Do Brief Alcohol Interventions Reduce Driving After Drinking Among College Students? A Two-step Meta-analysis of Individual Participant Data

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dc.creatorMun, Eun-Young
dc.creatorLi, Xiaoyin
dc.creatorLineberry, Shelby
dc.creatorTan, Zhengqi
dc.creatorHuh, David
dc.creatorWalters, Scott T.
dc.creatorZhou, Zhengyang
dc.creatorLarimer, Mary E.
dc.creatorin Collaboration with Project, Integrate Team
dc.creator.orcid0000-0002-1820-615X (Mun, Eun-Young)
dc.creator.orcid0000-0002-2297-2770 (Tan, Zhengqi)
dc.creator.orcid0000-0001-8028-8910 (Li, Xiaoyin)
dc.date.accessioned2022-10-14T14:32:32Z
dc.date.available2022-10-14T14:32:32Z
dc.date.issued2021-02-16
dc.description.abstractAIMS: College students who drink are at an increased risk of driving after drinking and alcohol-involved traffic accidents and deaths. Furthermore, the persistence of driving after drinking over time underscores a need for effective interventions to prevent future drunk driving in adulthood. The present study examined whether brief alcohol interventions (BAIs) for college students reduce driving after drinking. METHODS: A two-step meta-analysis of individual participant data (IPD) was conducted using a combined sample of 6801 college students from 15 randomized controlled trials (38% male, 72% White and 58% first-year students). BAIs included individually delivered Motivational Interviewing with Personalized Feedback (MI + PF), Group Motivational Interviewing (GMI), and stand-alone Personalized Feedback (PF) interventions. Two outcome variables, driving after two+/three+ drinks and driving after four+/five+ drinks, were checked, harmonized and analyzed separately for each study and then combined for meta-analysis and meta-regression analysis. RESULTS: BAIs lowered the risk of driving after four+/five+ drinks (19% difference in the odds of driving after drinking favoring BAIs vs. control), but not the risk of driving after two+/three+ drinks (9% difference). Subsequent subgroup analysis indicated that the MI + PF intervention was comparatively better than PF or GMI. CONCLUSIONS: BAIs provide a harm reduction approach to college drinking. Hence, it is encouraging that BAIs reduce the risk of driving after heavy drinking among college students. However, there may be opportunities to enhance the intervention content and timing to be more relevant for driving after drinking and improve the outcome assessment and reporting to demonstrate its effect.
dc.description.sponsorshipThe project described was supported by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) (Award Number R01 AA019511). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIAAA or the National Institutes of Health.
dc.identifier.citationMun, E. Y., Li, X., Lineberry, S., Tan, Z., Huh, D., Walters, S. T., Zhou, Z., Larimer, M. E., & in Collaboration with Project INTEGRATE Team (2022). Do Brief Alcohol Interventions Reduce Driving After Drinking Among College Students? A Two-step Meta-analysis of Individual Participant Data. Alcohol and alcoholism (Oxford, Oxfordshire), 57(1), 125-135. https://doi.org/10.1093/alcalc/agaa146
dc.identifier.issn1464-3502
dc.identifier.issue1
dc.identifier.urihttps://hdl.handle.net/20.500.12503/31856
dc.identifier.volume57
dc.publisherOxford University Press
dc.relation.urihttps://doi.org/10.1093/alcalc/agaa146
dc.rights.holder© The Author(s) 2021.
dc.rights.licenseAttribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.sourceAlcohol and Alcoholism
dc.subject.meshAdult
dc.subject.meshAlcohol Drinking / prevention & control
dc.subject.meshAlcohol Drinking in College
dc.subject.meshAutomobile Driving
dc.subject.meshDriving Under the Influence
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshMale
dc.subject.meshStudents
dc.subject.meshUniversities
dc.titleDo Brief Alcohol Interventions Reduce Driving After Drinking Among College Students? A Two-step Meta-analysis of Individual Participant Data
dc.typeArticle
dc.type.materialtext

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