Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Effectiveness of Drinking Reduction Program Focused on Self-Determination Enhancement for College Students with Problematic Drinking

문제음주 대학생을 위한 자기결정성증진 절주프로그램 개발 및 효과

  • Received : 2020.10.20
  • Accepted : 2021.04.19
  • Published : 2021.06.30
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Abstract

Purpose: This study examined the impact of a drinking reduction program on drinking motivation, drinking refusal self-efficacy, and problematic drinking behaviors in college students with problematic drinking habits. Methods: This study incorporated a non-equivalent control group prepost-test design. Study participants included 58 college students who scored 12 or more in the AUDIT-K test (Alcohol Use Disorders Identification Test-Korean version) (experimental group: 30; control group: 28). The intervention consisted of eight sessions and was conducted once a week. It was designed to promote autonomy, competence, and relatedness-the three elements of basic psychological needs in self-determination theory. The participants were assessed before the intervention, immediately after, and four weeks post intervention. Data were collected from October 12 to December 31, 2017. The analysis employed the chi-square test, Fisher's exact test, independent t-test, and repeated measures ANOVA using SPSS/WIN 22.0. Results: The mean age of participants was 21.8 years. There were 30 men (51.7%) and 28 women (48.3%). The differences in drinking motivation, drinking refusal self-efficacy, and problematic drinking behaviors were statistically significant for the group by time interaction (F = 42.56, p < .001; F = 54.96, p < .001; F = 39.90, p < .001, respectively). Conclusion: The findings indicate that the intervention effectively decreases drinking motivation, increases drinking refusal self-efficacy, and decreases problematic drinking behaviors. It can be an efficient strategy for college students with problematic drinking habits to enhance their self-determination ability.

