American Journal of Preventive Medicine
Volume 36, Issue 3 , Pages 247-255 , March 2009

Curbing Problem Drinking with Personalized-Feedback Interventions: A Meta-Analysis

  • Heleen Riper, PhD, MSc

      Affiliations

    • Innovation Centre of Mental Health and Technology, Trimbos Institute (Netherlands Institute of Mental Health and Addiction), Utrecht, The Netherlands
    • Department of Clinical Psychology and Institute for Research in Extramural Medicine (EMGO) Institute, Vrije Universiteit, Amsterdam, The Netherlands
    • Corresponding Author InformationAddress correspondence and reprint requests to: Heleen Riper, PhD, MSc, Trimbos Institute, P.O. Box 725, 3500 AS Utrecht, The Netherlands
    • ,
  • Annemieke van Straten, PhD

      Affiliations

    • Department of Clinical Psychology and Institute for Research in Extramural Medicine (EMGO) Institute, Vrije Universiteit, Amsterdam, The Netherlands
    • ,
  • Max Keuken, BSc

      Affiliations

    • Cognitive Science, Institute for Interdisciplinary Studies, University of Amsterdam, Amsterdam, The Netherlands
    • ,
  • Filip Smit, PhD

      Affiliations

    • Innovation Centre of Mental Health and Technology, Trimbos Institute (Netherlands Institute of Mental Health and Addiction), Utrecht, The Netherlands
    • Department of Clinical Psychology and Institute for Research in Extramural Medicine (EMGO) Institute, Vrije Universiteit, Amsterdam, The Netherlands
    • ,
  • Gerard Schippers, PhD

      Affiliations

    • Amsterdam Medical Centre, University of Amsterdam, Amsterdam, The Netherlands
    • ,
  • Pim Cuijpers, PhD

      Affiliations

    • Department of Clinical Psychology and Institute for Research in Extramural Medicine (EMGO) Institute, Vrije Universiteit, Amsterdam, The Netherlands

