Although much attention in recent years has been paid to the problem of binge drinking among college students in the United States, little is known about what happens to those engaging in such behavior after they graduate. Conventional wisdom suggests that career and family interests motivate graduates to mature, and that as a result, the frequency of heavy drinking declines dramatically as soon as students graduate. Several recent studies suggest that this maturing out process may be increasingly delayed, and that over one third of the 40 percent of students abusing alcohol in college continue to do so well after graduation. Given that it is precisely between the ages of 21 to 24 that most college grads enter the workforce, these numbers suggest that many recent grads may bring such patterns with them as they enter the fulltime jobs for the first time, and that the college to work (C2W) transition-a key phase in the transition to adulthood- may be a critical point to intervene. However, little is known about the protective and risk factors that might alternatively underlie trajectories of resiliency or maintained misuse, no less about how these factors may interact to influence who and when those in transition might be most at risk. Such knowledge is critical to the development of efficacious interventions that may strategically boost the likelihood of resilience, and lower the risk of maintained misuse among those most at risk, namely those misusing alcohol in college. Thus, the proposed research will be the first to identify the risk and protective factors underlying trajectories of maintained misuse, facilitating the development of more effective, evidence-based interventions addressing the specific need of at-risk college graduates (ARGs), a high-risk group that has been largely neglected by alcohol scholars. Reporting will be also being collected from non-at-risk graduates (NARGs). An online self-report survey will be distributed to graduating seniors at four major US universities to determine wellbeing and drinking behavior. Subsequent surveys will be delivered after graduation and during the job search and employment. The cohort will be followed up to four years after graduation.

Public Health Relevance

Although it is widely acknowledged that binge drinking among college students in the United States is a problem, there is little known about what happens to those engaging in such behavior after graduation. Conventional wisdom suggests that career and family interests motivate graduates to grow out of risky alcohol use, and that frequency of binge drinking dramatically declines after graduation. The proposed research will identify the risk and protective factors underlying trajectories of maintained alcohol misuse, which will inform the development of more effective, evidence-based interventions, tailored to the specific needs of at-risk college graduates.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA022113-04
Application #
9223618
Study Section
Social Psychology, Personality and Interpersonal Processes Study Section (SPIP)
Program Officer
Shirley, Mariela
Project Start
2014-03-05
Project End
2019-02-28
Budget Start
2017-03-01
Budget End
2018-02-28
Support Year
4
Fiscal Year
2017
Total Cost
$370,981
Indirect Cost
$94,224
Name
Cornell University
Department
Type
Other Domestic Higher Education
DUNS #
872612445
City
Ithaca
State
NY
Country
United States
Zip Code
14850
Geisner, I M; Koopmann, J; Bamberger, P et al. (2018) When the party continues: Impulsivity and the effect of employment on young adults' post-college alcohol use. Addict Behav 77:114-120
Nahum-Shani, Inbal; Smith, Shawna N; Spring, Bonnie J et al. (2018) Just-in-Time Adaptive Interventions (JITAIs) in Mobile Health: Key Components and Design Principles for Ongoing Health Behavior Support. Ann Behav Med 52:446-462
Almirall, Daniel; Kasari, Connie; McCaffrey, Daniel F et al. (2018) Developing Optimized Adaptive Interventions in Education. J Res Educ Eff 11:27-34
Bamberger, Peter A; Koopmann, Jaclyn; Wang, Mo et al. (2018) Does college alcohol consumption impact employment upon graduation? Findings from a prospective study. J Appl Psychol 103:111-121
Lu, Xi; Nahum-Shani, Inbal; Kasari, Connie et al. (2016) Comparing dynamic treatment regimes using repeated-measures outcomes: modeling considerations in SMART studies. Stat Med 35:1595-615