Efficacy of web-based personalized normative feedback: A two-year randomized controlled trial

Clayton Neighbors, Melissa A. Lewis, David C. Atkins, Megan M. Jensen, Theresa Walter, Nicole Fossos, Christine M. Lee, Mary E. Larimer

Research output: Contribution to journalArticle

147 Scopus citations

Abstract

Objective: Web-based brief alcohol interventions have the potential to reach a large number of individuals at low cost; however, few controlled evaluations have been conducted to date. The present study was designed to evaluate the efficacy of gender-specific versus gender-nonspecific personalized normative feedback (PNF) with single versus biannual administration in a 2-year randomized controlled trial targeting a large sample of heavy-drinking college students. Method: Participants included 818 freshmen (57.6 women; 42 non-Caucasian) who reported 1 or more heavy-drinking episodes in the previous month at baseline. Participants were randomly assigned in a 2 (gender-specific vs. gender-nonspecific PNF) × 2 (single vs. biannual administration of PNF) + 1 (attention control) design. Assessments occurred every 6 months for a 2-year period. Results: Results from hierarchical generalized linear models provided modest effects on weekly drinking and alcohol-related problems but not on heavy episodic drinking. Relative to control, gender-specific biannual PNF was associated with reductions over time in weekly drinking (d = -0.16, 95 CI [-0.02, -0.31]), and this effect was partially mediated by changes in perceived norms. For women, but not men, gender-specific biannual PNF was associated with reductions over time in alcohol-related problems relative to control (d = -0.29, 95 CI [-0.15, -0.58]). Few other effects were evident. Conclusions: The present research provides modest support for the use of biannually administered web-based gender-specific PNF as an alternative to more costly indicated prevention strategies.

Original languageEnglish
Pages (from-to)898-911
Number of pages14
JournalJournal of Consulting and Clinical Psychology
Volume78
Issue number6
DOIs
StatePublished - Dec 2010

Keywords

  • alcohol
  • college students
  • personalized normative feedback
  • prevention
  • social norms

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    Neighbors, C., Lewis, M. A., Atkins, D. C., Jensen, M. M., Walter, T., Fossos, N., Lee, C. M., & Larimer, M. E. (2010). Efficacy of web-based personalized normative feedback: A two-year randomized controlled trial. Journal of Consulting and Clinical Psychology, 78(6), 898-911. https://doi.org/10.1037/a0020766