Kimberly A Mallett

William Penn University, Worcester, Massachusetts, United States

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Publications (77)229.52 Total impact

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    ABSTRACT: Importance Emphasizing sun protection behaviors among young children may minimize sun damage and foster lifelong sun protection behaviors that will reduce the likelihood of developing skin cancer, especially melanoma.Objective To determine whether a multicomponent sun protection program delivered in pediatric clinics during the summer could increase summertime sun protection among young children.Design, Setting, and Participants Randomized controlled clinical trial with 4-week follow-up that included 300 parents or relatives (hereafter simply referred to as caregivers [mean age, 36.0 years]) who brought the child (2-6 years of age) in their care to an Advocate Medical Group clinic during the period from May 15 to August 14, 2015. Of the 300 caregiver-child pairs, 153 (51.0%) were randomly assigned to receive a read-along book, swim shirt, and weekly text-message reminders related to sun protection behaviors (intervention group) and 147 (49.0%) were randomly assigned to receive the information usually provided at a well-child visit (control group). Data analysis was performed from August 20 to 30, 2015.Intervention Multicomponent sun protection program composed of a read-along book, swim shirt, and weekly text-message reminders related to sun protection behaviors.Main Outcomes and Measures Outcomes were caregiver-reported use of sun protection by the child (seeking shade and wearing sun-protective clothing and sunscreen) using a 5-point Likert scale, duration of outdoor activities, and number of children who had sunburn or skin irritation. The biologic measurement of the skin pigment of a child’s arm was performed with a spectrophotometer at baseline and 4 weeks later.Results Of the 300 caregiver-child pairs, the 153 children in the intervention group had significantly higher scores related to sun protection behaviors on both sunny (mean [SE], 15.748 [0.267] for the intervention group; mean [SE], 14.780 [0.282] for the control group; mean difference, 0.968) and cloudy days (mean [SE], 14.286 [0.282] for the intervention group; mean [SE], 12.850 [0.297] for the control group; mean difference, 1.436). Examination of pigmentary changes by spectrophotometry revealed that the children in the control group significantly increased their melanin levels, whereas the children in the intervention group did not have a significant change in melanin level on their protected upper arms (P < .001 for skin type 1, P = .008 for skin type 2, and P < .001 for skin types 4-6).Conclusions and Relevance A multicomponent intervention using text-message reminders and distribution of read-along books and swim shirts was associated with increased sun protection behaviors among young children. This was corroborated by a smaller change in skin pigment among children receiving the intervention. This implementable program can help augment anticipatory sun protection guidance in pediatric clinics and decrease children’s future skin cancer risk.Trial Registration Identifier:NCT02376517
    No preview · Article · Feb 2016
  • Caitlin C. Abar · Kimberly A. Mallett · Robert Turrisi · Beau Abar
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    ABSTRACT: Introduction. College students are at increased risk of experiencing a variety of consequences as result of their own as well as others’ alcohol consumption. The current study examined the differential associations between both first-hand consequences (resulting from one’s own drinking) and second-hand consequences (resulting in victimization as a result of others’ drinking) and subsequent alcohol consumption across the first year of college. Method. First year students (n = 253) from a large northeastern U.S. university were randomly selected to participate and surveyed at the end of the first semester of college (Time 1) and during the first semester of the second year of college (Time 2). Results. Results showed a significant, positive relationship between first-hand consequences and subsequent weekend drinking (β = 0.16, p < 0.05) and heavy episodic drinking (β = 0.49, p < 0.01), after controlling for individual and friend drinking. A negative association between second-hand consequences and later heavy episodic drinking was also observed (β = −0.16, p < 0.05). Discussion and Conclusions. The findings provided partial support for both a positive association hypothesis and a negative association hypothesis. The importance of personal alcohol consumption and peers’ drinking in relation to first- and second-hand consequences are discussed.