References 

  1. Murray CJ, Lopez AD. The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020. Cambridge MA: Harvard School of Public Health; 1996;
  2. WHO. WHO expert committee on problems related to alcohol consumption (Second report). World Health Organ Tech Rep Ser. 2007;1–7
  3. Knight JR, Wechsler H, Kuo M, Seibring M, Weitzman ER, Schuckit MA. Alcohol abuse and dependence among U.S. college students. J Stud Alcohol. 2002;63:263–270
  4. Wechsler H, Lee JE, Kuo M, Seibring M, Nelson TF, Lee H. Trends in college binge drinking during a period of increased prevention efforts (Findings from 4 Harvard School of Public Health college alcohol study surveys: 1993–2001). J Am Coll Health. 2002;50:203–217
  5. Heather N, Kaner E. Brief interventions against excessive alcohol consumption. In:  Warell DA,  Cox TM,  Firth JD, et al. editor. Oxford textbook of medicine. Oxford: Oxford University Press; 2003;
  6. Kaner EF, Beyer F, Dickinson HO, et al. Effectiveness of brief alcohol interventions in primary care populations. Cochrane Database Syst Rev. 2007;CD004148
  7. White HR, Jackson KM. Social and psychological influences on emerging adult drinking. Alcohol Res Health. 2004;28:182–190
  8. Anderson P, Baumberg B. Alcohol in Europe (A public health perspective). London: Institute of Alcohol Studies; 2006;
  9. Smit F, Cuijpers P, Oostenbrink J, Batelaan N, de Graaf R, Beekman A. Costs of nine common mental disorders: implications for curative and preventive psychiatry. J Ment Health Policy Econ. 2006;9:193–200
  10. Holman CD, English DR, Milne E, Winter MG. Meta-analysis of alcohol and all-cause mortality: a validation of NHMRC recommendations. Med J Aust. 1996;164:141–145
  11. Hingson R, Heeren T, Winter M, Wechsler H. Magnitude of alcohol-related mortality and morbidity among U.S. college students ages 18–24: changes from 1998 to 2001. Annu Rev Public Health. 2005;26:259–279
  12. Whitlock EP, Polen MR, Green CA, Orleans T, Klein J. Behavioral counseling interventions in primary care to reduce risky/harmful alcohol use by adults: a summary of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med. 2004;140:557–568
  13. Freemantle N, Gill P, Godfrey C, et al. Brief interventions and alcohol use. Qual Health Care. 1993;2:267–273
  14. IOM. Broadening the base of treatment of alcohol problems: report of a study by a committee of the Institute of Medicine. Washington DC: National Academy Press; 1990;
  15. USDHHS. The Surgeon General's call to action to prevent and reduce underage drinking. Washington DC: Office of the Surgeon General; 2007;
  16. Ballesteros J, Duffy JC, Querejeta I, Arino J, Gonzalez-Pinto A. Efficacy of brief interventions for hazardous drinkers in primary care: systematic review and meta-analyses. Alcohol Clin Exp Res. 2004;28:608–618
  17. Burke BL, Arkowitz H, Menchola M. The efficacy of motivational interviewing: a meta-analysis of controlled clinical trials. J Consult Clin Psychol. 2003;71:843–861
  18. Cuijpers P, Riper H, Lemmers L. The effects on mortality of brief interventions for problem drinking: a meta-analysis. Addiction. 2004;99:839–845
  19. Apodaca TR, Miller WR. A meta-analysis of the effectiveness of bibliotherapy for alcohol problems. J Clin Psychol. 2003;59:289–304
  20. Moyer A, Finney JW, Swearingen CE, Vergun P. Brief interventions for alcohol problems: a meta-analytic review of controlled investigations in treatment-seeking and non-treatment-seeking populations. Addiction. 2002;97:279–292
  21. Raistrick D, Heather N, Godfrey C. Review of the effectiveness of treatment for alcohol problems. London: National Treatment Agency for Substance Misuse; 2006;
  22. Carey KB, Scott-Sheldon LA, Carey MP, DeMartini KS. Individual-level interventions to reduce college student drinking: a meta-analytic review. Addict Behav. 2007;32:2469–2494
  23. Ehrlich PF, Haque A, Swisher-McClure S, Helmkamp J. Screening and brief intervention for alcohol problems in a university student health clinic. J Am Coll Health. 2006;54:279–287
  24. Larimer ME, Cronce JM. Identification, prevention, and treatment revisited: individual-focused college drinking prevention strategies 1999–2006. Addict Behav. 2007;32:2439–2468
  25. White HR. Reduction of alcohol-related harm on U.S. college campuses: the use of personal feedback interventions. Int J Drug Policy. 2006;17:310–319
  26. Kaner EF, Lock CA, McAvoy BR, Heather N, Gilvarry E. A RCT of three training and support strategies to encourage implementation of screening and brief alcohol intervention by general practitioners. Br J Gen Pract. 1999;49:699–703
  27. Moyer A, Finney JW. Brief interventions for alcohol problems: factors that facilitate implementation. Alcohol Res Health. 2005;28:44–50
