AN ABSTRACT OF THE DISSERTATION OF Laurel Sharmer for the degree of Doctor of Philosophy in Public Health presented on April 17, 2000. Title: Evaluation of Alcohol Education on Attitude, Knowledge and SelfReported Behavior of College Students Redacted for privacy Abstract approved Annette Rossignol This research was conducted to evaluate the effectiveness of two different types of alcohol education interventions on the attitudes about alcohol consumption in college, knowledge about alcohol, and self-reported alcohol consumption behavior of college students. The educational interventions were a student-centered CD-Rom interactive program, and a teacher-centered motivational speaker. Each intervention took approximately 60 minutes. The research was conducted at a small public university in Northern New York. Nine classes with a total enrollment of 360 students were randomly selected for the research. The demographic makeup of the sample was similar to that of the overall university population, including gender, class level, membership in Greek organizations and age. Three classes were randomly assigned to the CD-Rom program, three classes were randomly assigned to hear a motivational speaker, and three classes were randomly assigned to a control group. The instrument used was the Student Alcohol Questionnaire (SAQ). Students in all classes completed the SAQ four weeks after the Fall, 1999 semester began. The interventions were conducted the following week. The SAQ was administered again four, eight and twelve weeks post-intervention. Two measures of alcohol consumption behavior were used: A continuous variable measure of both an-iount of alcohol consumed and consequences related to intoxication, and a dichotomous variable for "heavy drinking," which is defined as more than five drinks in a row at least once a week. Multivariate analysis of variance was used to test for differences across attitude, knowledge and behavior and bivariate combinations of these outcome variables by group. No statistically significant differences were found on any of the post-interventions measures for any combination of aftitude, knowledge or behavior. Analysis of covariance was used to test for behavior difference alone, using the preintervention questionnaire results as the covariate. No statistically significant differences were found for behavior alone. Multiple regression techniques were used to determine if alcohol consumption behavior, as measured on the continuous scale, could be predicted by gender, grade point average, class level or religion. Gender (p .000) was the only predictor variable that was statistically significant, with men students consuming more alcohol than women students. ©Copyright by Laurel Sharmer April 17, 2000 All Rights Reserved Evaluation of Alcohol Education on Attitude, Knowledge and Self-Reported Behavior of College Students by Laurel Sharmer A Dissertation Submitted to Oregon State University Tn partial fulfillment of the requirements for the degree of Doctor of Philosophy Presented April 17, 2000 Commencement June 2000 Doctor of Philosophy dissertation of Laurel Sharmer presented on April 17. 2000 APPROVED: Redacted for privacy Major Professor, representing Public Health Redacted for privacy Chair of Department of Public Health Redacted for privacy Dean of GjaIat'School I understand that my dissertation will become part of the permanent collection of Oregon State University libraries. My signature below authorizes release of my dissertation to any reader upon request. Redacted for privacy Laurel Sharmer, Author ACKNOWLEDGEMENTS I would first like to acknowledge and thank the students at the State University of New York at Potsdam who volunteered their time to participate in this research project. I would also like to express my sincere appreciation and gratitude to my doctoral committee members: Dr. Leslie Davis-Bums, my Graduate Council Representative; Drs. Courtney Campbell, Anne Rossignol, and Rebecca Warner, from whom I learned more than I ever thought possible; and the chairs of my committee, Dr. Timothy White, for his immeasurable support and guidance; and Dr.Anne Rossignol, for her wisdom, integrity and good humor. My gratitude goes as well to Dr. Anna Harding for her willingness to sit as a member of my committee at the last minute. At the State University of New York at Potsdam I would like to acknowledge and thank: Kathleen O'Rourke for her collegiality and courageous inspiration; Dr. Neil Johnson, Dean William Amoriell, and Provost Peter Brouwer for their infinite patience and faith in me; Drs. Dave Hanson and Ruth Engs (at Indiana University) for allowing the use of their questionnaire, and for providing me with advice along the way; Dr. Nancy Dodge-Reyome and the Office of Faculty Scholarship and Grants for much needed and appreciated financial support; All the professors, administrators, computer specialists, secretaries, and student workers who gave so generously of their time and expertise; And a special note of gratitude to Ms. Mindy Sheehan, my faithful assistant, for her many hours of data entry. Among my family, I would like to acknowledge: My beloved father, Joe Sharmer, whom I knew for seven short but wonderful years. In the brief time we had together before he died, he managed to give me three priceless gifts: An unabashed joy of living, his tender and generous heart, and unconditional love; My grandmother, Katherine Sharmer, an immigrant who came to the United States in 1884. She dreamed that in America, where social class didn't matter, her children would be able to achieve success with little more than hard work and a public education. She died as a young widow with four small children in a little town in western Nebraska on a bitterly cold January day in 1906. Although at the time of her death she was illiterate, destitute and alone, the completion of this dissertation is proof that her dream is still alive; And most importantly, I want to acknowledge two young men and a little girl who are at once my magnum opus and my raison d'être, my connection to the past, my hope for the future, and for whom all of this has been done: my sons Jacy and Keith and my granddaughter Jade. TABLE OF CONTENTS Page INTRODUCTION ............................................................................. 