Document Detail


Cost-effectiveness analysis of motivational interviewing with feedback to reduce drinking among a sample of college students.
MedLine Citation:
PMID:  22333330     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This study evaluated the costs and cost-effectiveness of combining motivational interviewing with feedback to address heavy drinking among university freshmen.
METHOD: Microcosting methods were used in a prospective cost and cost-effectiveness study of a randomized trial of assessment only (AO), motivational interviewing (MI), feedback only (FB), and motivational interviewing with feedback (MIFB) at a large public university in the southeastern United States. Students were recruited and screened into the study during freshman classes based on recent heavy drinking. A total of 727 students (60% female) were randomized, and 656 had sufficient data at 3-months' follow-up to be included in the cost-effectiveness analysis. Effectiveness outcomes were changes in average drinks per drinking occasion and number of heavy drinking occasions.
RESULTS: Mean intervention costs per student were $16.51 for MI, $17.33 for FB, and $36.03 for MIFB. Cost-effectiveness analysis showed two cost-effective interventions for both outcomes: AO ($0 per student) and MIFB ($36 per student).
CONCLUSIONS: This is the first prospective cost-effectiveness study to our knowledge to examine MI for heavy drinking among students in a university setting. Despite being the most expensive intervention, MIFB was the most effective intervention and may be a cost-effective intervention, depending on a university's willingness to pay for changes in the considered outcomes.
Authors:
Alexander J Cowell; Janice M Brown; Michael J Mills; Randall H Bender; Brendan J Wedehase
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of studies on alcohol and drugs     Volume:  73     ISSN:  1938-4114     ISO Abbreviation:  J Stud Alcohol Drugs     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-02-15     Completed Date:  2012-07-10     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  101295847     Medline TA:  J Stud Alcohol Drugs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  226-37     Citation Subset:  IM    
Affiliation:
RTI International, Research Triangle Park, North Carolina 27709, USA. cowell@rti.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Alcohol Drinking / economics*,  prevention & control,  psychology*
Cost-Benefit Analysis / economics*,  methods,  statistics & numerical data
Feedback, Psychological*
Female
Health Care Costs / statistics & numerical data
Humans
Interview, Psychological / methods*
Male
Motivation
Southeastern United States
Students / psychology*
Universities / economics*
Grant Support
ID/Acronym/Agency:
AA014374/AA/NIAAA NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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