  28. Anderson P. The risk of alcohol [dissertation]. Nijmegen, The Netherlands: Radboud University; 2003;
  29. Andrews G, Issakidis C, Sanderson K, Corry J, Lapsley H. Utilising survey data to inform public policy: comparison of the cost-effectiveness of treatment of ten mental disorders. Br J Psychiatry. 2004;184:526–533
  30. Cunningham JA, Breslin FC. Only one in three people with alcohol abuse or dependence ever seek treatment. Addict Behav. 2004;29:221–223
  31. Walters ST, Neighbors C. Feedback interventions for college alcohol misuse: what, why and for whom?. Addict Behav. 2005;30:1168–1182
  32. Chan KK, Neighbors C, Gilson M, Larimer ME, Alan MG. Epidemiological trends in drinking by age and gender: providing normative feedback to adults. Addict Behav. 2007;32:967–976
  33. Larimer ME, Turner AP, Anderson BK, et al. Evaluating a brief alcohol intervention with fraternities. J Stud Alcohol. 2001;62:370–380
  34. Marlatt GA, Baer JS, Kivlahan DR, et al. Screening and brief intervention for high-risk college student drinkers: results from a 2-year follow-up assessment. J Consult Clin Psychol. 1998;66:604–615
  35. Borsari B, Carey KB. Descriptive and injunctive norms in college drinking: a meta-analytic integration. J Stud Alcohol. 2003;64:331–341
  36. Borsari B, Carey KB. Peer influences on college drinking: a review of the research. J Subst Abuse. 2001;13:391–424
  37. Miller WR, Toscova RT, Miller JH, Sanchez V. A theory-based motivational approach for reducing alcohol/drug problems in college. Health Educ Behav. 2000;27:744–759
  38. Lewis MA, Neighbors C, Oster-Aaland L, Kirkeby BS, Larimer ME. Indicated prevention for incoming freshmen: personalized normative feedback and high-risk drinking. Addict Behav. 2007;32:2495–2508
  39. Miller WR, Rollnick S. Motivational interviewing: preparing people for change. New York: Guilford Press; 2002;
  40. Cunningham JA, Humphreys K, Koski-Jannes A, Cordingley J. Internet and paper self-help materials for problem drinking: is there an additive effect?. Addict Behav. 2005;30:1517–1523
  41. Cunningham JA, Wild TC, Bondy SJ, Lin E. Impact of normative feedback on problem drinkers: a small-area population study. J Stud Alcohol. 2001;62:228–233
  42. Chiauzzi E, Green TC, Lord S, Thum C, Goldstein M. My student body: a high-risk drinking prevention web site for college students. J Am Coll Health. 2005;53:263–274
  43. Cochrane Collaboration. Cochrane handbook for systematic reviews of interventions. Oxford: Cochrane Collaboration; 2008;
  44. Beich A, Thorsen T, Rollnick S. Screening in brief intervention trials targeting excessive drinkers in general practice: systematic review and meta-analysis. BMJ. 2003;327:536–542
  45. Bertholet N, Daeppen JB, Wietlisbach V, Fleming M, Burnand B. Reduction of alcohol consumption by brief alcohol intervention in primary care: systematic review and meta-analysis. Arch Intern Med. 2005;165:986–995
  46. Bien TH, Miller WR, Tonigan JS. Brief interventions for alcohol problems: a review. Addiction. 1993;88:315–335
  47. Emmen MJ, Schippers GM, Bleijenberg G, Wollersheim H. Effectiveness of opportunistic brief interventions for problem drinking in a general hospital setting: systematic review. BMJ. 2004;328:318
  48. Gould RA, Clum GA. A meta-analysis of self-help treatment approaches. Clin Psychol Rev. 1993;13:169–186
  49. Kahan M, Wilson L, Becker L. Effectiveness of physician-based interventions with problem drinkers: a review. CMAJ. 1995;152:851–859
  50. Mains JA, Scogin FR. The effectiveness of self-administered treatments: a practice-friendly review of the research. J Clin Psychol. 2003;59:237–246
  51. Miller WR, Wilbourne PL. Mesa Grande: a methodological analysis of clinical trials of treatments for alcohol use disorders. Addiction. 2002;97:265–277
  52. Poikolainen K. Effectiveness of brief interventions to reduce alcohol intake in primary health care populations: a meta-analysis. Prev Med. 1999;28:503–509
  53. Wilk AI, Jensen NM, Havighurst TC. Meta-analysis of randomized control trials addressing brief interventions in heavy alcohol drinkers. J Gen Intern Med. 1997;12:274–283
  54. Agostinelli G, Brown JM, Miller WR. Effects of normative feedback on consumption among heavy drinking college students. J Drug Educ. 1995;25:31–40
  55. Collins SE, Carey KB, Sliwinski MJ. Mailed personalized normative feedback as a brief intervention for at-risk college drinkers. J Stud Alcohol. 2002;63:559–567
  56. Cunningham JA, Koski-Jannes A, Wild TC, Cordingley J. Treating alcohol problems with self-help materials: a population study. J Stud Alcohol. 2002;63:649–654
