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Monk RL, Leather J, Qureshi AW, Cook M, Labhart F, Kuntsche E, Heim D. Assessing alcohol-related beliefs using pictographic representations: a systematic approach to the development and validation of the revised alcohol expectancy task. DRUGS: EDUCATION, PREVENTION AND POLICY 2021. [DOI: 10.1080/09687637.2021.1915961] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- R. L. Monk
- Department of Psychology, Edge Hill University, Ormskirk, UK
| | - J. Leather
- Department of Psychology, Edge Hill University, Ormskirk, UK
| | - A. W. Qureshi
- Department of Psychology, Edge Hill University, Ormskirk, UK
| | - M. Cook
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
| | - F. Labhart
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
- Idiap Research Institute, Martigny, Switzerland
- Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands
| | - E. Kuntsche
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
| | - D Heim
- Department of Psychology, Edge Hill University, Ormskirk, UK
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de Visser RO, Nicholls J. Temporary abstinence during Dry January: predictors of success; impact on well-being and self-efficacy. Psychol Health 2020; 35:1293-1305. [DOI: 10.1080/08870446.2020.1743840] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
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Field M, Puddephatt JA, Goodwin L, Owens L, Reaves D, Holmes J. Benefits of temporary alcohol restriction: a feasibility randomized trial. Pilot Feasibility Stud 2020; 6:9. [PMID: 32021698 PMCID: PMC6995140 DOI: 10.1186/s40814-020-0554-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2019] [Accepted: 01/22/2020] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Participation in temporary alcohol abstinence campaigns such as 'Dry January' may prompt enduring reductions in alcohol consumption. A randomized controlled trial (RCT) is required to establish any long-term benefits or negative consequences of temporary abstinence. In the present study, we randomized heavy drinkers to complete or intermittent alcohol abstinence for 4 weeks, in order to evaluate the feasibility of conducting a large-scale RCT. METHODS This was a mixed methods feasibility study in which we explored recruitment and retention to a randomized trial, compliance with alcohol abstinence instructions and barriers to compliance, and acceptability of study procedures (primary feasibility outcomes). A community sample of women aged between 40 and 60 who drank in excess of 28 alcohol units per week were randomized to abstain from alcohol for 4 weeks either completely or intermittently (at least four abstinent days per week). To monitor compliance, both groups provided regular breath samples on a cellular breathalyser. A subsample completed a semi-structured interview that probed barriers to compliance with abstinence instructions and acceptability of study procedures. RESULTS Within 5 months, we recruited, screened and randomized 25 participants (20% of participants who responded to advertisements: 14 in the complete abstinence group, 11 in the intermittent abstinence group), 24 of whom were retained throughout the 28-day intervention period. Participants in both groups tended to comply with the instructions: the median number of breathalyser-verified abstinent days was 24 (IQR = 15.5-25.0; 86% of target) in the complete abstinence group versus 12 (IQR = 10-15; 75% of target) in the intermittent abstinence group. Semi-structured interviews identified some barriers to compliance and methodological issues that should be considered in future research. No adverse events were reported. CONCLUSIONS It is feasible to recruit heavy drinking women from community settings and randomize them to either complete or intermittent abstinence from alcohol for 4 weeks. The majority of participants were retained in the study and compliance with the abstinence instructions was good, albeit imperfect. A comprehensive RCT to compare temporary alcohol abstinence with other alcohol reduction strategies on long-term alcohol consumption is feasible. Findings from such a trial would inform implementation of alcohol campaigns and interventions.
