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Principal Investigator: Joseph W. Labrie
Organization: LOYOLA MARYMOUNT UNIVERSITY
Fiscal Year: 2024
Award: $669,973
Funding agency: National Institute on Alcohol Abuse and Alcoholism
Project Summary
Underage drinking on college campuses remains a serious public health issue. Research suggests that Parent-
Based Interventions (PBIs) that target parents of incoming students can be powerful adjuncts to existing
student-level alcohol programs. Although Turissi’s Parent Handbook is the only PBI recommended by the
NIAAA to reduce alcohol risk during the transition into college, this “gold standard” PBI has demonstrated
only modest effects on student drinking in trials and has relied on monetary incentives to facilitate parent
engagement, which do not translate to effective real-world implementation. As such, it is imperative to develop
effective PBIs that can be implemented easily and without incentives. One effective motivational PBI
component identified by our lab is personalized normative feedback (PNF) designed to correct parents’
misperceptions about first-year student drinking, other parents’ approval for such drinking, and alcohol
communication. Further, our pilot trial found that coupling Parent Handbook-like psychoeducational content
with such PNF in a social media-inspired app (ParentCandor or PC PNF+) prevented and decreased risky
drinking in students when parents were not incentivized. Qualitative data collected from parents also suggested
several ways to improve parents’ engagement with the PC PNF+ app which are likely to translate into even
stronger effects than observed in the initial trial. Building on this work, Phase 1 of this project seeks to optimize
the PC PNF+ app based on pilot parent feedback. Further, fnformed by their comments about time constraints,
we will also develop a less time-intensive, email-based social norms marketing campaign (SNMC+) PBI that
communicates similar normative information as in the PC PNF+ app with breif Handbook-like tips for
parenting around alcohol. Phase 1 will also include a national norms documentation survey (N=2000) of
parents of incoming college students to identify inclusive and generalizable norms to feature in PNF+ and
SNMC+ interventions. Additionally, parent focus groups and interviews with university stakeholders at two
sites will be conducted to identify how these PBI approaches can be packaged to maximize usefulness from the
perspectives of parents and universities. Then, in Phase 2, a large, multi-site implementation-effectiveness trial
with three cohorts of first-year students (N=2400) will compare the feasibility and effectiveness of PNF+ and
SNMC+ against the “gold standard” Handbook and a no-PBI control. Parents will be invited by their child’s
University to one of the PBIs just as they would be in the real-world. We will objectively examine which PBI is
most engaging to parents, as well as which is most effective at preventing and reducing student drinking and
consequences. In addition, parent engagement, alcohol approval, and communication will be examined as
mediators of PBI effects on student-level outcomes. Finally, the most engaging and effective PBI will be further
discussed with university stakeholders to identify ways to increase the likelihood of real-world adoption.
Terms: <0-11 years old><Address><Administrator><Adoption><Alcohol Chemical Class><Alcohol Drinking><Alcohol consumption><Alcohols><Characteristics><Child><Child Rearing><Child Youth><Children (0-21)><Comment><Commentary><Communication><Controlled Study><Coupling><Data><Documentation><E-Mail><ETOH level><Editorial Comment><Education><Educational aspects><Effectiveness><Effectiveness of Interventions><Electronic Mail><Email><EtOH drinking><EtOH use><Evaluation><Feedback><Focus Groups><Frequencies><Funding><Health><Incentives><Instruction><Intervention><Intervention Strategies><Interview><Libraries><Marketing><Mediating><Mediator><Methods><Modeling><Motivation><Multimedia><Multimedium><NIAAA><National Institute on Alcohol Abuse and Alcoholism><Outcome><Parenting><Parenting behavior><Parents><Phase><Preparation><Public Health><Published Comment><Recommendation><Reporting><Research><Research Resources><Resources><Risk><Risk Reduction><Sampling><Site><Students><Survey Instrument><Surveys><Testing><Time><Translating><Universities><University resources><Viewpoint><Work><Youth Drinking><adolescent alcohol co-use><adolescent alcohol consumption><adolescent alcohol drinking><adolescent alcohol intake><adolescent alcohol use><adolescent drinking><alcohol during adolescence><alcohol ingestion><alcohol initiation><alcohol intake><alcohol intake among adolescents><alcohol intervention><alcohol level><alcohol measurement><alcohol prevention><alcohol product use><alcohol risk reduction><alcohol use><alcohol use among adolescents><alcohol use during adolescence><alcohol use in adolescence><alcohol use in adolescents><alcohol use initiation><alcoholic beverage consumption><alcoholic drink intake><assess effectiveness><at-risk drinking><barriers to implementation><care as usual><childrearing><cohort><college><college student><collegiate><cost><design><designing><determine effectiveness><determine efficacy><digital><drinking><drinking during adolescence><drinking in adolescent><drinking initiation><effective intervention><effective therapy><effective treatment><effectiveness and implementation trial><effectiveness assessment><effectiveness evaluation><effectiveness/implementation hybrid trial><effectiveness/implementation trial><efficacy analysis><efficacy assessment><efficacy determination><efficacy evaluation><efficacy examination><electronic communication><ethanol consumption><ethanol drinking><ethanol during adolescence><ethanol ingestion><ethanol intake><ethanol measurement><ethanol product use><ethanol use><ethyl alcohol measurements><evaluate effectiveness><evaluate efficacy><examine effectiveness><examine efficacy><experience><financial incentive><financial reward><handbook><high risk drinking><implementation barriers><implementation challenges><implementation intervention><improved><intervention effect><interventional strategy><kids><monetary incentive><parent><permissiveness><personalized normative feedback><pilot trial><preparations><prevent><prevent alcohol><preventing><preventing alcohol><programs><prototype><psychoeducation><reduce risk><reduce risks><reduce that risk><reduce the risk><reduce these risks><reduced alcohol use><reduces risk><reduces the risk><reducing risk><reducing the risk><risk-reducing><risky drinking><skills><skills training><social media><social norm><student drinking><teen drinking><teenage alcohol use><teenage drinking><teenager alcohol use><treatment as usual><under age alcohol consumption><under age alcohol use><underage alcohol consumption><underage alcohol use><underage drinking><university student><usual care><willingness><youngster><youth alcohol co-use><youth alcohol consumption><youth alcohol use>