Social and Behavioral Sciences Commons^™

Pnf 2.0? Initial Evidence That Gamification Can Increase The Efficacy Of Brief, Web-Based Personalized Normative Feedback Alcohol Interventions, Sarah C. Boyle, Andrew M. Earle, Joseph W. Labrie, Daniel J. Smith

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Gamified interventions exploit the motivational characteristics of a game in order to provide prevention information and promote behavior change. Despite the modest effect sizes observed in increasingly popular web-based personalized normative feedback (PNF) alcohol interventions for college students, previous research has yet to consider how gamification might be used to enhance efficacy. This study examines whether a novel, gamified PNF intervention format, which includes a point-based reward system, the element of chance, and personal icons to visually represent users, is more effective in reducing short-term alcohol use than the standard web-based style of PNF currently used on college campuses. Two-hundred …

Trajectories Of Alcohol Use And Consequences In College Women With And Without Depressed Mood, Shannon Kenney, Caitlin C. Abar, Kimberly O'Brien, Gabrielle Clark, Joseph W. Labrie

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College students with depressed mood face heightened risk for experiencing drinking-related negative consequences. However, few studies have examined prospective patterns of alcohol consequences among depressed students. In the present investigation, we assessed how first-year college women’s trajectories of heavy episodic drinking (HED) and alcohol consequences differed as a function of depressed mood at college entry. Participants were 233 heavy drinking incoming first-year college females (61% White) at a mid-sized west coast university. Participants completed an online baseline survey, attended a single brief group intervention session, and completed 1- and 6-month post-intervention follow-up surveys. Depressed mood, alcohol consumption, and alcohol consequences …

Gender As A Moderator Of The Relationship Between Preparty Motives And Event-Level Consequences, Lucy E. Napper, Shannon R. Kenney, Kevin S. Montes, Leslie J. Lewis, Joseph W. Labrie

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Prepartying is often associated with increased alcohol consumption and negative alcohol-related consequences among college students. General drinking motives are often only weakly related to preparty alcohol use, and few studies have examined the associations between preparty-specific drinking motives and alcohol-related consequences that occur during or after a preparty event. The current study utilizes event-level data to address this gap in the literature by examining the relationship between four types of preparty motives (prepartying to relax or loosen up, to increase control over alcohol use, to meet a dating partner, and to address concerns that alcohol may not be available later) …

The Longitudinal Relationships Among Injunctive Norms And Hooking Up Attitudes And Behaviors In College Students, Lucy Napper, Shannon R. Kenney, Joseph W. Labrie

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Limited research has explored the influence of perceived injunctive norms for distal (e.g., typical student) and proximal (e.g., close friend and parents) referents on hooking up. The current study examined the longitudinal relationships among perceived injunctive norms, personal approval and hooking up behavior, and the moderating effects of gender in a sample of heavy drinking college students. At Time 1, participants completed web-based assessments of personal approval of hooking up and perceptions of close friend, parent, and typical student approval. Three months later, participants reported on whether they had hooked up. The results of a path analysis indicated that greater …

Parents' And Students' Perceptions Of College Alcohol Risk: The Role Of Parental Risk Perception In Intentions To Communicate About Alcohol, Lucy E. Napper, Elizabeth M. Grimaldi, Joseph W. Labrie

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Introduction: The current study aims to examine discrepancies in parents' and college students' perceptions of alcohol risk and the role of perceived risk in predicting parents' intentions to discuss alcohol with their child.

Methods: In total, 246 college student–parent dyads (56.1% female students, 77.2% mothers) were recruited from a mid-size university. Participants completed measures of absolute likelihood, comparative likelihood, and severity of alcohol consequences.

Results: In comparison to students, parents perceived the risks of alcohol poisoning (p < .001), academic impairment (p < .05), and problems with others (p < .05) to be more likely. In addition, parents rated the majority of alcohol consequences (e.g., passing out, regrettable sexual situation, throwing up) as more severe than students (all ps < .001). However, parents tended to be more optimistic than their child about the comparative likelihood of alcohol consequences. After controlling for demographics and past alcohol communication, greater absolute likelihood (β = .20, p = .016) and less confidence in knowledge of student behavior (β = .20, p = .013) predicted greater intentions to discuss alcohol.

Conclusions: Providing parents of college students with information about college drinking norms and the likelihood of alcohol consequences may help prompt alcohol-related communication.