  57. Doumas DM, Hannah E. Preventing high-risk drinking in youth in the workplace: a web-based normative feedback program. J Subst Abuse Treat. 2008;34:263–271
  58. Juarez P, Walters ST, Daugherty M, Radi C. A randomized trial of motivational interviewing and feedback with heavy drinking college students. J Drug Educ. 2006;36:233–246
  59. Kypri K, Saunders JB, Williams SM, et al. Web-based screening and brief intervention for hazardous drinking: a double-blind randomized controlled trial. Addiction. 2004;99:1410–1417
  60. Neighbors C, Larimer ME, Lewis MA. Targeting misperceptions of descriptive drinking norms: efficacy of a computer-delivered personalized normative feedback intervention. J Consult Clin Psychol. 2004;72:434–447
  61. Neighbors C, Lewis MA, Bergstrom RL, Larimer ME. Being controlled by normative influences: self-determination as a moderator of a normative feedback alcohol intervention. Health Psychol. 2006;25:571–579
  62. Walters ST, Bennett ME, Miller JH. Reducing alcohol use in college students: a controlled trial of two brief interventions. J Drug Educ. 2000;30:361–372
  63. Walters ST, Vader AM, Harris TR. A controlled trial of web-based feedback for heavy drinking college students. Prev Sci. 2007;8:83–88
  64. Wild TC, Cunningham JA, Roberts AB. Controlled study of brief personalized assessment-feedback for drinkers interested in self-help. Addiction. 2007;102:241–250
  65. Lipsey MW, Wilson DB. Practical meta-analysis. Thousand Oaks CA: Sage Publications; 2001;
  66. Kraemer HC, Morgan GA, Leech NL, Gliner JA, Vaske JJ, Harmon RJ. Measures of clinical significance. J Am Acad Child Adolesc Psychiatry. 2003;42:1524–1529
  67. Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ. 2003;327:557–560
  68. Saunders JB, Aasland OG, Babor TF, Defuentes-Merillas L, Grant M. Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption—II. Addiction. 1993;88:791–804
  69. Hedges LV, Waddington T. From evidence to knowledge to policy: research synthesis for policy formation. Rev Educ Res. 1993;63:345–352
  70. Wilson DB. Meta-analyses in alcohol and other drug abuse treatment research. Addiction. 2000;95(3S):419–438
  71. Vasilaki EI, Hosier SG, Cox WM. The efficacy of motivational interviewing as a brief intervention for excessive drinking: a meta-analytic review. Alcohol. 2006;41:328–335
  72. National Health Committee. Guidelines for recognising, assessing and treating alcohol and cannabis abuse in primary care. Wellington, New Zealand: National Health Committee; 1999;
  73. Heather N. Interpreting the evidence on brief interventions for excessive drinkers: the need for caution. Alcohol. 1995;30:287–296
  74. Hustad JT, Carey KB. Using calculations to estimate blood alcohol concentrations for naturally occurring drinking episodes: a validity study. J Stud Alcohol. 2005;66:130–138
  75. Laforge RG, Borsari B, Baer JS. The utility of collateral informant assessment in college alcohol research: results from a longitudinal prevention trial. J Stud Alcohol. 2005;66:479–487
  76. Kypri K, Gallagher SJ, Cashell-Smith ML. An Internet-based survey method for college student drinking research. Drug Alcohol Depend. 2004;76:45–53
  77. Kypri K, Saunders JB, Gallagher SJ. Acceptability of various brief intervention approaches for hazardous drinking among university students. Alcohol. 2003;38:626–628
  78. Internet World Stats. World Internet users and population stats. www.internetworldstats.com./stats.htm2008;
  79. Curry SJ. eHealth research and healthcare delivery beyond intervention effectiveness. Am J Prev Med. 2007;32:S127–S130
  80. Simon-Arndt CM, Hurtado SL, Patriarca-Troyk LA. Acceptance of web-based personalized feedback: user ratings of an alcohol misuse prevention program targeting U.S. Marines. Health Commun. 2006;20:13–22
  81. Copeland J, Martin G. Web-based interventions for substance use disorders: a qualitative review. J Subst Abuse Treat. 2004;26:109–116
  82. O'Reilly Radar TeamMusser J, O'Reilly T. Web 2.0 principles and best practices: an O'Reilly radar report. radar.oreilly.com/research/web2-report.html2006;
  83. LaBrie JW, Hummer JF, Neighbors C, Pedersen ER. Live interactive group-specific normative feedback reduces misperceptions and drinking in college students: a randomized cluster trial. Psychol Addict Behav. 2008;22:141–148
  84. Boyd GM, Faden V. Overview. J Stud Alcohol. 2002;14:6–14

 The full text of this article is available via AJPM Online at www.ajpm-online.net; 1 unit of Category-1 CME credit is also available, with details on the website.

PII: S0749-3797(08)00968-9

doi: 10.1016/j.amepre.2008.10.016

American Journal of Preventive Medicine
Volume 36, Issue 3 , Pages 247-255 , March 2009

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