Keywords

References

  1. Ham LS, Hope DA. College students and problematic drinking: A review of the literature. Clinical Psychology Review. 2003;23(5):719-759. https://doi.org/10.1016/S0272-7358(03)00071-0
  2. Kim SD, Jeong MA. The effect on the knowledge, perception of drinking cultures, drinking problems of university students by cut down drinking circle activity. Journal of the Korea Academia-Industrial Cooperation Society. 2012;13(9):4090-4097. https://doi.org/10.5762/KAIS.2012.13.9.4090
  3. Murphy P, Garavan H. Cognitive predictors of problem drinking and AUDIT scores among college students. Drug and Alcohol Dependence. 2011;115(1-2):94-100. https://doi.org/10.1016/j.drugalcdep.2010.10.011
  4. Enoch MA, Goldman D. Problem drinking and alcoholism: Diagnosis and treatment. American Family Physician. 2002;65(3):441-448.
  5. Hingson RW, Zha W. Age of drinking onset, alcohol use disorders, frequent heavy drinking, and unintentionally injuring oneself and others after drinking. Pediatrics. 2009;123(6):1477-1484. https://doi.org/10.1542/peds.2008-2176
  6. Ju YJ, Oh SS, Park SI, Lee HJ, Yoo MG, Park EC. College alcohol study for alcohol-related behaviors and problems. Health Policy and Management. 2019;29(1):58-67. https://doi.org/10.4332/KJHPA.2019.29.1.58
  7. Korea Centers for Disease Control and Prevention (KCDC). Korea health statistics 2016: Korea National Health and Nutrition Examination Survey (KNHANES VII-1) [Internet]. Sejong: Ministry of Health and Welfare; c2017 [cited 2020 Jul 30]. Available from: https://knhanes.kdca.go.kr/knhanes/sub04/sub04_04_01.do.
  8. Gonzalez VM, Hewell VM. Suicidal ideation and drinking to cope among college binge drinkers. Addictive Behaviors. 2012;37(8):994-997. https://doi.org/10.1016/j.addbeh.2012.03.027
  9. Lee HI, Son CN. The effects of motivational program on alcohol expectancy, abstinence self-efficacy, and problematic drinking in college students. Korean Journal of Stress Research. 2009;17(3):237-245.
  10. Park G, Choi SH. Effect of self-efficacy promoting reducing alcohol program on drinking related knowledge, drinking outcome expectancy and problematic drinking behavior of women college students. The Journal of the Korea Contents Association. 2015;15(9):364-373. https://doi.org/10.5392/JKCA.2015.15.09.364
  11. Larimer ME, Cronce JM. Identification, prevention, and treatment revisited: Individual-focused college drinking prevention strategies 1999-2006. Addictive Behaviors. 2007;32(11):2439-2468. https://doi.org/10.1016/j.addbeh.2007.05.006
  12. Kim JU. The effect of drinking prevention group counseling on drinking refusal self-efficacy, alcohol expectancy, and drinking behaviors of college students. Korea Journal of Counseling. 2007;8(1):115-130. https://doi.org/10.15703/kjc.8.1.200703.115
  13. Chae MO, Jeon HO. Effects of alcohol management programs for university students in Korea: A systematic review and meta-analysis. Journal of Korean Academy of Community Health Nursing. 2018;29(1):120-132. https://doi.org/10.12799/jkachn.2018.29.1.120
  14. Ma JK, Yoo MS. Affecting factors on problematic drinking of college students. Journal of Health Informatics and Statistics. 2017;42(1):77-88. https://doi.org/10.21032/jhis.2017.42.1.77
  15. Lindgren KP, Ramirez JJ, Olin CC, Neighbors C. Not the same old thing: Establishing the unique contribution of drinking identity as a predictor of alcohol consumption and problems over time. Psychology of Addictive Behaviors. 2016;30(6):659-671. https://doi.org/10.1037/adb0000195
  16. Oei TP, Jardim CL. Alcohol expectancies, drinking refusal self-efficacy and drinking behaviour in Asian and Australian students. Drug and Alcohol Dependence. 2007;87(2-3):281-287. https://doi.org/10.1016/j.drugalcdep.2006.08.019
  17. JI EJ, Lee EK. Factors affecting problem drinking in male nursing students. Journal of Korean Academy of Fundamentals of Nursing. 2016;23(4):440-447. https://doi.org/10.7739/jkafn.2016.23.4.440
  18. Shin WW. A study on the influence of psychological vulnerability factors on alcohol problems: Focus on the mediating effect of drinking motives. Journal of Social Science. 2010;21(3):81-105. https://doi.org/10.16881/jss.2010.07.21.3.81
  19. Young RM, Connor JP, Feeney GF. Alcohol expectancy changes over a 12-week cognitive-behavioral therapy program are predictive of treatment success. Journal of Substance Abuse Treatment. 2011;40(1):18-25. https://doi.org/10.1016/j.jsat.2010.08.003
  20. Oei TP, Hasking P, Phillips L. A comparison of general self-efficacy and drinking refusal self-efficacy in predicting drinking behavior. The American Journal of Drug and Alcohol Abuse. 2007;33(6):833-841. https://doi.org/10.1080/00952990701653818
  21. Deci EL, Ryan RM. The "what" and "why" of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry. 2000;11(4):227-268. https://doi.org/10.1207/S15327965PLI1104_01
  22. Ryan RM, Patrick H, Deci EL, Williams GC. Facilitating health behaviour change and its maintenance: Interventions based on self-determination theory. The European Health Psychologist. 2008;10(1):2-5.
  23. Park MH. Developing a prediction model in undergraduates' self-regulatory drinking on self-determination theory [dissertation]. Gwangju: Chonnam Nationnal University; 2013. p. 1-73.