Development And Validation Of The Hookup Motives Questionnaire (Hmq), Shannon R. Kenney, Andrew Lac, Justin F. Hummer, Joseph W. Labrie

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Despite the high prevalence rates and growing research on hooking up among college students, no multidimensional inventory exists in the literature to assess motivations for hooking up. In the current study, we report on the development and validation of the Hookup Motives Questionnaire (HMQ), designed to assess the various reasons for hooking up. Exploratory and confirmatory factor analyses were conducted using 2 samples of college students (Campus 1, N = 401; Campus 2, N = 367). Exploratory factor analysis was undertaken to explore the psychometric properties of an initial set of 25 items, and confirmatory factor analysis was conducted to …

Examining The Efficacy Of A Brief Group Protective Behavioral Strategies Skills Training Alcohol Intervention With College Women, Shannon R. Kenney, Lucy Napper, Joseph W. Labrie, Matthew P. Martens

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College students’ use of protective behavioral strategies (PBS; e.g., determining not to exceed a set number of drinks, avoiding drinking games) is related to lower levels of alcohol consumption and problems. The present study evaluated the efficacy of a novel brief, single-session group PBS skills training intervention aimed at increasing college students’ use of PBS and reducing risky drinking and consequences. Participants (N = 226) were heavy-drinking incoming first-year college women randomized to either a PBS skills training intervention or study skills control condition. Participants attended a 45-min group session and completed online surveys pre- and postintervention (1 month …

Not Just Fun And Games: A Review Of College Drinking Games Research From 2004 To 2013, Byron L. Zamboanga, Shannon R. Kenney, Kathryne Van Tyne, Janine V. Olthuis, Christopher J. Correia, Lindsay S. Ham, Brian Borsari

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Drinking games are a high-risk social drinking activity consisting of rules and guidelines that determine when and how much to drink (Polizzotto et al., 2007). Borsari's (2004) seminal review paper on drinking games in the college environment succinctly captured the published literature as of February 2004. However, research on college drinking games has grown exponentially during the last decade, necessitating an updated review of the literature. This review provides an in-depth summary and synthesis of current drinking games research (e.g., characteristics of drinking games, and behavioral, demographic, social, and psychological influences on participation) and suggests several promising areas for future …

What Are Other Parents Saying? Perceived Parental Communication Norms And The Relationship Between Alcohol-Specific Parental Communication And College Student Drinking, Lucy Napper, Justin F. Hummer, Andrew Lac, Joseph W. Labrie

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This study examined parents’ normative perceptions of other college parents’ alcohol-specific communication, and how parents’ perceived communication norms and alcohol-specific communication relate to student drinking outcomes. A sample of 457 student-parent dyads were recruited from a mid-size university. Students completed web-based assessments of alcohol-related attitudes and behaviors. Parents completed alcohol-specific measures of communication norms and parent-child communication, including communication content (i.e., targeted communication) and frequency of communication. Results indicated that parents overestimated how much other parents talked to their college students about the frequency and quantity of alcohol use, but underestimated how often parents initiated conversations about alcohol. In a …

A Cross-Lagged Panel Model Examining Protective Behavioral Strategies: Are Types Of Strategies Differentially Related To Alcohol Use And Consequences?, Lucy E. Napper, Shannon R. Kenney, Andrew Lac, Leslie J. Lewis, Joseph W. Labrie

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Protective behavioral strategies (PBS) are skills that can be used to reduce the of risk alcohol-related negative consequences. Studies have shown that, in general, PBS are related to less alcohol consumption and fewer negative consequences; however, other studies have suggested that not all types of PBS (e.g., stopping/limiting drinking [SLD], manner of drinking [MOD] and serious harm reduction [SHR]) are equally effective at reducing alcohol risk. In addition, few studies have explored the longitudinal relationships among PBS, alcohol use and consequences. Using a sample of heavy drinking college students (N = 338), the current study examined PBS use, alcohol consumption …

Use Of Protective Behavioral Strategies And Reduced Alcohol Risk: Examining The Moderating Effects Of Mental Health, Gender And Race, Shannon R. Kenney, Joseph W. Labrie

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Recent research indicates that protective behavioral strategies (PBS)—previously established as effective self-regulating tools for reducing alcohol risk among college students—may be especially useful for students with poor mental health, who are shown to be at heightened risk for alcohol-related harm. The current study examined the moderating influence of mental health (depression and anxiety severity), gender, and race (White, Asian) in the relationship between PBS use and alcohol-related negative consequences. Participants were 1,782 undergraduate students from two West Coast universities who reported past month incidence of heavy episodic drinking. Students reported on their drinking, experience of alcohol-related consequences, use of PBS, …

Rct Of Web-Based Personalized Normative Feedback For College Drinking Prevention: Are Typical Student Norms Good Enough?, Joseph W. Labrie, Melissa A. Lewis, David C. Atkins, Clayton Neighbors, Cheng Zheng, Shannon R. Kenney, Lucy E. Napper, Theresa Walter, Jason R. Kilmer, Justin F. Hummer, Joel Grossbard, Tehniat M. Ghaidarov, Sruti Desai, Christine M. Lee, Mary E. Larimer

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Objectives

Personalized normative feedback (PNF) interventions are generally effective at correcting normative misperceptions and reducing risky alcohol consumption among college students. However, research has yet to establish what level of reference group specificity is most efficacious in delivering PNF. This study compared the efficacy of a web-based PNF intervention employing eight increasingly-specific reference groups against a Web-BASICS intervention and a repeated-assessment control in reducing risky drinking and associated consequences.

