Alcohol Protective Behavioral Strategies in Young Spanish Adults in the CommunityA Prospective Study of Perceived Effi cacy and Social Norms

  1. Fermín Fernández-Calderón 1
  2. Adrián J. Bravo 2
  3. Carmen Díaz-Batanero 1
  4. Joseph J. Palamar 3
  5. José Carmona-Márquez 4
  1. 1 Universidad de Huelva
    info

    Universidad de Huelva

    Huelva, España

    ROR https://ror.org/03a1kt624

  2. 2 William & Mary, Williamsburg (USA)
  3. 3 1 University of Huelva
  4. 4 New York University Grossman School of Medicine (USA)
Journal:
Psicothema

ISSN: 0214-9915 1886-144X

Year of publication: 2022

Volume: 34

Issue: 2

Pages: 266-274

Type: Article

More publications in: Psicothema

Abstract

Background: Protective behavioral strategies (PBS) have been shown to be useful for reducing excessive alcohol use and alcohol-related problems. However, research on the explanatory factors of PBS is limited. This paper prospectively examines the contribution of perceived efficacy of PBS in reducing alcohol-related consequences and perceived descriptive norms of close peers´ PBS use in young adults. The mediating role of perceived efficacy of PBS between descriptive norms of PBS use and personal PBS use is also examined. Method: Targeted sampling was used to recruit a community-based sample of 339 young Spanish adults aged 18-25 years, who completed baseline and two-month follow-up questionnaires. Three types of PBS (serious harm reduction-SHR, manner of drinking-MOD, and stopping/limiting drinking-SLD) were measured. Results: Both perceived efficacy and descriptive norms at baseline were positively associated with personal PBS use (SHR, MOD and SLD) at follow-up. A partial mediation effect of perceived efficacy between descriptive norms and personal PBS use was found for the three PBS subscales. Conclusions: Our findings support the usefulness of correcting misperceptions of PBS use by peers in interventions aimed at reducing excessive drinking and alcohol-related consequences in young adults in the community. Moreover, PBS perceived efficacy should be included as a component of these interventions.

