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A Systematic Review of Evidence-Based Interventions to Reduce Binge Drinking.

José-Antonio Giménez-Costa1, Beatriz Martín-Del-Río2, Consolación Gómez-Íñiguez3

  • 1Department of Basic Psychology, Faculty of Psychology, University of Valencia, 46010 Valencia, Spain.

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PubMed
Summary

This review found that while many interventions aim to reduce binge drinking (BD), face-to-face and multimodal approaches are more effective than digital ones. Structured programs using motivational and cognitive behavioral strategies show the best results for reducing BD frequency.

Keywords:
alcohol consumptionbinge drinkinginterventionrandomized controlled trialssystematic review

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Area of Science:

  • Public Health
  • Behavioral Science
  • Psychology

Background:

  • Binge drinking (BD) is a prevalent pattern of alcohol consumption among adolescents and young adults.
  • BD has significant physical, psychological, and social consequences.
  • Evidence on the effectiveness of interventions to reduce BD is limited.

Purpose of the Study:

  • To systematically review randomized controlled trials (RCTs) evaluating interventions to reduce binge drinking.
  • To assess the impact of these interventions on BD frequency, intensity, and associated outcomes.
  • To identify the most effective intervention strategies for reducing BD.

Main Methods:

  • Systematic review following PRISMA 2020 guidelines.
  • Comprehensive search of multidisciplinary and specialized databases.
  • Inclusion of 21 RCTs (N=14,754) targeting BD in diverse populations.
  • Risk of bias assessment using RoB 2.

Main Results:

  • Interventions varied widely in design, format, and theoretical basis.
  • Face-to-face group and multimodal interventions were more effective than brief, individual digital interventions.
  • Motivational and cognitive behavioral approaches in structured programs with prolonged follow-up were most effective.
  • Eleven studies reported significant reductions in BD frequency/prevalence; fewer addressed intensity.
  • Improvements noted in psychosocial variables, but not physical health or other substance use.

Conclusions:

  • Structured, face-to-face interventions utilizing motivational and cognitive behavioral strategies show promise for reducing binge drinking frequency.
  • Current evidence is limited by moderate risk of bias and a lack of long-term effect data.
  • Further robust, comparative, and longitudinal studies are needed to confirm the effectiveness of BD interventions.