Method

Participants were 1663 heavy drinking Caucasian and Asian undergraduates at two universities. The referent for web-based PNF was either the typical same-campus student, or a same-campus student at one (either …

Event-Specific Risk And Ecological Factors Associated With Prepartying Among Heavier Drinking College Students, Justin F. Hummer, Lucy Napper, Phillip E. Ehret, Joseph W. Labrie

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Using event-specific data, the present study sought to identify relevant risk factors and risky drinking patterns associated with prepartying. Analyses focused on drinking outcomes as a function of drinking game playing and the social context on occasions where prepartying did and did not occur. This research utilized a representative two-site sample of prepartiers who also reported a heavy episodic drinking event in the past month (n = 988). Results revealed that during a preparty event, participants drank significantly more, reached higher blood alcohol levels (BALs), and experienced significantly more negative consequences compared to the last occasion that they drank but …

I Can Play All Night: Examining The Relationship Between Perceived Tolerance And Drinking Game Alcohol Consumption, Phillip J. Ehret, Joseph W. Labrie, Justin F. Hummer

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The present study examined the impact of perceived tolerance to alcohol on maximum alcohol consumption while playing drinking games. Participants were student drinkers (N=3,546) from two west coast universities. Among these students, 69.2% (n=2,290) reported playing a drinking game in the past month. Analyses demonstrated game players had higher perceived tolerances, and consumed more alcohol than non-game players. A regression model revealed that higher levels of perceived tolerance were related to increased maximal alcohol consumption while playing drinking games. Study limitations and implications for future research are discussed.

Predicting Driving After Drinking Over Time Among College Students: The Emerging Role Of Injunctive Normative Perceptions, Joseph W. Labrie, Lucy E. Napper, Tehniat M. Ghaidarov

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Objective:

Despite prevention efforts, driving after drinking (DAD) is a prevalent high-risk behavior among college students and is a leading cause of death and injury. Examination of factors predicting future DAD behavior is necessary to develop efficacious targeted interventions to reduce this behavior among college students. The current study evaluated demographic, social cognitive, and behavioral predictors of DAD using longitudinal data.

Method:

Participants were 655 nonabstaining college students (67.2% female; 60.3% White; Mage = 19.3 years) who completed online surveys at two time points 12 months apart.

Results:

Results revealed that participants consistently overestimated their peers’ approval (injunctive norms) …

Estimates And Influences Of Reflective Opposite-Sex Norms On Alcohol Use Among A High-Risk Sample Of College Students: Exploring Greek-Affiliation And Gender Effects, Justin F. Hummer, Joseph W. Labrie, Andrew Lac, Ashley Sessoms, Jessica Cail

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Reflective opposite sex norms are behavior that an individual believes the opposite sex prefers them to do. The current study extends research on this recently introduced construct by examining estimates and influences of reflective norms on drinking in a large high-risk heterosexual sample of male and female college students from two universities. Both gender and Greek-affiliation served as potential statistical moderators of the reflective norms and drinking relationship. All participants (N = 1790; 57% female) answered questions regarding the amount of alcohol they believe members of the opposite sex would like their opposite sex friends, dates, and sexual partners …

Global Sleep Quality As A Moderator Of Alcohol Consumption And Consequences In College Students, Shannon R. Kenney, Joseph W. Labrie, Justin F. Hummer, Andy T. Pham

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The authors examined the relationship between global sleep quality and alcohol risk, including the extent to which global sleep quality moderated the relationship between alcohol use and drinking-related consequences. Global sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) and alcohol-related consequences were assessed using the Rutgers Alcohol Problem Index (RAPI). The sample consisted of 261 college students (61.3% female, 58.2% Caucasian) who completed online surveys. Using a four-step hierarchical multiple regression model, global sleep quality was found to predict alcohol consequences, over and above assessed covariates (demographics and weekly drinking). Further, global sleep quality emerged as a …

Protective Behavioral Strategies Mediate The Effect Of Drinking Motives On Alcohol Use Among Heavy Drinking College Students: Gender And Race Differences, Joseph W. Labrie, Andrew Lac, Shannon R. Kenney, Tehniat Mirza

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Objective

This study examined the extent to which protective behavioral strategies (PBS) mediated the influence of drinking motives on alcohol consumption, and if these hypothesized relationships were corroborated across subsamples of gender and race.