Bibliographic References

  • Abrams, D. B., & Niaura, R. S. (1987). Social learning theory. In K. E. Leonard & H. T. Blane (Eds.), Psychological theories of drinking and alcoholism (2nd ed., pp. 131-178). Guilford Press.
  • Baer, J. S., Stacy, A., & Larimer, M. (1991). Biases in the perception of drinking norms among college students. Journal of Studies on Alcohol, 52(6), 580-586. https://doi.org/10.15288/jsa.1991.52.580
  • Benton, S. L., Downey, R. G., Glider, P. J., & Benton, S. A. (2008). College students’ norm perception predicts reported use of protective behavioral strategies for alcohol consumption. Journal of Studies on Alcohol and Drugs, 69(6), 859-865. https://doi.org/10.15288/jsad.2008.69.859
  • Borsari, B., & Carey, K. B. (2001). Peer influences on college drinking: A review of the research. Journal of Substance Abuse, 13(4), 391-424. https://doi.org/10.1016/s0899-3289(01)00098-0
  • Borsari, B., & Carey, K. B. (2003). Descriptive and injunctive norms in college drinking: A meta-analytic integration. Journal of Studies on Alcohol, 64(3), 331-341. https://doi.org/10.15288/jsa.2003.64.331
  • Borsari, B., Murphy, J. G., & Barnett, N. P. (2007). Predictors of alcohol use during the first year of college: Implications for prevention. Addictive Behaviors, 32(10), 2062-2086. https://doi.org/10.1016/j.addbeh.2007.01.017
  • Bravo, A. J., Pearson, M. R., Stevens, L. E., & Henson, J. M. (2018). Weighing the pros and cons of using alcohol protective behavioral strategies: A qualitative examination among college students. Substance Use & Misuse, 53(13), 2190-2198. https://doi.org/10.1080/10826084.2 018.1464026
  • Bravo, A. J., Prince, M. A., & Pearson, M. R. (2015). Does the how mediate the why? A multiple replication examination of drinking motives, alcohol protective behavioral strategies, and alcohol outcomes. Journal of Studies on Alcohol and Drugs, 76(6), 872-883. https://doi.org/10.15288/jsad.2015.76.872
  • Bravo, A. J., Prince, M. A., & Pearson, M. R. (2016). A multiple replication examination of distal antecedents to alcohol protective behavioral strategies. Journal of Studies on Alcohol and Drugs, 77(6), 958-967. https://doi.org/10.15288/jsad.2016.77.958
  • Collins, R. L., Parks, G. A., & Marlatt, G. A. (1985). Social determinants of alcohol consumption: The effects of social interaction and model status on the self-administration of alcohol. Journal of Consulting and Clinical Psychology, 53(2), 189-200. https://doi.org/10.1037//0022- 006x.53.2.189
  • Courtney, K. E., & Polich, J. (2009). Binge drinking in young adults: Data, definitions, and determinants. Psychological Bulletin, 135(1), 142-156. https://doi.org/10.1037/a0014414.
  • DeLeeuw, E. D. (2018). Mixed-Mode: Past, Present, and Future. Survey Research Methods, 12(2), 75-89. https://doi.org/10.18148/srm/2018. v12i2.7402
  • Dekker, M. R., Jongenelis, M. I., Hasking, P., Kypri, K., Chikritzhs, T., & Pettigrew, S. (2020). Factors associated with engagement in protective behavioral strategies among adult drinkers. Substance use & misuse, 55(6), 878-885. https://doi.org/10.1080/10826084.2019. 1708944
  • Dillman, D. A., Smyth, J. D., & Christian, L. M. (2014). Internet, phone, mail, and mixed-mode surveys: The tailored design method. Wiley & Sons.
  • Dvorak, R. D., Pearson, M. R., Neighbors, C., & Martens, M. P. (2015). Fitting in and standing out: Increasing the use of alcohol protective behavioral strategies with a deviance regulation intervention. Journal of Consulting and Clinical Psychology, 83(3), 482-493. https://doi.org/10.1037/a0038902
  • Dvorak, R. D., Pearson, M. R., Neighbors, C., Martens, M. P., Stevenson, B. L., & Kuvaas, N. J. (2016). A road paved with safe intentions: Increasing intentions to use alcohol protective behavioral strategies via Deviance Regulation Theory. Health Psychology, 35(6), 604-613. https://doi.org/10.1037/hea0000327
  • Dvorak, R. D., Troop-Gordon, W., Stevenson, B. L., Kramer, M. P., Wilborn, D., & Leary, A. V. (2018). A randomized control trial of a deviance regulation theory intervention to increase alcohol protective strategies. Journal of Consulting and Clinical Psychology, 86(12), 1061-1075. https://doi.org/10.1037/ccp0000347
