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type=\u0022text\/css\u0022 rel=\u0022stylesheet\u0022 href=\u0022\/\/d282kpwvnogo5m.cloudfront.net\/sites\/default\/files\/cdn\/css\/http\/css_Xg7z6oCTVgud_Q0huYz9x9iiD5H_2YPSJ5z2ZViSWdY.css\u0022 media=\u0022all\u0022 \/\u003E\n\u003Clink rel=\u0027stylesheet\u0027 type=\u0027text\/css\u0027 href=\u0027\/sites\/all\/modules\/contrib\/panels\/plugins\/layouts\/onecol\/onecol.css\u0027 \/\u003E\u003C\/head\u003E\u003Cbody\u003E\u003Cdiv class=\u0022panels-ajax-tab-panel panels-ajax-tab-panel-sageoa-tab-art\u0022\u003E\u003Cdiv class=\u0022panel-display panel-1col clearfix\u0022 \u003E\n  \u003Cdiv class=\u0022panel-panel panel-col\u0022\u003E\n    \u003Cdiv\u003E\u003Cdiv class=\u0022panel-pane pane-highwire-markup\u0022 \u003E\n  \n      \n  \n  \u003Cdiv class=\u0022pane-content\u0022\u003E\n    \u003Cdiv class=\u0022highwire-markup\u0022\u003E\u003Cdiv xmlns=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022 id=\u0022content-block-markup\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cdiv class=\u0022article fulltext-view \u0022\u003E\u003Cspan class=\u0022highwire-journal-article-marker-start\u0022\u003E\u003C\/span\u003E\u003Cdiv class=\u0022section abstract\u0022 id=\u0022abstract-1\u0022\u003E\u003Ch2\u003ESummary\u003C\/h2\u003E\u003Cp id=\u0022p-1\u0022\u003EThis trial compared the effects of different interventions on reducing substance use among college students. It demonstrated that, overall, any intervention was better than no intervention, and that computerized intervention was better than interview interventions for reducing alcohol use in this patient population that uses the internet heavily.\u003C\/p\u003E\u003C\/div\u003E\u003Cul class=\u0022kwd-group\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003Esubstance use\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Ealcohol use\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Edrug use\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Etobacco use\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Eweb-based intervention\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Ecomputerized intervention\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Einterview intervention\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EASSIST\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EAlcohol, Smoking and Substance Involvement Screening Test\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Esubstance-related disorders\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Epsychiatry \u0026amp; psychology clinical trials\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv class=\u0022section\u0022 id=\u0022sec-1\u0022\u003E\u003Cp id=\u0022p-2\u0022\u003ERoseli Boerngen-Lacerda, PhD, Universidade Federal do Paran\u00e1, Curitiba, Paran\u00e1, Brazil, presented the results of a study [Christoff AO, Boerngen-Lacerda R. \u003Cem\u003EAddict Behav\u003C\/em\u003E. 2015] among college students in Brazil demonstrating that, while any intervention was better than none in reducing the prevalence of alcohol and drug use, a web-based intervention was particularly beneficial for reducing alcohol use.\u003C\/p\u003E\u003Cp id=\u0022p-3\u0022\u003EAlcohol and drug use is prevalent among college students, and progression from their occasional to hazardous or harmful use has become a significant global public health issue. The World Health Organization\u2019s Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) was developed as a clinical tool to detect psychoactive substance use. However, because of sporadic health care utilization by college students, Prof Boerngen-Lacerda and colleagues used a more tailored strategy, a web-based intervention, for this patient population that uses the Internet heavily.