Method

Online surveys were completed by 1592 heavy drinking college undergraduates from two universities (49.9% male and 50.1% female; 76.9% Caucasian and 23.1% Asian). Independent samples t-tests compared males and females as well as Caucasians and Asians on measures of drinking motives, PBS use, and alcohol consumption, and structural equation models examined the mediating role of PBS.

Results

Consistent with predictions, t-tests revealed that males reported …

Identifying Factors That Increase The Likelihood For Alcohol-Induced Blackouts In The Prepartying Context, Joseph W. Labrie, Justin F. Hummer, Shannon Kenney, Andrew Lac, Eric Pedersen

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The present study examined risk factors related to “blacking out” (e.g., temporary periods of memory loss during drinking) during preparty drinking events (i.e., pregaming, predrinking). Participants were students from two universities on the West Coast who reported past month prepartying (N = 2,546) in online surveys administered in the fall of 2008. Among these students, 25% (n = 636) reported blacking out during at least one occasion in which they prepartied in the past month. A logistic regression model underscored that Greek student affiliation, family history of alcohol abuse, frequency of prepartying, and both playing drinking games and …

An Examination Of Prepartying And Drinking Game Playing During High School And Their Impact On Alcohol-Related Risk Upon Entrance Into College, Shannon R. Kenney, Justin F. Hummer, Joseph W. Labrie

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Prepartying and drinking game playing are associated with excessive alcohol consumption and alcohol-related negative consequences in college populations; however, research exploring the prevalence of these high risk drinking contexts among high school students, and how such engagement may impact both high school and subsequent college drinking risk, is lacking. The current study, which is the first study to assess prepartying during high school, examined how engaging in either prepartying or drinking game playing during high school was associated with risky high school drinking as well asalcohol use and consequences during the transitional first month of college. The study involved 477 …

Heavier Drinking American College Students May Self-Select Into Study Abroad Programs: An Examination Of Sex And Ethnic Differences Within A High-Risk Group, Eric R. Pedersen, Joseph W. Labrie, Justin F. Hummer, Mary E. Larimer, Christine M. Lee

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As with other heavier drinking groups, heavier drinking American college students may self-select into study abroad programs with specific intentions to use alcohol in the foreign environment. This cross-sectional study used a sample of 2144 students (mean age = 20.00, SD = 1.47) to explore differences in alcohol use and related negative consequences among (1) students intending to study abroad while in college, (2) students not intending to study abroad, and (3) students reporting prior study abroad participation. Results revealed that participants with no intention to study abroad drank less and experienced fewer alcohol-related consequences than participants intending to study …

Family History Of Alcohol Abuse Associated With Problematic Drinking Among College Students, Joseph W. Labrie, Savannah Migliuri, Shannon R. Kenney, Andrew Lac

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Studies examining family history of alcohol abuse among college students are not only conflicting, but have suffered various limitations. The current report investigates family history of alcohol abuse (FH+) and its relationship with alcohol expectancies, consumption, and consequences. In the current study, 3753 student participants (35% FH+), completed online assessments. Compared to FH−same-sex peers, FH+ males and FH+ females endorsed greater overall positive expectancies, consumed more drinks per week, and experienced more alcohol-related negative consequences. Further, FH+ females evaluated the negative effects of alcohol to be substantially worse than FH− females. An ANCOVA, controlling for age, GPA, race, and alcohol …

College Students’ Perceptions Of Class Year-Specific Drinking Norms, Eric R. Pedersen, Clayton Neighbors, Joseph W. Labrie

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The current study documents and examines college students’ perceptions of the drinking behavior of peers from varying class years (i.e., freshman, sophomore, junior, and senior). A sample of 522 college students estimated the drinking behavior of peers within their own specific class year, as well as across the three other class years. Participants in each class year overestimated the drinking of students in their own class year as well as the drinking of students in the three other class years. These within class year-specific perceived norms associated with drinking for freshmen, sophomores, and juniors. Poisson regression analyses revealed freshmen and …

Disparity Between The Perceived Alcohol-Related Attitudes Of Parents And Peers Increases Alcohol Risk In College Students, Jessica Cail, Joseph W. Labrie