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Affiliation(s)
- Matt Field
- Department of Psychology, University of Sheffield, Cathedral Court, 1 Vicar Lane, Sheffield, S1 2LT UK
| | - Jo-Anne Puddephatt
- Department of Psychological Sciences, University of Liverpool, Liverpool, UK
| | - Laura Goodwin
- Department of Psychological Sciences, University of Liverpool, Liverpool, UK
| | - Lynn Owens
- Institute of Translational Medicine, University of Liverpool, Liverpool, UK
| | - Danielle Reaves
- Department of Psychological Sciences, University of Liverpool, Liverpool, UK
| | - John Holmes
- School of Health and Related Research, University of Sheffield, Sheffield, UK
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Reed MB, Woodruff SI, Holt M, DeMers G, Mattuecci M, Hurtado SL. The relationship between self-efficacy, readiness to change, and AUDIT risk levels in a sample of active duty emergency department patients. MILITARY PSYCHOLOGY 2019. [DOI: 10.1080/08995605.2019.1579607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Mark B. Reed
- School of Social Work, San Diego State University, San Diego, California
| | - Susan I. Woodruff
- School of Social Work, San Diego State University, San Diego, California
| | - Megan Holt
- Center for Alcohol and Drug Research Studies and Services, San Diego State University, San Diego, California
| | - Gerard DeMers
- Department of Emergency Medicine-EMS Division, Walter Reed National Military Medical Center, Bethesda, Maryland
| | - Michael Mattuecci
- Department of Emergency Medicine, US Naval Hospital Rota, Cádiz, Spain
| | - Suzanne L. Hurtado
- Health and Behavioral Sciences Department, Naval Health Research Center, San Diego, Calilfornia
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Fiabane E, Ottonello M, Zavan V, Pistarini C, Giorgi I. Motivation to change and posttreatment temptation to drink: a multicenter study among alcohol-dependent patients. Neuropsychiatr Dis Treat 2017; 13:2497-2504. [PMID: 29042778 PMCID: PMC5633278 DOI: 10.2147/ndt.s137766] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND An inpatient 28-day rehabilitation program for alcohol dependence is focused on detoxification, enhancing motivation to change, and coping strategies for the management of emotional distress and temptation to drink. The aims of the present study were to investigate 1) changes over time in motivation to change, anxiety, and depression in individuals undergoing residential rehabilitation treatment for alcohol addiction, and 2) which pretreatment factors are associated with posttreatment temptation to drink. METHODS We assessed 432 patients diagnosed with alcohol dependence based on the Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition, Text Revision) consecutively recruited from seven residential rehabilitation centers in Northern Italy. Patients were assessed by means of self-report questionnaires at the beginning of rehabilitation (pretreatment) and before their hospital discharge (posttreatment) regarding motivation to change and self-efficacy (motivation assessment of change - alcoholism version), readiness to change and temptation to drink (visual analog scales), and depression and anxiety (cognitive behavioral assessment - outcome evaluation). RESULTS Results showed an overall improvement in motivation to change and a significant reduction over time in depression and anxiety levels for the total sample, particularly patients with low baseline level of temptation to drink. Multivariate linear regression analysis revealed that significant predictors of posttreatment temptation to drink were polysubstance dependence (p<0.001), readiness to change (p=0.01), and self-efficacy (p=0.05). CONCLUSION Inpatients' rehabilitation for alcohol dependence is associated with an overall improvement in motivation to change and a significant reduction of psychological distress. Treatments for alcohol-dependent patients should focus on motivation to change, negative moods, and relapse prevention strategies for the management of craving.
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Affiliation(s)
- Elena Fiabane
- Department of Physical and Rehabilitation Medicine, ICS Maugeri Spa SB, Institute of Genoa Nervi, Genoa.,Department of Brain and Behavioral Sciences, University of Pavia, Pavia
| | - Marcella Ottonello
- Department of Physical and Rehabilitation Medicine, ICS Maugeri Spa SB, Institute of Genoa Nervi, Genoa.,Department of Medicine, PhD Program in Advance Sciences and Technologies in Rehabilitation Medicine and Sport, Università di Tor Vergata, Rome
| | | | - Caterina Pistarini
- Department of Physical and Rehabilitation Medicine, ICS Maugeri Spa SB, Institute of Genoa Nervi, Genoa
| | - Ines Giorgi
- Psychology Unit, ICS Maugeri Spa SB, Scientific Institute of Pavia, Pavia, Italy
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Clarke NC, Field M, Rose AK. Evaluation of a Brief Personalised Intervention for Alcohol Consumption in College Students. PLoS One 2015; 10:e0131229. [PMID: 26098848 PMCID: PMC4476689 DOI: 10.1371/journal.pone.0131229] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2015] [Accepted: 05/29/2015] [Indexed: 11/19/2022] Open
Abstract
In the current study we investigated the effect of a brief personalised feedback intervention (BPI), compared to an active control intervention, on outcome measures of (i) alcohol consumption (ii) frequency of binge drinking and (iii) readiness to change (RTC). A sample of 103 college students (mean age=23.85) who consumed alcohol regularly provided baseline measures of drinking behaviour and readiness to change before completing an alcohol-related quiz on the UK Department of Health's Change4Life website (active control). The study was a between subjects design and half the participants were randomly allocated to the BPI group (N=52), who received 10 minutes personalised feedback on their drinking in addition to the alcohol-related quiz. At a two-week follow-up, participants (N=103) repeated the questionnaire battery, and attempted to recall the answers to the alcohol quiz. Results indicated that both groups significantly reduced their alcohol consumption and frequency of binge drinking but there were no significant group differences in either of these measures. We conclude that the provision of generalised information can be as efficient as a BPI for the reduction of alcohol consumption in students.
