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Drinking refusal self-efficacy: Impacts on outcomes from a multi-site early intervention trial
Jordan D Alexander1, Mark G Myers2,3, Kristen G Anderson4
1Department of Psychology, Reed College, OR, USA.
Journal of Child & Adolescent Substance Abuse
|July 9, 2021
Summary
Drink refusal self-efficacy (DRSE) in adolescents did not predict better outcomes in the Project Options early intervention program. Higher DRSE was linked to less drinking, but not more reduction attempts in this study.
Area of Science:
- Adolescent health
- Substance abuse prevention
- Psychology
Background:
- Adolescent alcohol use remains a significant public health concern.
- Early intervention programs aim to reduce alcohol consumption in young people.
- Drink refusal self-efficacy (DRSE) is a key construct in understanding adolescent drinking behavior.
Purpose of the Study:
- To examine the relationship between DRSE and outcomes in Project Options (PO), an adolescent alcohol use early intervention.
- To determine if DRSE predicts drinking behavior and reduction attempts in a high school population.
Main Methods:
- 1171 US high school students participated in the PO program.
- Demographics, alcohol use, and drinking reduction efforts were assessed at baseline, 30 days, and three months.
- DRSE was measured using items from the Drug Taking Confidence Questionnaire for Adolescents (DTCQ-A).
Main Results:
- DRSE showed a negative correlation with alcohol consumption at 30 days.
- Among adolescents who continued to drink, higher DRSE predicted fewer attempts to reduce alcohol use at 30 days and three months.
- Contrary to expectations, DRSE did not correlate with improved outcomes in this early intervention context.
Conclusions:
- The findings suggest that DRSE may not be a significant predictor of success in early intervention programs like PO.
- Further research is needed to understand the role of self-efficacy in different adolescent alcohol intervention settings.
- Intervention strategies may need to consider factors beyond DRSE for effective adolescent alcohol use reduction.
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