While many consequences of college risky drinking affect the students themselves (e.g., hangovers, embarrassment, academics), other problems such as impaired driving (IMPD) jeopardize public safety and must be addressed. Reports show: 1) college student ?high-intensity? drinkers (10+ drinks per occasion) experience more problems, including increased impaired driving, and 2) although over 1.3 million drivers in the U.S. are arrested for impaired driving annually, they only represent 1% of the estimated 121 million self-reported episodes of impaired driving each year. Our recent NIAAA-funded research identified specific parenting behaviors related to college students? risky drinking and consequences that are not being adequately addressed in college-level parent interventions. This research revealed: 1) many parents allow their teens to drink alcohol in an attempt to take the mystery away and provide opportunities to teach them safer drinking practices; 2) parental permissiveness toward underage drinking, even though it was intended to be protective by parents, had the opposite effect and was significantly associated with increased drinking and consequences throughout college; and 3) the effects of parental permissiveness was not attenuated by other positive parenting behaviors (e.g., communication, monitoring). In response, we developed and piloted a brief 15-20 minute intervention (P-Chat) that uses principles of Motivational Interviewing to reduce defensiveness and change parents? permissiveness. The pilot data demonstrate our ability to implement the P-Chat with fidelity; modify parents? willingness to change; and most importantly, change parents? permissive behaviors. These data provide justification to warrant a larger-scale comprehensive study examining the effects of the P-Chat on reducing students? risky drinking and consequences. Our proposed study will use an extremely rigorous design to test the P-Chat.
The aims are as follows:
Aim 1 : Assess the effects of the P-Chat at 3, 6, 9, and 12 months post-baseline relative to a rigorous active comparison condition (the original evidence-based PBI), an assessment only-control, and a combined intervention condition the P-Chat plus the PBI (P-Chat+);
Aim 2 : Examine the process by which the P-Chat influences parents? permissiveness (and communications) and college students? behaviors (e.g., motives, expectancies, norms, and willingness to consume alcohol) using a well-developed theoretical model;
and Aim 3 : Examine subgroups for which the P-Chat is more effective versus less effective. Our moderators will be broadly based and focus on baseline student characteristics (e.g., sex, age of onset of alcohol use) and parent characteristics (e.g., sex, age, education, marital status, monitoring). To the extent that the research is successful, it will provide an efficacious approach to address an important public health problem.

Public Health Relevance

While many consequences of college risky drinking affect the students themselves (e.g., hangovers, embarrassment), other problems such as impaired driving jeopardize public safety and must be addressed. Reports show: 1) college student drinkers experience disproportionally more problems, including increased impaired driving, than other age groups, and 2) although over 1.3 million drivers in the U.S. are arrested for impaired driving annually, they only represent 1% of the estimated 121 million self-reported episodes of impaired driving each year. In response, we embarked on a new endeavor and developed a brief intervention to reduce resistance and tailor parents' experiences to change their permissiveness toward allowing underage drinking, and in turn, reduce student risky drinking and consequences.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
2R01AA012529-14
Application #
9968784
Study Section
Interventions to Prevent and Treat Addictions Study Section (IPTA)
Program Officer
Hilton, Michael E
Project Start
1999-09-24
Project End
2025-06-30
Budget Start
2020-09-15
Budget End
2021-06-30
Support Year
14
Fiscal Year
2020
Total Cost
Indirect Cost
Name
Pennsylvania State University
Department
Miscellaneous
Type
Sch Allied Health Professions
DUNS #
003403953
City
University Park
State
PA
Country
United States
Zip Code
16802
Hultgren, Brittney A; Turrisi, Rob; Mallett, Kimberly A et al. (2018) A Longitudinal Examination of Decisions to Ride and Decline Rides with Drinking Drivers. Alcohol Clin Exp Res 42:1748-1755
Grossbard, Joel R; Mastroleo, Nadine R; Geisner, Irene Markman et al. (2016) Drinking norms, readiness to change, and gender as moderators of a combined alcohol intervention for first-year college students. Addict Behav 52:75-82
Scaglione, Nichole M; Hultgren, Brittney A; Reavy, Racheal et al. (2015) Do students use contextual protective behaviors to reduce alcohol-related sexual risk? Examination of a dual-process decision-making model. Psychol Addict Behav 29:733-43
Hultgren, Brittney A; Scaglione, Nichole M; Cleveland, Michael J et al. (2015) Examination of a dual-process model predicting riding with drinking drivers. Alcohol Clin Exp Res 39:1075-82
Kulesza, Magdalena; Grossbard, Joel R; Kilmer, Jason et al. (2014) Take One for the Team? Influence of Team and Individual Sport Participation on High School Athlete Substance Use Patterns. J Child Adolesc Subst Abuse 23:217-223
Hultgren, Brittney A; Cleveland, Michael J; Turrisi, Rob et al. (2014) How estimation of drinking influences alcohol-related consequences across the first year of college. Alcohol Clin Exp Res 38:1160-6
Varvil-Weld, Lindsey; Turrisi, Rob; Hospital, Michelle M et al. (2014) Maternal and peer influences on drinking among Latino college students. Addict Behav 39:246-52
Varvil-Weld, Lindsey; Crowley, D Max; Turrisi, Rob et al. (2014) Hurting, helping, or neutral? The effects of parental permissiveness toward adolescent drinking on college student alcohol use and problems. Prev Sci 15:716-24
Kilmer, Jason R; Cronce, Jessica M; Larimer, Mary E (2014) College student drinking research from the 1940s to the future: where we have been and where we are going. J Stud Alcohol Drugs Suppl 75 Suppl 17:26-35
Varvil-Weld, Lindsey; Turrisi, Rob; Scaglione, Nichole et al. (2013) Parents' and students' reports of parenting: which are more reliably associated with college student drinking? Addict Behav 38:1699-703

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