UP - logo
E-viri
Recenzirano Odprti dostop
  • Stand-Alone Personalized No...
    Dotson, Keri B; Dunn, Michael E; Bowers, Clint A

    PloS one, 10/2015, Letnik: 10, Številka: 10
    Journal Article

    Norms clarification has been identified as an effective component of college student drinking interventions, prompting research on norms clarification as a single-component intervention known as Personalized Normative Feedback (PNF). Previous reviews have examined PNF in combination with other components but not as a stand-alone intervention. To investigate the degree to which computer-delivered stand-alone personalized normative feedback interventions reduce alcohol consumption and alcohol-related harms among college students and to compare gender-neutral and gender-specific PNF. Electronic databases were searched systematically through November 2014. Reference lists were reviewed manually and forward and backward searches were conducted. Outcome studies that compared computer-delivered, stand-alone PNF intervention with an assessment only, attention-matched, or active treatment control and reported alcohol use and harms among college students. Between-group effect sizes were calculated as the standardized mean difference in change scores between treatment and control groups divided by pooled standard deviation. Within-group effect sizes were calculated as the raw mean difference between baseline and follow-up divided by pooled within-groups standard deviation. Eight studies (13 interventions) with a total of 2,050 participants were included. Compared to control participants, students who received gender-neutral (dbetween = 0.291, 95% CI 0.159, 0.423) and gender-specific PNF (dbetween = 0.284, 95% CI 0.117, 0.451) reported greater reductions in drinking from baseline to follow-up. Students who received gender-neutral PNF reported 3.027 (95% CI 2.171, 3.882) fewer drinks per week at first follow-up and gender-specific PNF reported 3.089 (95% CI 0.992, 5.186) fewer drinks. Intervention effects were small for harms (dbetween = 0.157, 95% CI 0.037, 0.278). Computer-delivered PNF is an effective stand-alone approach for reducing college student drinking and has a small impact on alcohol-related harms. Effects are small but clinically relevant when considered from a public health perspective. Additional research is needed to examine computer-delivered, stand-alone PNF as a population-level prevention program.