    No preview · Article · Dec 2015 · Journal of Substance Use
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    ABSTRACT: Introduction: Recent evidence suggests interpersonal protective behaviors (IPBs) may be more effective than alcohol-based strategies at decreasing alcohol-related sexual consequences. However, no studies have examined individual IPBs to assess their unique influences on specific sexual consequences. The current study used a longitudinal design to examine the direct effects of typical weekly drinking and specific IPBs on unwanted sex. IPBs were also examined as moderators of the relationship between drinking and unwanted sex. Methods: Randomly sampled female drinkers attending a northeastern university (N=191) completed a baseline survey measuring typical weekly drinking and IPBs and a six-month follow-up assessing unwanted sex. Bootstrapped regression examined the effects. Results: Drinking predicted unwanted sex after accounting for IPBs (range of bs=.008-.009, SE=.005, 95% CI [.000, .02]). Vigilance-related IPBs were negatively associated with unwanted sex after controlling for drinking (b=-.052, SE=.025, 95% CI [-.107, -.008]). The IPB "Talking to people who know one's potential dating or sexual partner to find out what s/he is like" significantly moderated the drinking-unwanted sex relationship (b=-.009, SE=.004, 95% CI [-.018, -.003]). At above-average drinking levels, women who used this IPB more frequently reported fewer episodes of unwanted sex. Conclusion: Findings revealed obtaining information about a potential partner significantly reduced the impact of drinking on unwanted sex for heavier drinkers. Future research examining how women implement this IPB may clarify its role in reducing unwanted sex.
    No preview · Article · Dec 2015 · Addictive behaviors
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    ABSTRACT: Objective: Despite showing reductions in college student drinking, interventions have shown some inconsistency in their ability to successfully decrease consequences. With the goal of improving prevention efforts, the purpose of this study was to examine the role of consequence-specific constructs, in addition to drinking, that influence students' experiences with alcohol-related problems. The study examined how drinking and protective behaviors mediated the relationships between students' willingness to experience consequences, intentions to avoid them, and four categories of alcohol-related problems (physiological, social, sexual, and academic). Method: First-year college student drinkers (n = 2,024) at a large northeastern university completed surveys during the fall and spring of their freshman year. Results: As expected, different patterns of associations emerged for physiological and nonphysiological consequences. When physiological consequences (e.g., hangover, vomiting) were examined, drinking significantly mediated the effect of willingness on the consequences. Drinking-specific protective behaviors indirectly influenced consequences through drinking behaviors whereas general protective behaviors did not. When nonphysiological (e.g., social, sexual, academic) consequences were examined, drinking and general protective behaviors emerged as significant mediators of the effects of willingness and intentions on the consequences, whereas drinking-specific protective behaviors did not. Conclusions: The results suggest that prevention efforts (e.g., personalized feedback) could be tailored to address specific types of protective behaviors as well as specific types of consequences frequently experienced by college students.
    No preview · Article · Nov 2015 · Journal of studies on alcohol and drugs
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    ABSTRACT: Background: Previous work examining college drinking tendencies has identified a disproportionately small (20%), but uniquely high-risk group of students who experience nearly 50% of the reported alcohol-related consequences (i.e., the multiple repeated consequences, or MRC, group). With the goal of reducing drinking-related consequences later in college, the current study sought to identify potential MRC group members in their first semester by examining: 1) early-risk subgroups based on analysis of early-risk screening constructs (e.g., age of drinking onset, middle school alcohol exposure, high school drinking and consequences); and 2) their association with MRC criteria early in the first semester of college. Methods: A random sample of 2021 first year college student drinkers (56% female) completed a web-based drinking survey in their first semester on campus. Results: Latent class analysis (LCA) revealed four early-risk subgroups: 1) an Early Onset Risk group who endorsed early age of drinking onset and engaged in heavy middle and high school drinking (10%); 2) a Late Onset Risk group who engaged in weekend drinking and drunkenness and experienced six or more unique consequences as seniors in high school (32%); 3) an Early Onset Limited Risk group who only endorsed early age of onset and middle school drinking (3%); and 4) a Minimal Risk group who did not engage in any early risk behaviors (55%). Members of both the Early and Late Onset Risk groups had significantly higher odds of MRC membership in their first semester of college (9.85 and 6.79 greater, respectively). Conclusions: Results suggest age of onset, middle and high school drinking and drunkenness, and frequency of unique consequences could be particularly useful in brief screening tools. Further, findings support early screening and prevention efforts for MRC membership prior to college matriculation. Keywords: early screening; high-risk college drinking; MRC group; alcohol-related consequences
    No preview · Article · Oct 2015 · Alcoholism Clinical and Experimental Research
