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How To Reduce High-Risk College Drinking: Use Proven Strategies, Fill Research Gaps
Appendix 2
Typology: A Theoretical Framework For Alcohol Prevention Initiatives
The U.S. Department of Education’s Higher Education Center for Alcohol and Other Drug Prevention
has developed a typology for classifying activities and policies designed to affect college
drinking at various levels (DeJong et al., 1998). The classification schema includes four types of
strategic intervention: (1) changing people’s knowledge, attitudes, and behavioral intentions
regarding alcohol consumption; (2) eliminating or modifying environmental factors that contribute
to the problem; (3) protecting students from the short-term consequences of alcohol consumption
(“health protection” or “harm reduction” strategies); and (4) intervening with and treating
students who are addicted to alcohol or otherwise show evidence of problem drinking. The
representation in Table 1 captures the idea that many areas of strategic intervention can be
pursued at multiple levels.
Table 1. Typology Matrix for Mapping Campus and Community Prevention Efforts
Areas of Strategic Intervention |
Individual |
Group |
Institution |
Community |
Policy |
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Knowledge, Attitudes, Behavioral Intentions |
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Educational/Awareness |
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Cognitive/Behavioral |
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Motivational Enhancement |
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Environmental Change |
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Activity Options |
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Normative Environment |
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Alcohol Availability |
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Policy/Law Enforcement |
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Alcohol Promotion |
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Health Protection |
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Intervention/Treatment |
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Adapted from: DeJong and Langford, 2002
In addition, research in the general population shows that using multiple interventions aimed at
various levels increases the likelihood of long-term reductions in alcohol use and alcohol-related
problems (Bangert-Drowns, 1988; Moskowitz, 1989; Rundall and Bruvold, 1988; Tobler, 1992; Perry
and Kelder, 1992). Table 1 shows the important interrelationships among alcohol strategies. A
broad-based approach reflects the finding from general population studies that risk for alcohol
problems is a continuum, and targeting only alcohol-dependent individuals or those who have had
problems in the past is not sufficient. In fact, the majority of alcohol-related deaths,
disability, and damage is attributable to moderate drinkers who engage in occasional risky
drinking, not those who are dependent on alcohol (Kreitman, 1986; Lemmens, 1995; Saunders, 1959).
Selected Examples of Complementary Interventions
Three examples illustrate how interventions from various parts of the typology can be combined to
reinforce and complement one another (DeJong and Langford, 2002).
- Targeting knowledge, attitudes, and behavioral intentions at both the
individual and group levels. At the individual level such activities may work to increase
student awareness of alcohol-related problems, change individual attitudes and beliefs, and foster
each student’s determination to avoid high-risk drinking and to intervene to protect other
students whose alcohol use has put them in danger. Typical activities may include educational
efforts during freshman orientation, alcohol awareness weeks and other special events, and
curriculum infusion, where faculty members introduce alcohol-related facts and issues into regular
academic courses (Ryan and DeJong, 1998). By comparison, when this type of strategic intervention
focuses on the group, it often uses peer-to-peer communication. The largest such program, the
BACCHUS/GAMMA Peer Education Network, trains volunteer student leaders to implement a variety of
awareness and educational programs and to serve as role models for other students to emulate.
- Sponsoring a health protection initiative at the community, group, and
individual levels. A local community could decide to establish a “safe rides” program. At the
group level, fraternity and sorority chapters could vote to require members to sign a pledge not
to drink and drive and to use the safe rides program instead. At the individual level, a
campus-based media campaign (environmental strategy) could encourage individual students to use
the new service.
- Conducting a policy enforcement intervention at the State, community,
college, group, and individual levels. Increasing the observance and enforcement of the
minimum drinking age law might involve action at the State level, such as the Alcohol Control
Commission increasing the number of decoy (or “sting”) operations at local bars and restaurants.
At the community level, local police could implement a protocol for notifying college officials of
all alcohol-related incidents involving students. At the college itself, the campus pub could
require that all alcohol servers complete a training course in responsible beverage service. At
the group level, the college might require that residential groups and special event planners
provide adequate controls to prevent alcohol service to underage students. Finally, at the
individual level, a media campaign could publicize these new policies, the stepped-up enforcement
efforts, and the consequences of violating the law.
Subcategories of Environmental Change
The Center’s typology also divides the environmental change category into five subcategories of
strategic interventions: (1) offer and promote social, recreational, extracurricular, and public
service options that do not include alcohol and other drugs; (2) create a social, academic, and
residential environment that supports health-promoting norms; (3) limit alcohol availability both
on and off campus; (4) develop and enforce campus policies and local, State, and Federal laws; and
(5) restrict marketing and promotion of alcoholic beverages both on and off campus.
Each of these subcategories involves a wide range of possible strategic interventions. For
example, a social norms campaign, which operates primarily at the group level, could be enhanced
by an alcohol screening program that gives individualized feedback to students on their drinking
compared to other students on campus (Marlatt et al., 1998). Or community leaders might foster the
creation of new businesses that can provide alcohol-free recreational options for students.
Simultaneously, college officials might work with local school boards to plan and conduct
complementary social norms activities in secondary schools.
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Historical document Last reviewed: 9/23/2005
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