Effects of Motivational Interviewing Intervention on Blackouts Among College Freshmen

Authors

  • Donna M. Kazemi PhD, RN,

    Corresponding author
    • Assistant Professor, College of Health and Human Services, School of Nursing, University of North Carolina at Charlotte, Charlotte, NC
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  • Maureen J. Levine PhD, ABPP,

    1. Faculty, Walden University, College of Social and Behavioral Sciences, Walden University, Minneapolis, MN
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  • Jacek Dmochowski PhD,

    1. Faculty, Department of Mathematics and Statistics, University of North Carolina at Charlotte, Charlotte, NC
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  • Mary A. Nies PhD, RN, FAAN, FAAHB,

    1. Carol Grotnes Belk Endowed Chair in Nursing & Professor, Adjunct Professor, Department of Public Health Sciences, College of Health and Human Services, University of North Carolina at Charlotte, Charlotte, NC
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  • Linman Sun PhD

    1. Graduate Student, Department of Mathematics and Statistics, University of North Carolina at Charlotte, Charlotte, NC
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Correspondence

Dr. Donna M. Kazemi, College of Health and Human Services, School of Nursing, University of North Carolina at Charlotte, 9201 University City Blvd., CHHS 444C, Charlotte, NC 28223.

E-mail: dkazemi@uncc.edu

Abstract

Purpose

Alcohol and illicit drug abuse is a serious public health issue facing college students. This study examined the impact of motivational interviewing (MI) as an intervention on the rate of blackouts among freshmen who engaged in high-risk drinking and illicit drug use.

Design

A sample of 188 volunteer freshmen from a university were administered the Daily Drinking Questionnaire, the Rutgers Alcohol Problem Index, and the Government Performance and Results Act at baseline and again at 6 months postintervention. MI was applied at baseline and then again at 2 weeks, 3 months, and 6 months.

Methods

Generalized estimated equations and logistic regression models were used to determine associations between the rate of blackouts and time, ethnicity, gender, illicit drug use, and alcohol consumption.

Findings

At 6 months, the rate of blackouts decreased from 40% at baseline to 16% (p < .0001). The average number, time, and days of drinking and frequency of drug use also decreased significantly (p < .0001). An association between rate of blackouts and gender was observed, but not with ethnicity.

Conclusions

MI had an impact on reducing alcohol consumption and the rate of blackouts among college freshmen who were engaging in high-risk drinking and illicit drug use.

Clinical Relevance

The findings support the importance of using MI with freshmen college students to decrease drinking and the associated negative consequences, including blackouts, which has particular relevance for advanced practice registered nurses, physicians, and community health nurses who conduct MI as an intervention with college students.

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