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    ABSTRACT: Importance Melanoma has a high survival rate if it is detected early. Training patients with early-stage melanoma who are at risk of developing new melanomas to perform skin self-examination (SSE) may improve survival.Objective To examine for whom the intervention works best in a sample composed of dyads of patients with melanoma and skin-check partners who received an SSE intervention vs customary care.Design, Setting, and Participants For 494 patients with stage 0 to IIB melanoma (mean age, 55 years; 253 [51.2%] females) and their skin-check partners (mean age, 55 years; 280 [56.7%] females), a randomized clinical trial was conducted in ambulatory care dermatologic offices from June 6, 2011, to April 14, 2014. Follow-up assessments were performed at 12 months. Analysis was performed between March 23 and June 25, 2015.Methods Dyads of 494 patients and their partners were randomly assigned to receive the intervention (395 patients) or customary care (control) (99 patients). The main outcome was patient SSE self-efficacy. Partner motivation to assist with SSE and relationship quality (eg, agreeability, activities with partner, and happiness) were assessed for moderation of the influence of the intervention’s effect on SSE self-efficacy.Results Relationship quality, defined by activities with the partner (β = –0.892, SE = 0.432, t = –2.066; P = .001) and happiness (β = –4.586, SE = 2.044, t = –2.24; P = .001), significantly moderated the intervention effects on patients’ SSE self-efficacy. In contrast, patient-partner agreeability (β = –0.262, SE = 0.148, t = –1.773; P = .09) and partner motivation (β = –0.328, SE = 1.024, t = –0.320; P = .10) did not significantly moderate the intervention effects on patients’ SSE self-efficacy. Differences between the conditions were highest when activities performed with the partner were below average (mean difference, 6.652; P = .001) and when happiness was below average (mean difference, 7.000; P = .001). Although everyone receiving the intervention experienced some benefit, the findings indicate the greatest increases in self-efficacy were observed for those with below-average activities performed with the partner and happiness.Conclusions and Relevance The training of patients with melanoma and their partners in early-detection SSE benefited some more than others. Pairs who have low relationship quality, as determined by activities performed with the partner and happiness, may have received the greatest benefits from the training intervention because they were given an activity to perform together.Trial Registration Identifier: NCT01432860
    No preview · Article · Sep 2015 · JAMA Dermatology
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    ABSTRACT: Introduction: Alcohol interventions targeting college students and their parents have been shown to be efficacious. Little research has examined moderators of intervention efficacy to help tailor interventions for subgroups of students. Method: This study is a secondary data analysis of readiness to change, drinking norms, and gender as moderators of an efficacious peer- and parent-based intervention (Turrisi et al., 2009). Students (n=680) were randomized to the combined peer and parent intervention (n=342) or assessment-only control (n=338). Results: The combined intervention reduced peak blood alcohol content (BAC) compared to control. Gender and norms did not moderate the relationship between the intervention and drinking. Significant interactions were found between gender, precontemplation, and intervention. Students in the combined condition with higher precontemplation had lower weekly drinking compared to those with lower precontemplation. This pattern was also found among men for peak BAC and alcohol-related consequences but not among women, indicating a three-way interaction. Conclusion: Interventions may need to consider readiness to change and gender to optimize effectiveness.
    No preview · Article · Sep 2015 · Addictive behaviors
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    ABSTRACT: Objective: Recent studies suggest drinking protective behaviors (DPBs) and contextual protective behaviors (CPBs) can uniquely reduce alcohol-related sexual risk in college students. Few studies have examined CPBs independently, and even fewer have utilized theory to examine modifiable psychosocial predictors of students’ decisions to use CPBs. The current study used a prospective design to examine 1) rational and reactive pathways and psychosocial constructs predictive of CPB use, and 2) how gender might moderate these influences in a sample of college students. Method: Students (n = 508) completed web-based baseline (mid-spring semester) and 1- and 6-month follow-up assessments of CPB use; psychosocial constructs (expectancies, normative beliefs, attitudes, and self-concept); and rational and reactive pathways (intentions and willingness). Regression was used to examine rational and reactive influences as proximal predictors of CPB use at the 6-month follow-up. Subsequent path analyses examined the effects of psychosocial constructs, as distal predictors of CPB use, mediated through the rational and reactive pathways. Results: Both rational (intentions to use CPB) and reactive (willingness to use CPB) influences were significantly associated with increased CPB use. The examined distal predictors were found to effect CPB use differentially through the rational and reactive pathways. Gender did not significantly moderate any relationships within in the model. Discussion: Findings suggest potential entry points for increasing CPB use that include both rational and reactive pathways. Overall, this study demonstrates the mechanisms underlying how to increase the use of CPBs in programs designed to reduce alcohol-related sexual consequences and victimization.