  • Edwards, S. M., Tuliao, A. P., Kennedy, J. L., & McChargue, D. E. (2020). Weekend text messages increase protective behavioral strategies and reduce harm among college drinkers. Journal of Technology in Behavioral Science, 5(4), 395-401. https://doi.org/10.1007/s41347- 020-00149-4
  • Fairlie, A. M., Lewis, M. A., Waldron, K. A., Wallace, E. C., & Lee, C. M. (2021). Understanding perceived usefulness and actual use of protective behavioral strategies: The role of perceived norms for the reasons that young adult drinkers use protective behavioral strategies. Addictive Behaviors, 112, 106585. https://doi.org/10.1016/j.addbeh.2020.106585
  • Fernández-Calderón, F., Cleland, C. M., & Palamar, J. J. (2018). Polysubstance use profiles among electronic dance music party attendees in New York City and their relation to use of new psychoactive substances. Addictive Behaviors, 78, 85-93. https://doi.org/10.1016/j.addbeh.2017.11.004.
  • Fernández-Calderón, González-Ponce, B., Díaz-Batanero, C., & Lozano-Rojas, O.M. (2021). Predictive utility of Protective Behavioral Strategies for Alcohol-related Outcomes in a Community Sample of Young Adults. Journal of Studies on Alcohol and Drugs, 82(4), 476- 485. https://doi.org/10.15288/jsad.2021.82.476
  • Garcia, T. A., Fairlie, A. M., Litt, D. M., Waldron, K. A., & Lewis, M. A. (2018). Perceived vulnerability moderates the relations between the use of protective behavioral strategies and alcohol use and consequences among high-risk young adults. Addictive Behaviors, 81, 150-156. https://doi.org/10.1016/j.addbeh.2018.02.001
  • Goodman, L. A. (1961). Snowball Sampling. The Annals of Mathematical Statistics, 32(1), 148-170. https://doi.org/10.1214/aoms/1177705148
  • Grazioli, V. S., Lewis, M. A., Fossos-Wong, N., & Larimer, M. E. (2018). Attitudes toward protective behavioral strategies: Do they predict use of strategies and alcohol outcomes over time? Addictive Behaviors, 87, 190-195. https://doi.org/10.1016/j.addbeh.2018.07.017
  • Hayes A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford publications.
  • Kenney, S. R., Napper, L. E., LaBrie, J. W., & Martens, M. P. (2014). Examining the efficacy of a brief group protective behavioral strategies skills training alcohol intervention with college women. Psychology of Addictive Behaviors, 28(4), 1041-1051. https://doi.org/10.1037/ a0038173
  • Kruis, N. E., Seo, C., & Kim, B. (2020). Revisiting the empirical status of social learning theory on substance use: A systematic review and metaanalysis. Substance Use & Misuse, 55(4), 666-683. https://doi.org/10.1080/10826084.2019.1696821
  • Kuntsche, E., Kuntsche, S., Thrul, J., & Gmel, G. (2017). Binge drinking: Health impact, prevalence, correlates and interventions. Psychology & Health, 32(8), 976-1017. https://doi.org/10.1080/08870446.2017.1325 889
  • LaBrie, J. W., Napper, L. E., Grimaldi, E. M., Kenney, S. R., & Lac, A. (2015). The efficacy of a standalone protective behavioral strategies intervention for students accessing mental health services. Prevention Science, 16(5), 663-673. https://doi.org/10.1007/s11121-015-0549-8
  • Legros, S., & Cislaghi, B. (2020). Mapping the social-norms literature: An overview of reviews. Perspectives on Psychological Science, 15(1), 62- 80. https://doi.org/10.1177/1745691619866455
  • Lewis, M. A., Rees, M., & Lee, C. M. (2009). Gender-specific normative perceptions of alcohol-related protective behavioral strategies. Psychology of Addictive Behaviors, 23(3), 539-545. https://doi.org/10.1037/a0015176
  • Litt, D. M., & Stock, M. L. (2011). Adolescent alcohol-related risk cognitions: the roles of social norms and social networking sites. Psychology of Addictive Behaviors, 25(4), 708-713. https://doi.org/10.1037/a0024226
  • López-Caneda, E., Cadaveira, F., & Campanella, S. (2019). Binge drinking in the adolescent and young brain. Frontiers in Psychology, 9, 2724. https://doi.org/10.3389/fpsyg.2018.02724
  • Maisto, S. A., Carey, K. B., & Bradizza, C. M. (1999). Social learning theory. In K. E. Leonard & H. T. Blane (Eds.), The Guilford substance abuse series. Psychological theories of drinking and alcoholism (2nd ed., pp. 106-163). Guilford Press.