1 ............................................................... 1 Research Questions .................................................................. 1 NullHypotheses ..................................................................... 2 Problem Definition .................................................................. 3 LITERATURE REVIEW .................................................................... 5 Introduction ........................................................................... 5 Motivation for Drinking ............................................................ 9 Negative Consequences of Drinking .............................................. 10 Prevention Strategies ................................................................ 12 METHODS .................................................................................... 15 The Instrument ........................................................................ 15 The Interventions .................................................................... 17 Subjects ............................................................................... 19 StudyDesign ......................................................................... 19 Question#1 ........................................................................... 20 Question#2 ........................................................................... 21 Question#3 ........................................................................... 22 Threats to Design Validity......................................................... 23 Additional Descriptive Data ....................................................... 24 Survey Anonymity.................................................................. 24 Statistical Analysis .................................................................. 25 RESULTS ..................................................................................... 26 Description of the Sample ......................................................... 26 Data Screening ...................................................................... 31 Research Question #1 ............................................................... 35 Statement of Purpose TABLE OF CONTENTS (Continued) Research Question #2. 37 Research Question #3 ............................................................... 40 ...................................................... 42 DISCUSSION ................................................................................. 44 StudyLimitations .................................................................... 55 Recommendations ................................................................... 58 Preintervention Associations BIBLIOGRAPHY............................................................................ 60 APPENDICES................................................................................ 67 Appendix A The Student Alcohol Questionnaire .............................. 68 Appendix B Appendix C Appendix D Appendix E Appendix F Appendix G Description of the Sample ........................................ 73 Data Screening Graphs and Charts .............................. 76 Data Screening Tables ............................................ 88 Tables of Data in the Analysis of the Research Questions 91 Means and Standard Deviations by Group and Stratified By Gender, Age, Grade Point Average and Religion ......... 101 Institutional Review Board Applications and Approval ...... 127 LIST OF TABLES Table Page Gender of the Sample . 27 2. Summary Results of Analysis of Covariance ................................. 36 3. Summary Results of Multivariate Analysis of Variance 4. Summary Results of Multivariate Analysis of Variance for WomenStudents .................................................................... 39 5. Coefficients for Multiple Regression 6. Chi-Square Tests of Association Between Heavy Drinking and Demographic Variables ............................................................ 43 ...................... ............................................ 37 41 LIST OF APPENDIX FIGURES Cl. Histogram of the First Attitude Scores Overlain with a Normal Curve ....... 76 C2. Histogram of the First Knowledge Scores Overlain with a Normal Curve C3. Histogram of the First Behavior Scores Overlain with a Normal Curve ..... 77 C4. Histogram of the Second Attitude Scores Overlain with a Normal Curve ... 77 C5. Histogram of the Second Knowledge Scores Overlain with a Normal Curve............................................................................................................. 78 C6. Histogram of the Second Behavior Scores Overlain with a Normal Curve. 