    No preview · Article · Sep 2015 · Psychology of Addictive Behaviors
  • Jerod L Stapleton · Rob Turrisi · Kimberly A Mallett · June K Robinson
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    ABSTRACT: Skin-self examination (SSE) training interventions can increase understanding of melanoma early detection criteria and promote SSE. However, there remains a need to evaluate whether intervention participants can apply such early detection skills to accurately identify concerning, or potentially malignant, pigmented lesions during full body SSE. We assessed SSE accuracy using data from a randomized control trial of a SSE skills training intervention designed to promote partner-assisted SSE among melanoma patients. In the trial, patient-partner pairs were administered the training intervention and performed monthly SSE to identify, evaluate, and track concerning pigmented skin lesions. Patients received a total body skin examination by a dermatologist approximately 4-months post-intervention. SSE accuracy was assessed as the correspondence between the specific concerning pigmented lesions identified by 274 study pairs during SSE with those identified during dermatological examination. We also examined whether lesions that were biopsied during the study were identified prior to biopsy during SSE. Approximately 3 in 4 of the concerning lesions identified by pairs during SSE were also identified during the dermatological exam. There were 81 biopsies performed during the study and pairs had identified 73% of the corresponding lesions during SSE. Of the 5 melanoma detected, 3 were identified during SSE. Melanoma patients and partner taught to do SSE using an evidence-based program developed a high degree of correspondence with the study dermatologist in identifying concerning lesions. This study provides novel evidence that supports the accuracy of full-body SSE for the patient identification of concerning lesions. Copyright © 2015, American Association for Cancer Research.
    No preview · Article · Jun 2015 · Cancer Epidemiology Biomarkers & Prevention
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    ABSTRACT: Early detection of melanoma may improve survival. The present study continued research establishing that in-person training on skin self-examinations (SSEs) was significantly enhanced when delivered to patients with their partners present instead of to patients alone. To examine 3 alternative SSE training approaches that included partners compared with a treatment-as-usual control condition. A randomized clinical trial with 4- and 12-month follow-up visits was conducted at the clinical offices in the ambulatory care area of a hospital. The evaluable population included 494 patients with stage 0 to IIB melanoma and their skin check partners drawn from an electronic medical record melanoma registry and advertisements in large regional newspapers. The study was conducted from June 6, 2011, to April 14, 2014, and analysis was performed between December 4 and December 11, 2014. Pairs of patients and their partners were randomly assigned to (1) in-person intervention, (2) take-home booklet intervention, and (3) treatment-as-usual controls. An additional subgroup of patients received an electronic interactive tablet personal computer intervention. The MoleScore content was comparable across formats and consisted of demonstrations of the ABCDE (assess border, color, diameter, and evolution of pigmented lesions) rule and skills training. Outcomes were self-reported SSE of the total body as well as easy-to-see and difficult-to-see regions at baseline, 4 months, and 12 months. No significant differences in SSEs were observed between the 3 intervention conditions on all of the body areas; results for all 3 intervention conditions were significantly higher than for controls at 4- and 12-month follow-ups (all P < .05). Mean (SD) body areas examined by control pairs (n = 99) at 4 months (0.98 [1.17]) and 12 months (1.82 [1.43]) were significantly less compared with examination by pairs participating in all interventions at 4 months (workbook [n = 159], 2.68 [1.19]; in-person [n = 165], 2.66 [1.11]; and tablet [n = 71], 2.53 [1.17]) and at 12 months (workbook, 2.53 [1.25]; in-person, 2.59 [1.30]; and tablet, 2.34 [1.37]) (F6,674 = 15.60; P < .001; η2 = 0.12). The findings of the research support the sustainability and efficacy at 12 months of partner-assisted SSE interventions for early detection targeting individuals with a history of melanoma. Identifier: NCT01432860.