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Affiliation(s)
- Natasha C. Clarke
- Department of Psychological Sciences, University of Liverpool, Liverpool, United Kingdom
- * E-mail:
| | - Matt Field
- Department of Psychological Sciences, University of Liverpool, Liverpool, United Kingdom
- The UK Centre for Tobacco and Alcohol Studies (UKCTAS), Liverpool, United Kingdom
| | - Abigail K. Rose
- Department of Psychological Sciences, University of Liverpool, Liverpool, United Kingdom
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Monk RL, Heim D, Qureshi A, Price A. "I have no clue what I drunk last night" using Smartphone technology to compare in-vivo and retrospective self-reports of alcohol consumption. PLoS One 2015; 10:e0126209. [PMID: 25992573 PMCID: PMC4437777 DOI: 10.1371/journal.pone.0126209] [Citation(s) in RCA: 63] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2014] [Accepted: 03/31/2015] [Indexed: 11/18/2022] Open
Abstract
AIM This research compared real-time measurements of alcohol consumption with retrospective accounts of alcohol consumption to examine possible discrepancies between, and contextual influences on, the different accounts. METHOD Building on previous investigations, a specifically designed Smartphone technology was utilized to measure alcohol consumption and contextual influences in de facto real-time. Real-time data (a total of 10,560 data points relating to type and number of drinks and current social / environmental context) were compared with daily and weekly retrospective accounts of alcohol consumption. RESULTS Participants reported consuming more alcoholic drinks during real-time assessment than retrospectively. For daily accounts a higher number of drinks consumed in real-time was related to a higher discrepancy between real-time and retrospective accounts. This effect was found across all drink types but was not shaped by social and environmental contexts. Higher in-vivo alcohol consumption appeared to be related to a higher discrepancy in retrospectively reported weekly consumption for alcohol beverage types other than wine. When including contextual factors into the statistical models, being with two or more friends (as opposed to being alone) decreased the discrepancy between real-time and retrospective reports, whilst being in the pub (relative to being at home) was associated with greater discrepancies. CONCLUSIONS Overall, retrospective accounts may underestimate the amount of actual, real-time alcohol consumed. Increased consumption may also exacerbate differences between real-time and retrospective accounts. Nonetheless, this is not a global effect as environmental and social contexts interact with the type of alcohol consumed and the time frame given for reporting (weekly vs. daily retrospective). A degree of caution therefore appears warranted with regards to the use of retrospective self-report methods of recording alcohol consumption. Whilst real-time sampling is unlikely to be completely error free, it may be better able to account for social and environmental influences on self-reported consumption.
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Affiliation(s)
- Rebecca Louise Monk
- Department of Psychology, Edge Hill University, Ormskirk, Lancashire, United Kingdom
| | - Derek Heim
- Department of Psychology, Edge Hill University, Ormskirk, Lancashire, United Kingdom
| | - Adam Qureshi
- Department of Psychology, Edge Hill University, Ormskirk, Lancashire, United Kingdom
| | - Alan Price
- Department of Psychology, Edge Hill University, Ormskirk, Lancashire, United Kingdom
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Monk RL, Heim D. A systematic review of the Alcohol norms literature: A focus on context. DRUGS: EDUCATION, PREVENTION AND POLICY 2014. [DOI: 10.3109/09687637.2014.899990] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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