  24. Kang MK. Testing the model predicting self-regulatory drinking of female college students: Based on the self determination theory. The Journal of Learner-Centered Curriculum and Instruction. 2018;18(17):151-165. https://doi.org/10.22251/jlcci.2018.18.17.151
  25. Gorin AA, Powers TA, Koestner R, Wing RR, Raynor HA. Autonomy support, self-regulation, and weight loss. Health Psychology. 2014;33(4):332-339. https://doi.org/10.1037/a0032586
  26. Williams GC, McGregor HA, Zeldman A, Freedman ZR, Deci EL. Testing a self-determination theory process model for promoting glycemic control through diabetes self-management. Health Psychology. 2004;23(1):58-66. https://doi.org/10.1037/0278-6133.23.1.58
  27. Ha YS, Choi YH. Effectiveness of the self-determination theory based a motivational interviewing YOU-TURN program for smoking cessation among adolescents. Journal of Korean Academy of Nursing. 2015;45(3):347-356. https://doi.org/10.4040/jkan.2015.45.3.347
  28. Silva MN, Vieira PN, Coutinho SR, Minderico CS, Matos MG, Sardinha LB, et al. Using self-determination theory to promote physical activity and weight control: A randomized controlled trial in women. Journal of Behavioral Medicine. 2010;33(2):110-122. https://doi.org/10.1007/s10865-009-9239-y
  29. Silva MN, Markland D, Carraca EV, Vieira PN, Coutinho SR, Minderico CS, et al. Exercise autonomous motivation predicts 3-yr weight loss in women. Medicine & Science in Sports & Exercise. 2011;43(4):728-737. https://doi.org/10.1249/MSS.0b013e3181f3818f
  30. Williams GC, McGregor HA, Sharp D, Levesque C, Kouides RW, Ryan RM, et al. Testing a self-determination theory intervention for motivating tobacco cessation: Supporting autonomy and competence in a clinical trial. Health Psychology. 2006;25(1):91-101. https://doi.org/10.1037/0278-6133.25.1.91
  31. Williams GC, Patrick H, Niemiec CP, Ryan RM, Deci EL, Lavigne HM. The smoker's health project: A self-determination theory intervention to facilitate maintenance of tobacco abstinence. Contemporary Clinical Trials. 2011;32(4):535-543. https://doi.org/10.1016/j.cct.2011.03.002
  32. Kwon MS, Yu JS. Development and effect of a smartphone overdependence prevention program for university students based on self-determination theory. Journal of Korean Academy of Nursing. 2020;50(1):116-131. https://doi.org/10.4040/jkan.2020.50.1.116
  33. Cooper ML. Motivations for alcohol use among adolescents: Development and validation of a four-factor model. Psychological Assessment. 1994;6(2):117-128. https://doi.org/10.1037/1040-3590.6.2.117
  34. Shin HW. The relationship between drinking motives and drinking problems. Korean Journal of Psychology: Social Issuses. 1999;5(1):93-109.
  35. Laforge RG, Maddock J, Rossi JS. Comparison of five stage methods for alcohol abuse among college students. Annals of Behavioral Medicine. 1998;20(Suppl 1):S170.
  36. Kim HS, Kim KE, Kwon MS. Factors associated with the stages of changes in drinking behavior among industrial workers, an application of the transtheoretical model. The Journal of Korean Community Nursing. 2004;15(1):110-121.
  37. Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. AUDIT: The Alcohol Use Disorders Identification Test: Guidelines for use in primary health care. 2nd ed. Geneva: World Health Organization (WHO); 2001. p. 1-37.
  38. Lee BO, Lee CH, Lee PG, Choi MJ, Namkoong K. Development of Korean version of Alcohol Use Disorders Identification Test(AUDIT-K): Its reliability and validity. Journal of Korean Academy of Addiction Psychiatry. 2000;4(2):83-92.
  39. Boden JM, Fergusson DM. Alcohol and depression. Addiction. 2011;106(5):906-914. https://doi.org/10.1111/j.1360-0443.2010.03351.x
  40. Kang MK, Kim IK. Drinking motivation, daily stress, and problem drinking behavior of female university students. Journal of the Korea Academia-Industrial Cooperation Society. 2014;15(8):5053-5061. https://doi.org/10.5762/KAIS.2014.15.8.5053
  41. Kim HE, Lee MH, Kim IG. The recent trends and meta analysis of the effect of group counselling program for domestic university students. Korean Journal of Counseling. 2014;15(4):1441-1456. https://doi.org/10.15703/kjc.15.4.201408.1441
  42. Korea Public Health Association (KPHA). Educational resourse.: other meterials [Internet]. Seoul: KPHA; c2017 [cited 2017 May 15]. Available from: http://www.kpha.or.kr/board/list.php?p_mid=13&p_mbs=01-05-05.
  43. Lee KH, Bae SW. A meat-analysis on the effect of abstinence programs for alcoholics. Mental Health & Social Work. 2010;36:35-63.
  44. Munro BH. Statistical methods for health care research. 2nd Engl. Ed. Lee EH, Jung YH, Kim JS, Song LY, Hwang GY, translator. Seoul: Koonja; c2006. p. 47-48.
  45. Lewis MA, Neighbors C, Oster-Aaland L, Kirkeby BS, Larimer ME. Indicated prevention for incoming freshmen: Personalized normative feedback and high-risk drinking. Addictive Behaviors. 2007;32(11):2495-2508. https://doi.org/10.1016/j.addbeh.2007.06.019
  46. Yang NM. Understanding college students' drinking problem by sex and drinking levels. Korea Journal of Counseling. 2010;11(4):1707-1727. https://doi.org/10.15703/kjc.11.4.201012.1707
  47. Hennessy EA, Tanner-Smith EE. Effectiveness of brief school-based interventions for adolescents: A meta-analysis of alcohol use prevention programs. Prevention Science. 2015;16(3):463-474. https://doi.org/10.1007/s11121-014-0512-0