\u003C\/p\u003E\u003Cp id=\u0022p-4\u0022\u003EThe randomized controlled trial was conducted to compare the efficacy of 3 different interventions in reducing the prevalence of alcohol and drug use among college students in Brazil. A total of 815 students were invited to participate and were randomized to ASSIST intervention (n\u2005=\u2005436) or ASSIST control (n\u2005=\u2005373); 6 were excluded for fictitious drug use. Then, 458 patients who scored as having moderate- or high-risk use were randomized to a computer-based intervention called the ASSIST\/Motivational Brief Intervention (ASSIST\/MBIc; n\u2005=\u2005144), in-person feedback plus an MBI in an interview (ASSIST\/MBIi; n\u2005=\u2005167), or feedback only (control; n\u2005=\u2005147). Inclusion criteria included the ability and willingness to participate in 2 sessions, each lasting 5 minutes (control group) to 40 minutes (ASSIST\/MBIc and ASSIST\/MBIi groups), and to avoid engaging in other substance use treatments or programs before or during the study. Participants were evaluated at baseline and 90 days later.\u003C\/p\u003E\u003Cp id=\u0022p-5\u0022\u003EThe ASSIST scores were reduced in all 3 groups at the 90-day follow-up compared with baseline (\u003Ca id=\u0022xref-fig-1-1\u0022 class=\u0022xref-fig\u0022 href=\u0022#F1\u0022\u003EFigure 1\u003C\/a\u003E). This suggests that any intervention is better than none, said Prof Boerngen-Lacerda.\u003C\/p\u003E\u003Cdiv id=\u0022F1\u0022 class=\u0022fig pos-float  odd\u0022\u003E\u003Cdiv class=\u0022highwire-figure\u0022\u003E\u003Cdiv class=\u0022fig-inline-img-wrapper\u0022\u003E\u003Cdiv class=\u0022fig-inline-img\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/15\/11\/10\/F1.large.jpg?width=800\u0026amp;height=600\u0026amp;carousel=1\u0022 title=\u0022Effect of Intervention on Alcohol, Smoking, and Substance Involvement Screening Test ScoresSpecific substance ASSIST scores at follow-up relative to baseline in college students. The data are expressed as mean \u0026#xB1; standard error of the involvement scores in the three groups: ASSIST\/MBIc, ASSIST\/MBIi, and control. From the left to right the bars represent total involvement score, alcohol, tobacco, marijuana, and summation of the scores for other drugs. The symbol \u0026#x201C;*\u0026#x201D; represents a significant difference (P \u0026#x2264; .05, ANOVA followed by Newman\u0026#x2013;Keuls test) compared with control.Reprinted from Addict Behav, Vol. 45, Christoff AO et al. Reducing substance involvement in college students: A three-arm parallel-group randomized controlled trial of a computer-based intervention. Pages No. 164-171, Copyright (2015), with permission from Elsevier.\u0022 class=\u0022fragment-images colorbox-load\u0022 rel=\u0022gallery-fragment-images-1759710946\u0022 data-figure-caption=\u0022\u0026amp;lt;div xmlns=\u0026amp;quot;http:\/\/www.w3.org\/1999\/xhtml\u0026amp;quot;\u0026amp;gt;Effect of Intervention on Alcohol, Smoking, and Substance Involvement Screening Test ScoresSpecific substance ASSIST scores at follow-up relative to baseline in college students. The data are expressed as mean \u0026#xB1; standard error of the involvement scores in the three groups: ASSIST\/MBIc, ASSIST\/MBIi, and control. From the left to right the bars represent total involvement score, alcohol, tobacco, marijuana, and summation of the scores for other drugs. The symbol \u0026#x201C;*\u0026#x201D; represents a significant difference (\u0026amp;lt;em\u0026amp;gt;P\u0026amp;lt;\/em\u0026amp;gt; \u0026#x2264; .05, ANOVA followed by Newman\u0026#x2013;Keuls test) compared with control.Reprinted from \u0026amp;lt;em\u0026amp;gt;Addict Behav\u0026amp;lt;\/em\u0026amp;gt;, Vol. 45, Christoff AO et al. Reducing substance involvement in college students: A three-arm parallel-group randomized controlled trial of a computer-based intervention. Pages No. 164-171, Copyright (2015), with permission from Elsevier.\u0026amp;lt;\/div\u0026amp;gt;\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003E\u003Cimg class=\u0022fragment-image\u0022 alt=\u0022Figure 1.\u0022 src=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/15\/11\/10\/F1.medium.gif\u0022\/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cul class=\u0022highwire-figure-links inline\u0022\u003E\u003Cli class=\u00220 first\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/15\/11\/10\/F1.large.jpg?download=true\u0022 class=\u0022highwire-figure-link highwire-figure-link-download\u0022 title=\u0022Download Figure 1.