78 C7. Histogram of the Third Attitude Scores Overlain with a Normal Curve ...... 79 C8. Histogram of the Third Knowledge Scores Overlain with a Normal Curve .79 C9. Histogram of the Third Behavior Scores Overlain with a Normal Curve .... 80 C10. Histogram of the Fourth Attitude Scores Overlain with a Normal Curve .... 80 C 11. Histogram of the Fourth Knowledge Scores Overlain with a Normal Curve............................................................................................................. 81 C12. Histogram of the Fourth Behavior Scores Overlain with a Normal Curve.. 81 C 13. Scatterplot of First Attitude Scores with First Knowledge Scores ............... 82 C14. Scatterplot of First Attitude Scores with First Behavior Scores ................... 82 C15. Scatterplot of First Knowledge Scores with First Behavior Scores ............. 83 Cl 6. Scatterplot of Second Attitude Scores with Second Knowledge Scores ...... 83 Cl 7. Scatterplot of Second Attitude Scores with Second Behavior Scores .......... 84 C 18. Scatterplot of Second Knowledge with Second Behavior Scores ................ 84 C19. Scatterplot of Third Attitude Scores with Third Knowledge Scores ............ 85 C20. Scatterplot of Third Attitude Scores with Third Behavior Scores ................ 85 .. 76 LIST OF APPENDIX FIGURES (Continued) C21. Scatterplot of Third Knowledge with Third Behavior Scores ...................... 86 C22. Scatterplot of Fourth Attitude Scores with Fourth Knowledge Scores ......... 86 C23. Scatterplot of Fourth Attitude Scores with Fourth Behavior Scores ............ 87 C24. Scatterplot of Fourth Knowledge with Fourth Behavior Scores ................... 87 LIST OF APPENDIX TABLES Table Page Bi. YearinSchool ........................................................................... 73 B2. Ethnicity of the Sample ................................................................ 73 B3. Religions of the Sample ................................................................. 73 B4. Importance of Religion of the Sample B5. Living Arrangement of the Sample ..................................................... 74 B6. Number of Roommates who "Get Drunk" Each Week ............................ 74 B7. Grade Point Averages of the Sample ................................................. 75 B8. Greek Membership of the Sample Dl. Statistical Analysis of Normality for Outcome Variables for the ............................................... 74 .................................................... 75 FirstSurvey ............................................................................... 88 D2. Statistical Analysis of Normality for Outcome Variables for the SecondSurvey .......................................................................... 88 D3. Statistical Analysis of Normality for Outcome Variables for the ThirdSurvey ............................................................................ 88 D4. Statistical Analysis of Normality for Outcome Variables for the FourthSurvey ............................................................................................... 88 D5. Correlation Matrix for Outcome Variables for the First Survey ................... 89 D6. Correlation Matrix for Outcome Variables for the Second Survey .............. 89 D7. Correlation Matrix for Outcome Variables for the Third Survey ................ 89 D8. Correlation Matrix for Outcome Variables for the Fourth Survey ............... 89 D9. Correlation Matrix for the First Behavior Score (Covariate) And Dependent Variables ............................................................... 89 DlO. Tests of Between-Subjects Effects for Homogeneity of Regression Dependent Variable: Second Behavior Score ........................................ 90 LIST OF APPENDIX TABLES (Continued) Dli. Tests of Between-Subjects Effects for Homogeneity of Regression Dependent Variable: Third Behavior Score .................................................. 90 D12. Tests of Between-Subjects Effects for Homogeneity of Regression Dependent Variable: Fourth Behavior Score ................................................ 90 El. Analysis of Covariance Dependent Variable: Second Behavior Score............................................................................................................. 91 E2. Analysis of Covariance Dependent Variable: Third Behavior Score............................................................................................................. 91 E3. Analysis of Covariance Dependent Variable: Fourth Behavior Score............................................................................................................. 91 E4. Box's Test of Equality of Covariance Matrices for Attitude, Knowledge and Behavior for the Second Survey ......................................... 92 E5. Multivariate Analysis of Variance for Attitude, Knowledge And Behavior for the Second Survey ........................................................... 92 E6. Box's Test of Equality of Covariance Matrices for Attitude and Knowledge Second Survey ........................................................................... 92 E7. Multivariate Analysis of Variance for Attitude and Knowledge For the Second Survey .................................................................................. 93 E8. Box's Test of Equality of Covariance Matrices for Attitude and Behavior for the Second Survey................................................................... 