    No preview · Article · Jun 2015
  • N. Scaglione · R. Turrisi · K. Mallett · M. Cleveland

    No preview · Conference Paper · Jun 2015
  • Kimberly A Mallett · Nichole Scaglione · Racheal Reavy · Rob Turrisi
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    ABSTRACT: The consumption of alcohol mixed with energy drinks (AmEDs) is a form of risky drinking among college students, a population already in danger of heavy drinking and associated consequences. The goals of the current longitudinal study were to (a) identify types of AmED users between the first and second year of college and (b) examine differences among these groups in rates of highrisk drinking and consequences over time. A random sample of college student drinkers (n = 1,710; 57.7% female) completed baseline and 6-month follow-up measures assessing alcohol-related behaviors. AmED use was endorsed by 40% of participants during the course of the study. As anticipated, four distinct groups of AmED users were identified (nonusers, initiators, discontinuers, and continuous users) and were significantly different from one another on drinking and consequence outcomes. Further, significant Time × Group interaction effects were observed for drinking and overall consequences. Generally, across all outcomes and time points, nonusers reported the lowest rates of drinking and consequences, whereas continuous users consistently reported the highest rates of drinking and consequences. Students who initiated AmED use during the course of the study also reported anabrupt increase in alcohol use and reported consequences. Findings suggest students who consistently engage in and initiate AmED use also engage in riskier drinking behaviors and experience higher rates of consequences. Interventions that specifically target AmED use may be warranted and have the potential to reduce alcohol-related consequences.
    No preview · Article · May 2015 · Journal of studies on alcohol and drugs
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    ABSTRACT: College is a time of increased risk for problematic alcohol use and depressed mood. The comorbidity of these conditions is well documented, but is less well understood, with few interventions designed to prevent or reduce the related consequences. The current study evaluated a web-based personalized intervention for students (N=311) who reported an AUDIT score of 8 or more, a BDI-II score of 14 or more, and reported drinking four (women) or five (men) or more drinks on at least one occasion in the past month. Method: Invited participants were randomly selected from all enrolled undergraduates at a large, public, Pacific Northwestern University. Participants completed a screening and baseline assessment, and those who met study eligibility criteria were randomized to one of four conditions (alcohol only, depressed mood only, integrated, and referral-only control). Follow-up occurred one-month post-intervention. Results: While no main effects for the interventions were found, there were moderation effects, such that students in the alcohol only and integrated conditions who had lower levels of depressed mood or alcohol-related problems at baseline showed greater reductions in alcohol-related problems at follow-up compared to students in the control condition. Implications for interventions are discussed. Copyright © 2014 Elsevier Ltd. All rights reserved.
    No preview · Article · Nov 2014 · Addictive Behaviors
  • Kimberly A Mallett · Sarah Ackerman · Rob Turrisi · June K Robinson

    No preview · Article · Oct 2014 · JAMA Dermatology
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    ABSTRACT: Melanoma can metastasize but is often successfully treated when discovered in an early stage. Melanoma patients and their skin check partners can learn skin self-examination (SSE) skills and these skills can be improved by practice. The purpose of this study is to determine the degree of fidelity with which educational in-person SSE intervention can be delivered by trained research coordinators to patients at risk of developing another melanoma and their skin check partners. The in-person intervention was performed in two iterations. In phase 1 (2006-2008), the research coordinators were trained to perform the intervention using a written script. In phase 2 (2011-2013), the research coordinators were trained to perform the intervention with a PowerPoint aid. Each research coordinator was individually counseled by one of the authors (KM) to insure standardization and enhance fidelity of intervention delivery. Phase 1 and Phase 2 were compared on 16 fidelity components. Further, Phase 2 fidelity was assessed by comparing mean scores of fidelity across the five research coordinators who delivered the intervention. Phase 2, which utilized a PowerPoint aid, was delivered with a higher degree of fidelity compared to phase 1with four fidelity components with significantly higher fidelity than Phase 1: 1) Explained details of melanoma, χ (2) (1, n = 199)= 96.31, p < .001, 2) Discussed when to call doctor, χ(2) (1, n = 199) = 53.68, p < .001 3) Explained assessment at month 1, χ(2) (1, n = 199)= 12.39, p < .01, and 4) Explained assessment at month 2, χ(2) (1, n = 199) = 117.75, p < .001. Further, no significant differences on mean fidelity were found across research coordinators in Phase 2. When using the PowerPoint aide, the research coordinators delivered the intervention with high fidelity (all scores >14) and there were no mean differences in fidelity across research coordinators, indicating consistency in fidelity. This can be attributed to the standardization and cueing that the PowerPoint program offered. Supervision was also a key component in establishing and maintaining fidelity of the patient educational process. This method of intervention delivery enables trained healthcare professionals to deliver an educational intervention in an effective, consistent manner.
