The competitive renewal seeks four years of funding to conduct a multi-site clinical trial of a promising and innovative secondary intervention to facilitate youth efforts to stop hazardous drinking. Recent studies demonstrate the critical role o progression to heavy episodic drinking in the developmental process of alcohol use disorders, and important associations between certain cognitive factors and recent and planned alcohol change attempts for teens. This voluntary, school-based brief intervention (BI), which targets such hazardous drinking, will be tested in three cities (Miami, Florida;Minneapolis, Minnesota;and Portland, Oregon) at 6 socioculturally and ethnically diverse schools (approximately 1440 students). We will test a conceptual model of purposeful drinking change efforts of youth and determine the 4 and 12 week effectiveness of the BI to increase quit efforts and reduce progression of alcohol involvement (frequency of binge drinking, maximum drinks per occasion, and alcohol-related problems) compared to an Education (ED) comparison condition. The proposed block randomized clinical trial will serve the critical step of replicating initial intervention effectiveness findings in diverse communities and test important treatment factors in facilitating behavior change of adolescents. The intervention design, methods and analyses are specifically linked to the conceptual model of purposeful alcohol change efforts of youth. Based on prior research by our group, we hypothesize that three cognitive factors (e.g. use and non-use expectancies, motivation, perceived peer norms) partially mediate purposeful alcohol self-change efforts of adolescents. The intervention targets these potentially malleable cognitions using Motivational Interviewing in an adolescent-friendly group format. The proposed study also examines the therapy process measure of therapeutic alliance and a new Motivational Interviewing specific construct of group level change talk, hypothesized to influence adolescent efforts to reduce hazardous drinking and alcohol related problems. Using longitudinal modeling procedures we will test impact of the intervention and proposed cognitive and therapeutic process mediators on quit attempts and severity of alcohol involvement at 1 month and 3 months following initiation of treatment. Should results of this model prove fruitful, t would open a new direction to interventions for hazardous drinking among adolescents, and lead to greater understanding of mechanisms of behavior change for youth and processes of therapy effective in promoting self-regulation of drinking behavior at this stage of life.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
3R01AA012171-13S2
Application #
8925544
Study Section
Health Services Research Review Subcommittee (AA)
Program Officer
Bechtholt, Anita
Project Start
1998-09-28
Project End
2016-06-30
Budget Start
2014-09-12
Budget End
2015-06-30
Support Year
13
Fiscal Year
2014
Total Cost
$85,975
Indirect Cost
Name
University of California San Diego
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
804355790
City
La Jolla
State
CA
Country
United States
Zip Code
92093
Tomlinson, Kristin L; Cummins, Kevin M; Brown, Sandra A (2013) Social Anxiety and Onset of Drinking in Early Adolescence. J Child Adolesc Subst Abuse 22:163-177
Tomlinson, Kristin L; Brown, Sandra A (2012) Self-medication or social learning? A comparison of models to predict early adolescent drinking. Addict Behav 37:179-86
Doran, Neal; Sanders, Patricia E; Bekman, Nicole M et al. (2011) Mediating influences of negative affect and risk perception on the relationship between sensation seeking and adolescent cigarette smoking. Nicotine Tob Res 13:457-65
Anderson, Kristen G; Grunwald, Ilan; Bekman, Nicole et al. (2011) To drink or not to drink: motives and expectancies for use and nonuse in adolescence. Addict Behav 36:972-9
Bekman, Nicole M; Anderson, Kristen G; Trim, Ryan S et al. (2011) Thinking and drinking: alcohol-related cognitions across stages of adolescent alcohol involvement. Psychol Addict Behav 25:415-25
Anderson, Kristen G; Tomlinson, Kristin; Robinson, Joanna M et al. (2011) Friends or foes: social anxiety, peer affiliation, and drinking in middle school. J Stud Alcohol Drugs 72:61-9
Anderson, Kristen G; Ramo, Danielle E; Cummins, Kevin M et al. (2010) Alcohol and drug involvement after adolescent treatment and functioning during emerging adulthood. Drug Alcohol Depend 107:171-81
Bekman, Nicole M; Cummins, Kevin; Brown, Sandra A (2010) Affective and personality risk and cognitive mediators of initial adolescent alcohol use. J Stud Alcohol Drugs 71:570-80
Schulte, Marya T; Ramo, Danielle; Brown, Sandra A (2009) Gender differences in factors influencing alcohol use and drinking progression among adolescents. Clin Psychol Rev 29:535-47
Anderson, Kristen G; Ramo, Danielle E; Schulte, Marya T et al. (2008) Impact of relapse predictors on psychosocial functioning of SUD youth one year after treatment. Subst Abus 29:97-106

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