93 E9. Multivariate Analysis of Variance for Attitude and Behavior For the Second Survey ................................................................................. 93 ElO. Box's Test of Equality of Covariance Matrices for Knowledge And Behavior for the Second Survey ........................................................... 93 Eli. Multivariate Analysis of Variance for Knowledge and Behavior For the Second Survey .................................................................................. 94 E12. Box's Test of Equality of Covariance Matrices for Attitude, Knowledge and Behavior for the Third Survey ............................................ 94 LIST OF APPENDIX TABLES (Continued) E13. Multivariate Analysis of Variance for Attitude, Knowledge And Behavior for the Third Survey .............................................................. 94 E14. Box's Test of Equality of Covariance Matrices for Attitude and Knowledge for the Third Survey .................................................................. 95 E15. Multivariate Analysis of Variance for Attitude and Knowledge Forthe Third Survey ..................................................................................... 95 E16. Box's Test of Equality of Covariance Matrices for Attitude And Behavior for the Third Survey ............................................................. 95 El 7. Multivariate Analysis of Variance for Attitude and Behavior Forthe Third Survey ..................................................................................... 95 E18. Box's Test of Equality of Covariance Matrices for Knowledge And Behavior for the Third Survey .............................................................. 96 El 9. Multivariate Analysis of Variance for Knowledge and Behavior Forthe Third Survey ..................................................................................... 96 E20. Box's Test of Equality of Covariance Matrices for Attitude, Knowledge and Behavior for the Fourth Survey .......................................... 96 E21. Multivariate Analysis of Variance for Attitude, Knowledge And Behavior for the Fourth Survey ............................................................ 96 E22. Box's Test of Equality of Covariance Matrices for Attitude and Knowledge for the Fourth Survey ................................................................ 97 E23. Multivariate Analysis of Variance for Attitude and Knowledge Forthe Second Survey .................................................................................. 92 E24. Box's Test of Equality of Covariance Matrices for Attitude And Behavior for the Fourth Survey ............................................................ 97 E25. Multivariate Analysis of Variance for Attitude and Behavior Forthe Second Survey .................................................................................. 97 E26. Box's Test of Equality of Covariance Matrices for Knowledge And Behavior for the Fourth Survey ............................................................ 98 E27. Multivariate Analysis of Variance for Knowledge and Behavior Forthe Second Survey .................................................................................. 98 LIST OF APPENDIX TABLES (Continued) E28. Summary Results of Discriminant Analysis for the Second Survey ............ 98 E29. Summary Results of Discriminant Analysis for the Third Survey ............... 99 E30. Summary Results of Discriminant Analysis for the Fourth Survey ............. 99 E3 1. Correlation Matrix for Predictor Variables ................................................... 100 E32. ANOVA for Linear Fit of the Equation ........................................................ 100 F 1. Means and Standard Deviations for the First Survey by Group ................... 101 F2. Means and Standard Deviations for the Second Survey by Group ............... 101 F3. Means and Standard Deviations for the Third Survey by Group ................. 102 F4. Means and Standard Deviations for the Fourth Survey by Group ................ 102 F5. Means and Standard Deviations for the First Survey by Group ByGender .................................................................................................... 102 F6. Means and Standard Deviations for the Second Survey by Group ByGender ..................................................................................................... 103 F7. Means and Standard Deviations for the Third Survey by Group ByGender ..................................................................................................... 104 F8. Means and Standard Deviations for the Fourth Survey by Group ByGender ..................................................................................................... 105 F9. Means and Standard Deviations for the First Survey by Group ByAge.......................................................................................................... 106 FlO. Means and Standard Deviations for the Second Survey by Group ByAge.......................................................................................................... 107 F 11. Means and Standard Deviations for the Third Survey by Group ByAge.......................................................................................................... 109 F12. Means and Standard Deviations for the Fourth Survey by Group ByAge.......................................................................................................... 111 F 13. LIST OF APPENDIX TABLES (Continued) Means and Standard Deviations for the First Survey by Group By Grade Point Average ............................................................................... 