    No preview · Article · Sep 2014
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    ABSTRACT: INTRODUCTION: Alcohol consequences among college students are a significant public health concern. Although drinking is associated with negative outcomes, studies have demonstrated that alcohol-related consequences are multi-determined and routinely influenced by additional factors. The current NIAAA-funded longitudinal study takes an innovative theoretical approach by examining the relationships between both consequence-specific constructs and alcohol consumption in predicting alcohol-related problems. METHOD: Participants were 2024 first-year student drinkers at a large public university from two waves of a prospective design. First, the study examined whether alcohol consumption, drinking- and consequence-specific protective behaviors mediated the relationship between consequence-specific predictors (willingness to experience consequences, intentions to avoid consequences) and physiological (e.g., vomiting) or non-physiological (e.g., sexual) consequences. Second, distal intra- and inter-personal consequence-specific constructs (e.g., consequence expectancies; perceived norms about consequences; etc.) were examined as correlates of willingness to experience consequences and intentions to avoid them. RESULTS: Findings revealed differences depending on whether the outcomes were physiological or non-physiological consequences. First, consequence-specific protective behaviors and drinking significantly mediated the effects of willingness and intentions on non-physiological consequences. Second, drinking protective behaviors mediated these relationships only for physiological consequences. Finally, results of analyses evaluating distal predictors of consequences, revealed willingness and intentions were significantly associated with consequence specific expectancies, attitudes, norms and self-efficacy. CONCLUSION: These findings suggest that willingness to experience consequences and intentions to avoid them are central to predicting the protective behaviors directly related to experiencing consequences over and above drinking. Further, distal predictors are promising targets for future intervention efforts geared toward changing the constructs of willingness to experience and intentions to avoid consequences. Together, the results provide additional support for integrating consequence-specific constructs into alcohol interventions to improve their efficacy at reducing the harmful effects of college student drinking behaviors.
    No preview · Conference Paper · May 2014
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    ABSTRACT: Positive parenting behaviors and parental modeling of alcohol use are consistent predictors of offspring's alcohol use. Recent research extends these findings to emerging adult children and confirms continued parental influence beyond adolescence. This paper examines how maternal warmth and supervision moderate the effects of mother's heavy alcohol use on their offspring's alcohol use among a sample of non-college-attending emerging adults. Three-way interactions were used to examine if these moderating effects differed between emerging adults who lived at home and those with other living arrangements. Separate analyses within gender were used to further examine these associations. Participants were 245 emerging adults between ages 18 and 22 years with no post-secondary education (59% female) who were selected from a national probability-based internet panel. Path analyses indicated that, regardless of living arrangements, male emerging adults who were more likely to witness their mother getting drunk were themselves more likely to engage in risky drinking. However, among female emerging adults, similarity between mothers' and daughters' drunkenness was strongest among participants who resided with their family and also reported low levels of maternal warmth. This study extends previous research by indicating that the effects of maternal modeling of heavy alcohol use on emerging adults' heavy alcohol use depend upon several factors, including the gender of the child and the family context. Implications of the study findings are discussed in terms of expanding the scope of a parent-based intervention (PBI) to all emerging adults, including those who do not attend colleges or universities.