\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload figure\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00221\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/15\/11\/10\/F1.large.jpg\u0022 class=\u0022highwire-figure-link highwire-figure-link-newtab\u0022 target=\u0022_blank\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EOpen in new tab\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00222 last\u0022\u003E\u003Ca href=\u0022\/highwire\/powerpoint\/16863\u0022 class=\u0022highwire-figure-link highwire-figure-link-ppt\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload powerpoint\u003C\/a\u003E\u003C\/li\u003E\u003C\/ul\u003E\u003C\/div\u003E\u003Cdiv class=\u0022fig-caption\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cspan class=\u0022fig-label\u0022\u003EFigure 1.\u003C\/span\u003E \u003Cp id=\u0022p-6\u0022 class=\u0022first-child\u0022\u003EEffect of Intervention on Alcohol, Smoking, and Substance Involvement Screening Test Scores\u003C\/p\u003E\u003Cp id=\u0022p-7\u0022\u003ESpecific substance ASSIST scores at follow-up relative to baseline in college students. The data are expressed as mean \u00b1 standard error of the involvement scores in the three groups: ASSIST\/MBIc, ASSIST\/MBIi, and control. From the left to right the bars represent total involvement score, alcohol, tobacco, marijuana, and summation of the scores for other drugs. The symbol \u201c*\u201d represents a significant difference (\u003Cem\u003EP\u003C\/em\u003E \u2264 .05, ANOVA followed by Newman\u2013Keuls test) compared with control.\u003C\/p\u003E\u003Cp id=\u0022p-8\u0022\u003EReprinted from \u003Cem\u003EAddict Behav\u003C\/em\u003E, Vol. 45, Christoff AO et al. Reducing substance involvement in college students: A three-arm parallel-group randomized controlled trial of a computer-based intervention. Pages No. 164-171, Copyright (2015), with permission from Elsevier.\u003C\/p\u003E\u003Cdiv class=\u0022sb-div caption-clear\u0022\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cp id=\u0022p-9\u0022\u003EIn addition, the computer-based intervention was particularly beneficial for reducing alcohol use. While the specific involvement scores for alcohol decreased to a low level of risk in all 3 groups, scores in the ASSIST\/MBIc group were significantly reduced compared with the control group (\u003Cem\u003EP\u003C\/em\u003E\u2005\u2264\u2005.05). The scores for each question for alcohol were reduced in the 2 intervention groups compared with baseline.\u003C\/p\u003E\u003Cp id=\u0022p-10\u0022\u003EA small positive, although statistically insignificant, effect was also observed in the specific involvement scores for marijuana in the ASSIST\/MBIi and control groups.\u003C\/p\u003E\u003Cp id=\u0022p-11\u0022\u003EAlthough the specific involvement scores for tobacco decreased in all 3 groups, they continued to indicate moderate risk at 90-day follow-up, with no significant effect of either ASSIST\/MBIc or ASSIST\/MBIi intervention on scores compared with control.\u003C\/p\u003E\u003Cp id=\u0022p-12\u0022\u003EThe results of this study showed that the ASSIST\/MBIc intervention may therefore be a better alternative to interview interventions for college students who are accustomed to using computer-based technologies, concluded Prof Boerngen-Lacerda. This intervention is easy to administer, and its content can be tailored to individual students and delivered in the absence of a counselor, she said.\u003C\/p\u003E\u003C\/div\u003E\u003Cul class=\u0022copyright-statement\u0022\u003E\u003Cli class=\u0022fn\u0022 id=\u0022copyright-statement-1\u0022\u003E\u00a9 2015 SAGE Publications\u003C\/li\u003E\u003C\/ul\u003E\u003Cspan class=\u0022highwire-journal-article-marker-end\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cspan id=\u0022related-urls\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Ca href=\u0022http:\/\/mdc.sagepub.com\/content\/15\/11\/10.abstract\u0022 class=\u0022hw-link hw-link-article-abstract\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView Summary\u003C\/a\u003E\u003C\/div\u003E  \u003C\/div\u003E\n\n  \n  \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_figures.js?nzlige\u0022\u003E\u003C\/script\u003E\n\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_openurl.js?nzlige\u0022\u003E\u003C\/script\u003E\n\u003C\/body\u003E\u003C\/html\u003E"}