  • Martens, M. P., Ferrier, A. G., Sheehy, M. J., Corbett, K., Anderson, D. A., & Simmons, A. (2005). Development of the protective behavioral strategies survey. Journal of Studies on Alcohol, 66, 698-705. https://doi.org/10.15288/jsa.2005.66.698
  • Martens, M. P., Pederson, E. R., LaBrie, J. W., Ferrier, A. G., & Cimini, M. D. (2007). Measuring alcohol-related protective behavioral strategies among college students: Further examination of the Protective Behavioral Strategies Scale. Psychology of Addictive Behaviors, 21(3), 307-315. https://doi.org/10.1037/0893-164X.21.3.307
  • Martens, M. P., Smith, A. E., & Murphy, J. G. (2013). The efficacy of single-component brief motivational interventions among at-risk college drinkers. Journal of Consulting and Clinical Psychology, 81(4), 691-701. https://doi.org/10.1037/a0032235
  • Miller, M. B., Leffingwell, T., Claborn, K., Meier, E., Walters, S., & Neighbors, C. (2013). Personalized feedback interventions for college alcohol misuse: An update of Walters & Neighbors (2005). Psychology of Addictive Behaviors, 27(4), 909-920. https://doi.org/10.1037/a0031174
  • Montes, K. S., Witkiewitz, K., Andersson, C., Fossos-Wong, N., Pace, T., Berglund, M., & Larimer, M. E. (2017). Trajectories of positive alcohol expectancies and drinking: An examination of young adults in the US and Sweden. Addictive Behaviors, 73, 74-80. https://doi.org/10.1016/j. addbeh.2017.04.021
  • Napper, L. E., Kenney, S. R., Lac, A., Lewis, L. J., & LaBrie, J. W. (2014). A cross-lagged panel model examining protective behavioral strategies: Are types of strategies differentially related to alcohol use and consequences? Addictive Behaviors, 39(2), 480-486. https://doi.org/10.1016/j.addbeh.2013.10.020
  • Nayak, M. B., Patterson, D., Wilsnack, S. C., Karriker-Jaffe, K. J., & Greenfield, T. K. (2019). Alcohol’s secondhand harms in the United States: New data on prevalence and risk factors. Journal of Studies on Alcohol and Drugs, 80(3), 273-281. https://doi.org/10.15288/jsad.2019.80.273
  • Observatorio Español de las Drogas y las Adicciones (2017). Encuesta sobre Alcohol y otras Drogas en España (EDADES) 1995-2017 [Survey on alcohol and other drugs in Spain (EDADES) 1995-2017]. Delegación del Gobierno para el Plan Nacional sobre Drogas. https://pnsd.sanidad. gob.es/profesionales/sistemasInformacion/sistemaInformacion/pdf/ EDADES_2017_Informe.pdf
  • Patrick, M. E., Terry-McElrath, Y. M., Evans-Polce, R. J., & Schulenberg, J. E. (2020). Negative alcohol-related consequences experienced by young adults in the past 12 months: Differences by college attendance, living situation, binge drinking, and sex. Addictive Behaviors, 105, 106320. https://doi.org/10.1016/j.addbeh.2020.106320
  • Pearson, M. R. (2013). Use of alcohol protective behavioral strategies among college students: A critical review. Clinical Psychology Review, 33(8), 1025-1040. https://doi.org/10.1016/j.cpr.2013.08.006
  • Pearson, M. R., Kite, B. A., & Henson, J. M. (2013). Predictive effects of good self-control and poor regulation on alcohol-related outcomes: Do protective behavioral strategies mediate? Psychology of Addictive Behaviors, 27(1), 81-89. https://doi.org/10.1037/a0028818
  • Perkins, H. W. (1997). College student misperceptions of alcohol and other drug norms among peers: Exploring causes, consequences, and implications for prevention programs. In Designing alcohol and other drug prevention programs in higher education: Bringing Theory into Practice, 177-206. Higher Education Center for Alcohol and Other Drug Prevention.
  • Phillips, K.T., Phillips, M.M., Lalonde, T.L., & Prince, M.A. (2018). Does social context matter? An ecological momentary assessment study of marijuana use among college students. Addictive Behaviors, 83, 154- 159. https://doi.org/10.1016/j.addbeh.2018.01.004
  • Pilatti, A., Read, J. P., & Caneto, F. (2016). Validation of the Spanish Version of the Young Adult Alcohol Consequences Questionnaire (S-YAACQ). Psychological Assessment, 28(5), e49-e61. https://doi.org/10.1037/pas0000140
  • Ray, A. E., Turrisi, R., Abar, B., & Peters, K. E. (2009). Social-cognitive correlates of protective drinking behaviors and alcohol-related consequences in college students. Addictive Behaviors, 34(11), 911- 917. https://doi.org/10.1016/j.addbeh.2009.05.016
