThis study tested mediating processes hypothesized to explain the therapeutic benefit of an efficacious motivational interview (MI). The constructs of interest were motivation to change, cognitive dissonance about current drinking, self-efficacy for change, perceived young adult drinking norms, future drinking intentions, and the use of protective behavioral strategies.

methodA randomized controlled trial compared the efficacy of a brief MI to a time- and attention-matched control of meditation and relaxation training for alcohol use. Participants were underage, past-month heavy drinkers recruited from community (i.e., non 4-year college or university) settings (N = 167; ages 17-20; 58% female; 61% White). Statistical analyses assessed mechanisms of MI effects on follow up (6-week, 3-month) percent heavy drinking days (HDD) and alcohol consequences (AC) with a series of temporally lagged mediation models.

resultsMI efficacy for reducing 6-week HDD was mediated by baseline to postsession changes in the following 3 processes: increasing motivation and self-efficacy, and decreasing the amount these young adults intended to drink in the future. For 6-week AC, MI efficacy was mediated through 1 process: decreased perceived drinking norms. At 3-month follow up, increased cognitive dissonance mediated HDD, but not AC. Further, increased use of certain protective behavioral strategies (i.e., avoidance of and seeking alternatives to drinking contexts) from baseline to 6-weeks mediated both 3-month HDD and AC.

conclusionsFindings suggest that within-session cognitive changes are key mechanisms of MIs effect on short-term alcohol outcomes among community young adults while protective behaviors may be more operative at subsequent follow up. (PsycINFO Database Record

Indexed as

Harm ReductionMotivationMotivational InterviewingAdolescentFemaleHumansMaleSelf EfficacyTreatment OutcomeUnderage DrinkingUniversitiesYoung Adult

Identifiers

PMID28287800
PMCPMC5398911
OpenAlexW2595197624

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.