Lucy E Napper

Lucy E Napper
Lehigh University · Department of Psychology

About

95
Publications
53,483
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6,701
Citations
Citations since 2017
30 Research Items
5728 Citations
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Publications

Publications (95)
Article
A drinking game (DG) is a widely practiced social activity that tends to encourage rapid alcohol consumption. While social restrictions during the pandemic (COVID-19) academic year were implemented as a health measure across many colleges/universities, the extent to which college student drinkers continued to play DGs in-person is not well understo...
Article
Past research has highlighted a range of factors that impact college students’ sense of belonging. It is less clear how the COVID-19 pandemic has shaped college students’ experience of belonging. The current study used a reflective photography approach to examine US college students’ experience of belonging to their institution during the COVID-19...
Preprint
Full-text available
Social and behavioral science research proliferated during the COVID-19 pandemic, reflecting the substantial increase in influence of behavioral science in public health and public policy more broadly. This review presents a comprehensive assessment of 742 scientific articles on human behavior during COVID-19. Two independent teams evaluated 19 sub...
Preprint
Parents of young adults may approve of their child drinking in lower risk drinking situations (LRDS) because they believe it will prevent their child from drinking in more risky ways. However, when young adults believe their parents approves of drinking in LRDS they experience more negative alcohol consequences, not less. A plausible explanation fo...
Article
Background The present study evaluated the two-factor structure of the Protective Behavioral Strategies for Marijuana Scale (PBSM-SF) Short-Form, a 13-item measure of harm reduction behaviors related to cannabis use. Additionally, the PBSM was evaluated for measurement invariance based on sex and state cannabis legalization status. Method Particip...
Article
Full-text available
College students have shown elevated mental distress during the coronavirus disease of 2019 (COVID-19). The extent and persistence of mental distress as COVID-19 restrictions have continued is unclear. This study used latent profile analysis to identify student mental health risk subgroups and to evaluate subgroups in relation with substance use. A...
Article
Full-text available
The COVID-19 pandemic represents a massive global health crisis. Because the crisis requires large-scale behaviour change and places significant psychological burdens on individuals, insights from the social and behavioural sciences can be used to help align human behaviour with the recommendations of epidemiologists and public health experts. Here...
Preprint
Full-text available
The COVID-19 pandemic represents a massive, global health crisis. Because the crisis requires large-scale behavior change and poses significant psychological burdens on individuals, insights from the social and behavioural sciences are critical for optimizing pandemic response. Here we review relevant research from a diversity of research areas rel...
Article
College students commonly report that their parents provide advice about how to drink safely; however, there is very little research exploring the content of parent-child harm-reduction conversations. The present study explores the types of advice mothers provide underage college students about drinking. A random sample of college students (ages 18...
Article
Drinking game (DG) participation among young adults is widespread. Because heavy alcohol consumption is commonly associated with playing DGs, this activity presents a health risk for those who play. In the present study, we explored the most common negative DG consequences experienced by young adults and how DG consequences differed by gender and c...
Article
Background: There is relatively little research examining the relationship between identity and marijuana-related outcomes (e.g., marijuana use and consequences). Identity may both directly help shape marijuana use behaviors and moderate the influence of other risk factors on marijuana outcomes. Objectives: The current study examines the relatio...
Article
Objective: As marijuana use becomes more available to college students through increasing legal reform, this paper seeks to examine intentions for driving under the influence of cannabis (DUIC) and riding with a high driver (RWHD) through the lens of the theory of planned behavior (TPB) and assess potential interactions between personal attitudes,...
Article
Past cross-sectional research suggests that zero-tolerance messaging by parents of college students may be more effective than harm-reduction communication at reducing student alcohol risk. The current study employs longitudinal data to examine whether communication type interacts with student alcohol use to predict subsequent drinking outcomes. U....
Article
Full-text available
Research into self-affirmation has almost exclusively employed experimental manipulations. In this paper we address individual differences in the tendency to respond to threats with self-affirming cognitions and distinguish this from two overlapping constructs: habitual positive self-thought and trait self-esteem. Items we designed to measure self-...
Article
The authors examined college student drinkers’ (n = 153) reasons for seeking counseling services and risk for alcohol problems. Students seeking help for impulse‐ or anger‐related issues and depression were at heightened risk for alcohol problems. Only 10% of students sought alcohol‐related help despite high rates of hazardous alcohol use (80%) and...
Article
There has been relatively little research examining the relationship between parents’ disclosure of their own underage (i.e., under 21 years) alcohol use and their children’s alcohol-related attitudes and behaviors. While parental disclosure may improve trust and understanding within a relationship, it may also normalize or glamorize underage alcoh...