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Although peer norms have been found to be a particularly strong correlate of alcohol consumption by college students, research suggests that parents also have a significant impact on the behaviors of their children, even after their child has departed for college. The current study investigated the effect of disparity between the perceived approval of alcohol (injunctive norms) of parents and closest friends on college student drinking and consequences, and explored gender differences in this effect. It found that injunctive disparity was significantly correlated with individual drinking and related consequences over and above the strongest known predictor variables of gender, same-sex …

What Men Want: The Role Of Reflective Opposite-Sex Normative Preferences In Alcohol Use Among College Women, Joseph W. Labrie, Jessica Cail, Justin F. Hummer, Andrew Lac, Clayton Neighbors

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Misperceptions of peer drinking norms have been found to be strongly associated with individual drinking behavior, especially for proximal reference groups such as same-sex friends. Less studied are the effects of perceived preferences from the opposite sex on alcohol use; that is, the behaviors an individual believe the opposite sex prefers from them. Research suggests that these perceived “reflective” normative preferences may be particularly salient among college women, who may drink in pursuit of intimate relationships and positive attention from male peers. Heterosexual undergraduate students from two universities participated in this project. Females answered questions regarding the amount of alcohol …

A Night To Remember: A Harm-Reduction Birthday Card Intervention Reduces High-Risk Drinking During 21st Birthday Celebrations, Joseph W. Labrie, Savannah Migliuri, Jessica Cail

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Objective

In collaboration with Residence Life, the Heads UP research team developed a 21st birthday card program to help reduce the risky drinking often associated with these celebrations.

Participants

81 students (28 males, 53 females) completed a post-21st birthday survey. Of these, 74 reported drinking during their 21st birthday and were included in the analyses.

Methods

During the 2005–2006 school year, the authors assigned students celebrating 21st birthdays to either receive an alcohol risk-reduction birthday card or to a no-card condition. The students completed a survey after their birthday.

Results

Students who received the card consumed fewer drinks and reached …

Self-Consciousness Moderates The Relationship Between Perceived Norms And Drinking In College Students, Joseph W. Labrie, Justin F. Hummer, Clayton Neighbors

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The current research examines whether self-consciousness subscales have prognostic value in the relationship between perceived norms and drinking and if that differs among college men and women. Results indicate that self-consciousness moderates gender differences in the relationship between perceived social norms and drinking. A strong positive relationship was found between perceived norms (descriptive and injunctive) and drinking for men relative to women and this was more pronounced among individuals who were lower in public self-consciousness. Similarly, the relationship between perceived injunctive norms and drinking was significantly stronger among men than women and this was more pronounced among individuals who were …

The Role Of Self-Consciousness In The Experience Of Alcohol-Related Consequences Among College Students, Joseph W. Labrie, Eric R. Pedersen, Clayton Neighbors, Justin F. Hummer

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Heavy drinking among college students is a well-established national concern. An in-depth look at the characteristics and traits of heavy drinking students is an essential precursor to the development of successful targeted interventions with at-risk students. The current study examines the role self-consciousness (private, public, social anxiety) plays in the experience of alcohol-related consequences among a sample of 1,168 student members of campus organizations. Male gender predicted drinking in the sample, while both private self-consciousness and social anxiety predicted less drinking. Public self-consciousness predicted alcohol-related consequences over and above the variance explained by drinking for both males and females. Additionally, …

A Brief Decisional Balance Intervention Increases Motivation And Behavior Regarding Condom Use In High-Risk Heterosexual College Men, Joseph W. Labrie, Eric R. Pedersen, Alysha D. Thompson, Mitch Earleywine

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Male college students constitute one of a number of at-risk populations susceptible to receiving and transferring sexually transmitted infections. Interventions designed to increase condom use have produced mixed results, but increasing motivation to use condoms may decrease risky sexual behavior. The current study examined the decisional balance, a component of Motivational Interviewing (MI), as an intervention to promote condom use. A total of 41 college men at-risk for negative outcomes from both unsafe sex and drinking participated. They reported both infrequent condom use and heavy drinking. Immediately following a decisional balance on condom use, three separate measures of motivation to …

Partying Before The Party: Examining Prepartying Behavior Among College Students, Eric R. Pedersen, Joseph W. Labrie

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Objective:

The authors examined the phenomenon known to college students as prepartying, which is the consumption of alcohol prior to attending an event or activity (eg, party, bar, concert) at which more alcohol may be consumed.

Participants:

To explore the extent of this behavior, the authors surveyed 227 college students about each drinking event over a 1-month period.

Results:

Principal results revealed that 64% of participants engaged in prepartying (75% of drinkers) and that prepartying is involved in approximately 45% of all drinking events. Prepartying was predictive of more drinking throughout the day of the drinking event and alcohol-related …