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A behavioral activation intervention administered in a 16-week freshman orientation course: Study protocol.

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Behavioral activation (BA) integrated into freshman orientation courses reduced alcohol-related problems. This indirect approach to college drinking may improve engagement and outcomes for students hesitant to seek direct treatment.

Keywords:
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Area of Science:

  • Psychology
  • Public Health
  • Higher Education

Background:

  • College transition is a high-risk period for increased alcohol use among freshmen.
  • Low engagement with traditional alcohol interventions is common, as students may not be ready to change drinking behaviors.
  • Indirect intervention approaches, like Behavioral Activation (BA), may be more effective.

Purpose of the Study:

  • To test the efficacy of a BA intervention delivered in a freshman orientation course.
  • To compare BA to a standard orientation course in reducing alcohol-related problems.
  • To assess the durability of intervention effects over a 5-month period.

Main Methods:

  • A cluster-randomized trial involving 540 freshmen across 36 course sections.
  • Intervention group received BA integrated into a 16-week freshman orientation course.
  • Control group received a standard orientation course; outcomes assessed 5 months post-treatment.

Main Results:

  • Pilot data indicated a significant decrease in drinking-related problems with BA compared to standard orientation.
  • The current trial aims to confirm these findings in a larger sample.

Conclusions:

  • Integrating Behavioral Activation into college curricula offers a promising, indirect strategy to address college drinking.
  • This intervention may overcome barriers to treatment engagement by aligning with student values and activities.
  • Findings support the development of widely disseminable interventions for college alcohol problems.