Article
Objective: This study examined the association between perceived alcohol norms (descriptive and injunctive) and theoretical predictors of normative (mis)perceptions. Based on models of social norms, we explored whether recall and ease of imagining of other students' drinking, exposure to media and peer conversations normalizing alcohol use, and a...
Poster
Full-text available
Does reactivation trigger episodic memory change? A meta-analysis Poster Presented at the 2017 Lehigh University Interdisciplinary Neuroscience Symposium
Article
According to the reconsolidation hypothesis, long-term memories return to a plastic state upon their reactivation, leaving them vulnerable to interference effects and requiring re-storage processes or else these memories might be permanently lost. The present study used a meta-analytic approach to critically evaluate the evidence for reactivation-i...
Article
This study examined the efficacy of a personalized normative feedback (PNF) alcohol intervention for parents of students transitioning into college. A sample of 399 parent–student dyads were recruited to take part in the intervention during the summer prior to matriculation. Parents were randomly assigned to receive either normative feedback regard...
Article
A randomized controlled trial tested an interactive normative feedback-based intervention—codenamed“FITSTART”—delivered to groups of 50–100 parents of matriculating college students. The 60-minsession motivated parents to alter their alcohol-related communication by correcting normative misperceptions (e.g., about how approving other parents are of...
Article
Full-text available
Objective: The current study examined the extent to which negative affect moderates the relationships between distinct hookup motives and hookup consequences. Participants: Data were collected from 271 heavy-drinking undergraduate college students. Methods: Students from 3 US universities completed online surveys assessing hooking up-related m...
Article
While research suggests that parents continue to influence students' marijuana use after matriculation to college, there is limited data examining how parents communicate about marijuana use and what impact parent marijuana communication has on college student outcomes. The aim of the current study is to investigate the types of parent marijuana me...
Article
Full-text available
Objective: The current study uses longitudinal data to examine the relative influence of perceived descriptive and injunctive norms for proximal and distal referents on marijuana use. Method: Participants were 740 undergraduate students (67% female) who completed web-based surveys at two time points 12 months apart. Time 1 measures included repo...
Article
Hooking up is a normative behavior among college students that is associated with a range of positive and negative consequences. While previous research has primarily focused on women's negative experiences of hooking up, the current study explored the relationships among hooking up behaviors, psychological distress, and a broad range of negative e...
Article
Full-text available
This article reports on a 2-phase study to revise the Hispanic Stress Inventory (HSI; Cervantes, Padilla, & Salgado de Snyder, 1991). The necessity for a revised stress-assessment instrument was determined by demographic and political shifts affecting Latin American immigrants and later-generation Hispanics in the United States in the 2 decades sin...
Article
Protective behavioral strategies (PBS) are useful skills for reducing the negative consequences of alcohol. The moderating effects of anxiety on the relationship between 3 different types of PBS and negative consequences were examined among students accessing college counseling services. Results revealed a significant interaction between anxiety an...
Article
Students with poor mental health are at increased risk for problematic alcohol use. These students also tend to underutilize alcohol-related protective behavioral strategies (PBS). Cross-sectional studies indicate that PBS use may be particularly useful for students with mental health challenges; however, it is unclear whether training these studen...
Article
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. In total, 246 college student-parent dyads (56.1% female students, 77.2% mothers) were recruited from a mid-size university. Participants...
Article
Full-text available
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...
Article
Full-text available
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 gend...
Article
Full-text available
Background: Participation in drinking games is associated with excessive drinking and alcohol risks. Despite the growing literature documenting the ubiquity and consequences of drinking games, limited research has examined the influence of psychosocial factors on the experience of negative consequences as the result of drinking game participation....
Article
This study examined descriptive and injunctive normative influences exerted by parents and peers on college student marijuana approval and use. It further evaluated the extent to which parental monitoring moderated the relationship between marijuana norms and student marijuana outcomes. A sample of 414 parent-child dyads from a midsize American uni...
Article
Full-text available
Research on relational aggression (indirect and social means of inflicting harm) has previously focused on adolescent populations. The current study extends this research by exploring both the frequency of perpetrating and being the target of relational aggression as it relates to alcohol use outcomes in a college population. Further, this study ex...
Article
Full-text available
Brief and age-appropriate measures of trauma-related symptoms are useful for identifying children in need of clinical services. The current study examines the psychometric properties of the 23-item Child’s Reaction to Traumatic Events Scale-Revised (CRTES-R). The CRTES-R includes subscales assessing hyperarousal, avoidance and intrusion. To date, n...
