Evidence map›Paper›PMID 41500079›Full record

ArticleAddictive behaviors2026

Protective behavioral strategies and planned drinking relate to high intensity drinking and consequences at the day level.

Jennifer E Merrill, Roselyn Peterson, Christian C Garcia, Lindy K Howe, Kate B Carey, Nancy P Barnett, Kristina M Jackson, Mary Beth Miller

Abstract read
In one paragraph

Article in Addictive behaviors, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Jennifer E MerrillCenter for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University, Providence, RI, USA. Electronic address: jennifer_merrill@brown.edu.
Roselyn PetersonDepartment of Psychology, Bryant University, Smithfield, RI, USA.
Christian C GarciaDepartment of Psychology, University of Cincinnati, Cincinnati, OH, USA.
Lindy K HoweCenter for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University, Providence, RI, USA.
Kate B CareyCenter for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University, Providence, RI, USA.
Nancy P BarnettCenter for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University, Providence, RI, USA.
Kristina M JacksonRutgers Addiction Research Center, Department of Psychiatry, Rutgers Robert Wood Johnson Medical School, Piscataway, NJ, USA.
Mary Beth MillerDepartment of Psychiatry, University of Missouri, Columbia, MO, USA.

Funding

ALCOHOL INTERVENTION/TREATMENT OUTCOME RESEARCH TRAININGT32AA007459 · NIAAA · BROWN UNIVERSITY · PI ROBERT MIRANDA, PETER M. MONTI · 1986 to 2026
$13.3M
Substance Abuse Intervention/Outcome Research TrainingT32DA016184 · NIDA · BROWN UNIVERSITY · PI Damaris J. Rohsenow, JENNIFER W. TIDEY · 2003 to 2026
$6.1M
High-Intensity Drinking and Alcohol-Induced Blackouts among Young Adult Drinkers: An Event-level AnalysisR01AA027495 · NIAAA · BROWN UNIVERSITY · PI MERRILL, JENNIFER ELIZABETH · 2019 to 2023
$2.9M
NIAAA NIH HHS R01 AA027495NIAAA NIH HHS T32 AA007459NIDA NIH HHS T32 DA016184
6 · The paper itself

Abstract

backgroundHeavy episodic drinking (HED; 4 + [females]/5 + [males] drinks/occasion), high-intensity drinking (HID; 8 + [females]/10 + [males] drinks/occasion), and drinking events that are planned are all associated with negative consequences. Protective behavioral strategies (PBS) are techniques to minimize alcohol-related consequences. In this day-level study, we hypothesized (1) PBS use would be associated with safer same-day drinking (lower odds of HID and negative consequences), and (2) risks of HID and consequences associated with planned drinking would be reduced on days with higher PBS use. Additionally, (3) on HID days, having planned to engage in HID was hypothesized to relate to use of fewer PBS.

methodYoung adults (n = 203, 57 % female) completed a baseline assessment and 28-day ecological momentary assessment of drinking intentions, and number of drinks.

resultsIn total, 2,467 drinking days were captured (52% planned, 27% HID). Using more PBS was associated with lower odds of HID (relative to HED but not moderate drinking), and fewer consequences, partially supporting our first hypothesis. PBS did not moderate effects of planned drinking on HID or negative consequence odds. On planned (vs unplanned) HID days, fewer PBS were used, supporting our third hypothesis.

conclusionPlanning to drink is linked reliably to heavier drinking and negative consequences, but day-level associations between PBS and risky drinking are complex. PBS appear to have less impact on consequences when drinking is planned. When HID in particular is planned, fewer PBS are used. For days when HID is planned, real-time reminders of PBS may add value to intervention efforts.

Indexed as

Alcohol DrinkingAlcohol Drinking in CollegeBinge DrinkingIntentionAdolescentCoping SkillsEcological Momentary AssessmentFemaleHumansMaleYoung AdultAlcohol UseEcological Momentary AssessmentProtective Behavioral StrategiesYoung adults

Identifiers

PMID41500079
PMCPMC12881928

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LicenceCC BY
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Registered trials

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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.