  • Read, J. P., Kahler, C. W., Strong, D. R., & Colder, C. R. (2006). Development and preliminary validation of the young adult alcohol consequences questionnaire. Journal of Studies on Alcohol and Drugs, 67, 169-177. https://doi.org/10.15288/jsa.2006.67.169
  • Rinker, D. V., & Neighbors, C. (2014). Do different types of social identity moderate the association between perceived descriptive norms and drinking among college students? Addictive Behaviors, 39(9), 1297- 1303. https://doi.org/10.1016/j.addbeh.2014.03.018
  • Rodríguez-Martos, D. A., Gual, S. A., & Llopis, L. J. (1999). The “standard drink unit” as a simplified record of alcoholic drink consumption and its measurement in Spain. Medicina Clínica, 112(12), 446-450.
  • Rogers, R. W. (1983). Cognitive and psychological processes in fear appeals and attitude change: A revised theory of protection motivation. In B. L. Cacioppo & L. L. Petty (Eds), Social psychophysiology: A sourcebook (pp. 153-176). Guildford.
  • Ruiter, R. A., Kessels, L. T., Peters, G. J. Y., & Kok, G. (2014). Sixty years of fear appeal research: Current state of the evidence. International Journal of Psychology, 49(2), 63-70. https://doi.org/10.1002/ ijop.12042
  • Sánchez-García, M., Lozano-Rojas, O., Díaz-Batanero, C., Carmona-Márquez, F., Rojas-Tejada, A.J., & Fernández-Calderón, F. (2020). Spanish adaptation of the protective behavioral strategies scale-20 (S-PBSS-20) and evaluation of its psychometric properties. Psicothema, 32(4), 598-606. https://doi.org/10.7334/psicothema2020.172
  • Scaglione, N. M., Hultgren, B. A., Reavy, R., Mallett, K. A., Turrisi, R., Cleveland, M. J., & Sell, N. M. (2015). Do students use contextual protective behaviors to reduce alcohol-related sexual risk? Examination of a dual-process decision-making model. Psychology of Addictive Behaviors, 29(3), 733-743. https://doi.org/10.1037/adb0000113
  • Scheier, L. M., & Botvin, G. J. (1997). Expectancies as mediators of the effects of social influences and alcohol knowledge on adolescent alcohol use: A prospective analysis. Psychology of Addictive Behaviors, 11(1), 48-64. https://doi.org/10.1037/0893-164X.11.1.48
  • Stevens, M., Cruwys, T., Rathbone, J. A., Ferris, L., & Graupensperger, S. (2021). Predicting substance use at a youth mass gathering event: The role of norms and the importance of their source. Journal of Studies on Alcohol and Drugs, 82(3), 320-329. https://doi.org/10.15288/ jsad.2021.82.320
  • Terlecki, M. A., Buckner, J. D., & Copeland, A. L. (2021). Protective behavioral strategies underutilization mediates effect of a brief motivational intervention among socially anxious undergraduate drinkers. Psychology of Addictive Behaviors, 35(1), 73-84. https://doi.org/10.1037/adb0000701
  • Treloar, H., Martens, M. P., & McCarthy, D. M. (2015). The Protective Behavioral Strategies Scale-20: Improved content validity of the Serious Harm Reduction subscale. Psychological Assessment, 27(1), 340-346. https://doi.org/10.1037/pas0000071
  • Vervaeke, H. K., Korf, D. J., Benschop, A., & van den Brink, W. (2007). How to find future ecstasy-users: Targeted and snowball sampling in an ethically sensitive context. Addictive Behaviors, 32(8), 1705-1713. https://doi.org/10.1016/j.addbeh.2006.11.008
  • Watters, J. K., & Biernacki, P. (1989). Targeted sampling: Options for the study of hidden populations. Social Problems, 36(4), 416-430. https://doi.org/10.2307/800824
  • Werch, C. E. (1990). Behavioral self-control strategies for deliberately limiting drinking among college students. Addictive Behaviors, 15(2), 119-128. https://doi.org/10.1016/0306-4603(90)90015-P
  • Wood, M. D., Read, J. P., Palfai, T. P., & Stevenson, J. F. (2001). Social influence processes and college student drinking: The mediational role of alcohol outcome expectancies. Journal of Studies on Alcohol, 62(1), 32-43. https://doi.org/10.15288/jsa.2001.62.32
  • World Health Organization (2018). Global status report on alcohol and health 2018. World Health Organization. https://www.who.int/ publications-detail/global-status-report-on-alcohol-and-health-2018