    Full-text · Article · May 2014 · Addictive behaviors
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    ABSTRACT: Combining alcohol and energy drinks (e.g., Red Bull and vodka) is a significant problem on college campuses. To date, few studies have examined psychosocial constructs specific to alcohol-energy drink cocktail (AmED) consumption that could be amenable to change via prevention efforts targeting this population. The aim of the current study was to examine differences in AmED-specific attitudes, beliefs, normative perceptions among students who report AmED use compared to college student drinkers who consume alcohol only. In addition, these two groups were compared on their intentions to consume AmEDs, actual AmED use, and other drinking outcomes using a longitudinal design. Participants (N = 386, 59% female) completed a web-based survey in the spring of their first year of college and fall of their second year assessing alcohol-energy drink cocktail use, psychosocial decision-making constructs, heavy drinking, and alcohol-related consequences. Findings revealed that combiners of alcohol and energy drinks had more positive attitudes and beliefs about AmED use, higher perceived peer norms, and stronger intentions toward future use. Accordingly, at Time 2, this group reported significantly higher AmED use, along with high-risk drinking and related consequences. The findings reinforce that AmED use is associated with risky drinking practices, and suggest potential targets for change for future prevention efforts.
    No preview · Article · Apr 2014 · Addiction Research and Theory
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    ABSTRACT: Objective: The first semester of college has been associated with increased drinking and sexual risk. However, it remains unclear why some drinking occasions result in experiencing negative sexual consequences whereas others do not. The current study used a diary-based approach to assess the event-level effect of alcohol use and previous adult/adolescent sexual victimization (PSV) on experiencing negative sex-related consequences in first-year college women. Method: Participants (N=120) provided repeated measures of weekend drinking and sex-related consequences on the Friday and Saturday nights of six different weekends over the course of their first semester, resulting in 12 measured drinking occasions. A multilevel model was used to assess both between- and within-person effects of alcohol use and between-person effects of PSV on the likelihood of experiencing negative alcohol-related sexual consequences. Results: Findings revealed an important within-person association, such that every drink consumed above one's mean was associated with a 13% increase in the likelihood of experiencing negative consequences. In addition, PSV had a significant main effect on experiencing negative sex-related consequences. Individuals with PSV experienced nearly 2.5 times more sexual consequences than individuals without PSV. Conclusions: These results yield important implications for prevention, particularly with respect to limiting "above average" alcohol consumption among women with a history of sexual victimization.
    No preview · Article · Mar 2014 · Journal of studies on alcohol and drugs
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    ABSTRACT: This study examined how well students estimate their overall drinker type and the relation between the accuracy of this estimation with alcohol-related consequences. The study also explored the association between psychosocial alcohol variables and underestimation or overestimation of drinker type. College students (n = 1,895) completed questionnaires at baseline (precollege matriculation) assessing self-reported drinker types (SI), protective and risky drinking behaviors, drinking expectancies, attitudes, and norms. Postbaseline assessment occurred during the fall semester sophomore year and included the number and type of alcohol consequences experienced during the previous year. Students' SIs were coded as accurate, overestimated, or underestimated relative to their empirically derived latent class analytic drinker class. The association between drinker type accuracy and consequences and membership in the high-risk Multiple and Repeated Consequence group was assessed, as was the relationship between the psychosocial alcohol variables and accuracy. Eighteen percent of students underestimated and 10% overestimated their drinker type. Students who under- or overestimated their drinker type reported experiencing more consequences, even after controlling for drinking. Increases in positive alcohol expectancies, protective and risky drinking behaviors, and descriptive peer norms were positively associated with underestimation of drinker type. Only protective and risky drinking behaviors were associated with overestimation. This study underscores the importance of accurate estimation of drinker type and the risk of experiencing alcohol consequences. Future research and intervention strategies are discussed.
    No preview · Article · Jan 2014 · Alcoholism Clinical and Experimental Research

Publication Stats

1k Citations
229.52 Total Impact Points


  • 2008-2015
    • William Penn University
      Worcester, Massachusetts, United States
  • 2006-2015
    • Pennsylvania State University
      • • Prevention Research Center
      • • Department of Biobehavioral Health
      University Park, Maryland, United States
    • Evergreen State College
      Olympia, Washington, United States
  • 2010
    • Atmospheric and Environmental Research, Inc.
      Lexington, Massachusetts, United States