Conference Paper
Protective behavioral strategies (PBS) are harm-reduction skills that can be used to reduce negative consequences sometimes associated with alcohol use. Past research has identified several categories of PBS including Stop/Limiting Drinking (SLD), Manner of Drinking (MOD), and Serious Harm Reduction (SHR). Cross-sectional data suggests that PBS are...
Article
There is potential for fruitful integration of research using the Extended Parallel Process Model (EPPM) with research using Self-affirmation Theory. However, to date no studies have attempted to do this. This article reports an experiment that tests whether (a) the effects of a self-affirmation manipulation add to those of EPPM variables in predic...
Article
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 midsize university. Students completed Web-based assessments of...
Article
Full-text available
Stress associated with acculturation and minority status among Hispanic youth is understudied. Using survey data from the Hispanic Stress Inventory-Adolescent Version (HSI-A), we examined psychosocial stress across eight domains including family economic stress and acculturation-gap stress in a national sample of three generations (first, second, a...
Article
The personality trait of impulsivity is predictive of heavy drinking and consequences among college students. The current study examined how impulsivity-measured via positive urgency, negative urgency, and sensation seeking-and a person's beliefs about the role alcohol plays in the college experience relate to drinking and consequences in a sample...
Article
Multi-component parent-based interventions (PBIs) provide a promising avenue for targeting alcohol use and related consequences in college students. Parents of college-aged children can have a significant influence on their children's alcohol use decisions. However, parents tend to underestimate their own child's alcohol use and overestimate other...
Article
Full-text available
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 w...
Article
Protective behavioral strategies (PBS) are useful skills for reducing the negative consequences of alcohol. The moderating effects of anxiety on the relationship between three different types of PBS and negative consequences were examined among students accessing college counseling services. Results revealed a significant interaction between anxiet...
Article
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 samp...
Article
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 dem...
Article
Full-text available
Substance abuse among American Indians/Alaska Natives (AI/ANs) is a significant and long-standing health problem in the U.S. Two-thirds of American AIs/ANs reside in the urban setting. However, studies analyzing substance use characteristics among urban AI/ANs are very limited. Substance use patterns among a sample of AI/ANs (n = 77) and other ethn...
Article
Full-text available
Risky injection practices among injection drug users (IDUs) contribute to the spread of blood-borne infections such as human immunodeficiency virus, hepatitis B, and hepatitis C. The Blood-borne Virus Transmission Risk Assessment Questionnaire (BBV-TRAQ). was developed in Australia to determine risk behaviors for specific infections. Blood testing...
Article
Full-text available
Bivariate analyses were utilized in order to identify the relations between scores on the Compulsive Sexual Behavior Inventory (CSBI) and self-report of risky sexual behavior and drug abuse among 482 racially and ethnically diverse men and women. CSBI scores were associated with both risky sexual behavior and drug abuse among a diverse non-clinical...
Article
Full-text available
A 2-phase study was conducted to develop a culturally informed measure of psychosocial stress for adolescents: the Hispanic Stress Inventory--Adolescent Version (HSI-A). Phase 1 involved item development through the collection of open-ended focus group interview data (n = 170) from a heterogeneous sample of Hispanic youths residing in the southwest...
Article
Full-text available
Past studies have used various methods to assess perceived risk of HIV infection; however, few have included multiple items covering different dimensions of risk perception or have examined the characteristics of individual items. This study describes the use of Item Response Theory (IRT) to develop a short measure of perceived risk of HIV infectio...
Article
Full-text available
Because of the association that researchers have recently delineated between compulsive sexual behavior and the Human Immunodeficiency Virus, Sexually Transmitted Infections, and drug abuse, it is paramount that a psychometrically sound measure of compulsive sexual behavior is made available to all healthcare professionals working in disease preven...
Conference Paper
Background Anal sex is a high-risk HIV behavior in men who have sex with men, but less is known about its role in HIV risk for women. Methods 829 women, of whom 193 (23%) reported heterosexual receptive anal intercourse (HRAI), completed several behavioral measures in addition to receiving human immunodeficiency virus (HIV), hepatitis, and sexually...
Conference Paper
Background: Poor adherence with antiretroviral therapy is associated with depression and psychotic disorders. The present study examines the association between HIV medication adherence and measures of mental health, substance use and quality of life. Participants were recruited during intake to an outpatient mental health program housed within a s...
Conference Paper
Background: The Addiction Severity Index (ASI) has been shown to be a reliable measure of the severity of problems faced by substance users. The validity of Interviewer Severity Ratings (ISRs) has been questioned, particularly among interviewers with less training. There have also been mixed results for the validity of the Psychiatric Status scale...
Conference Paper
Background: Early alcohol and illicit drug use have been identified as significant predictors of subsequent substance use disorders. American Indians/Alaska Natives (AI/AN) have high rates of alcohol and drug use disorders; however, there is a dearth of information with regard to the age of first use of alcohol and illicit drugs among AI/AN. Method...
Article
This study examined reported heterosexual receptive anal intercourse (HRAI) in a sample of women recruited from HIV prevention providers in Los Angeles County. The majority of women surveyed were Latina and the modal age was 19 years. Women reporting HRAI were more likely to use both injected and non injected drugs and to have sexual partners who i...
Article
Full-text available
Prevention researchers have advocated primary prevention such as vaccination in alternative venues. However, there have been major questions about both the attendance of, and the ability to, vaccinate high-risk individuals in such settings. The current study seeks to assess the feasibility of vaccinating high-risk men who have sex with men (MSM) at...
Article
Full-text available
The purpose of this study was to determine who chooses a rapid test for HIV when given a choice in a community-based or mobile van setting in Long Beach, California. Individuals were given a choice of either rapid or standard HIV testing either alone or in conjunction with testing for sexually transmitted diseases (STD). Of the 2,752 HIV tests perf...
Article
Relatively few studies have addressed the psychometric properties of self-report measures of amphetamine use. This study examines the reliability and validity of the Risk Behavior Assessment's (RBA) lifetime and recent amphetamine-use questions. To evaluate validity, 4027 out-of-treatment primarily cocaine and heroin users provided urine samples th...
Article
Full-text available
In 2007, there were an estimated 2.7 million new cases of Human Immunodeficiency Virus (HIV) infections globally, and 2 million Acquired Immune Deficiency Syndrome (AIDS) related deaths (UNAIDS, 2008). In sub-Saharan Africa, HIV has had a devastating impact resulting in poverty and orphaning around 12 million children (UNAIDS, 2008). With no vaccin...
Article
Methamphetamine (meth) use has been shown in the literature to be associated with high-risk sexual behavior for both homosexual (MSM) and heterosexual samples for over a decade. The use of Viagra has also been shown to be associated with high-risk sexual behavior. The purpose of this review is to update the record on Viagra and on the combination o...
Article
Full-text available
Few studies have investigated the optimal length of recall period for self-report of sex and drug-use behaviors. This meta-analysis of 28 studies examined the test-retest reliability of three commonly used recall periods: 1, 3, and 6 months. All three recall periods demonstrated acceptable test-retest reliability, with the exception of recall of ne...
Article
Full-text available
Recent studies show that Viagra and methamphetamine use are associated with unprotected anal intercourse among men who have sex with men (MSM). In Long Beach, California, we have reported on an association between Viagra use and the use of amphetamines during sex. The current research investigated the use of both Viagra and amphetamine in men in Lo...
Article
We developed a new manipulation of self-affirmation that is simple to use, can be employed when circumstances prevent pre-screening or using essay-based methods, and has a highly equivalent control task. In the process, we addressed theoretical and empirical questions highlighted in a recent review as requiring attention. In comparison to five cont...
Article
Full-text available
Bundling human immunodeficiency virus (HIV) testing with tests for other infectious diseases such as hepatitis C, syphilis, or gonorrhea has been proposed as a method to recruit at-risk individuals into HIV testing. The objectives of this study were to determine (1) the types of at-risk clients who choose the rapid vs. standard HIV test when bundle...
Conference Paper
Background: Methamphetamine use has increased in recent years and is associated with HIV and STD infection. Little research has addressed the reliability and validity of drug users' self-reports of amphetamine use. Method: Participants were drug users not currently in treatment who completed items assessing amphetamine use on the Risk Behavior As...
Conference Paper
BACKGROUND: Previous research modeled heterosexual anal sex (HAS) in women (Reynolds, et al. 2007). This study seeks to develop a model for men reported engaging in HAS. METHODS: The Los Angeles Countywide Risk Assessment Survey was administered to 2126 participants. 515 males reported having sex with women. 84/515 = 16.3% reported engaging in HA...
Conference Paper
Background: A problem with standard HIV testing is failure to return for test results. Rapid HIV testing provides a solution for this problem. However, many people are unaware of alternative testing methods. To our knowledge, no studies addressing clients' preference for standard or rapid HIV testing have been performed. Method: Individuals (N =...