113 F14. Means and Standard Deviations for the Second Survey by Group By Grade Point Average ............................................................................... 114 F 15. Means and Standard Deviations for the Third Survey by Group By Grade Point Average ............................................................................... 116 F16. Means and Standard Deviations for the Fourth Survey by Group By Grade Point Average ............................................................................... 118 F17. Means and Standard Deviations for the First Survey by Group ByReligion ................................................................................................... 119 F18. Means and Standard Deviations for the Second Survey by Group ByReligion ................................................................................................... 121 Fl 9. Means and Standard Deviations for the Third Survey by Group ByReligion ................................................................................................... 123 F20. Means and Standard Deviations for the Fourth Survey by Group ByReligion ................................................................................................... 124 F2 1. Means and Standard Deviations for the First Attitude and Behavior Scores by Grade Point Average .................................................................... 126 DEDICATION This dissertation is dedicated in loving memory to my grandmother, Katherine O'Conner Sharmer Evaluation of Alcohol Education on Attitude, Knowledge and Self-Reported Behavior of College Students CHAPTER 1 INTRODUCTION Statement of Purpose This research was conducted to evaluate the effectiveness of alcohol education programs for undergraduate college students. It specifically examined undergraduate students' self-reported alcohol consumption behavior, knowledge about alcohol, and attitudes towards intoxication. These variables were measured four times: Four weeks after the beginning of the Fall, 1999 semester and before the students' participation in one of two types of alcohol education programs and again four, eight and twelve weeks following the conclusion of the intervention. The intervention was either participation in an interactive computer-based program about alcohol, or attendance at a lecture about alcohol by a motivational speaker. One-third of the students in the sample served as a control group and was not exposed to a program intervention. Also examined for a potential relationship to alcohol were four variables: gender, grade point average, class level, and religion. Research Questions 1. Is there a significant difference in self-reported alcohol consumption behavior between undergraduate college students who participate in different types of alcohol education programs? 2. Are self-reported alcohol consumption behavior, knowledge about alcohol, and attitudes about alcohol significantly different between undergraduate college 2 students who have participated in different types of alcohol education programs? Are any differences sustainable for a twelve-week period? 3. Among undergraduate college students, can self-reported alcohol consumption behavior be predicted from gender, grade point average, class level, or religion? Null Hypotheses Question #1: Among undergraduate college students who participate in different types of alcohol education programs, the means for the measurement of the self-reported post-intervention behaviors will be equal. (H0: p1 = 2 i 3) Question #2: Among college students who have participated in an alcohol education program, the mean vector for knowledge, attitude and self-reported behavior for each individual group will be equal to the mean vector for all groups. (H0: V1 = V2 Vk) 2b. Among college students who have participated in an alcohol education program, the mean vector for knowledge and self-reported behavior for each individual group will be equal to the mean vector for all groups. (H0: V1 = V2 Vk) 2c. Among college students who have participated in an alcohol education program, the mean vector for attitude and self-reported behavior for each individual group will be equal to the mean vector for all groups. (H0: V1 = V2 = Vk) 2d. Among college students who have participated in an alcohol education program, the mean vector for knowledge and attitude for each individual group will be equal to the mean vector for all groups. (He: Vi V2 = Vk) 3 Question #3: Among undergraduate college students, self-reported alcohol consumption behavior cannot be predicted from gender, grade point average, class level, or religion. (He: b =0) Problem Definition Within the past four years, publicity surrounding alcohol abuse and alcoholrelated deaths on college campuses has increased dramatically. In a recent report, the percentage of college students who drink to get drunk increased from 39% in 1993 to 52% in 1997 (Wechsler, 1998). This is not a new problem. Alcohol abuse on the college campus has been in existence for many years. (Sax, 1997), but college campuses' willingness to discuss and address this issue may have been what currently has led to more frank discussions of the problem. The University Police Department of the State University of New York (SUNY) at Potsdam recently issued a report about alcohol-related incidents during 1997-8 academic year (Hope, 1999). The campus includes approximately 3,500 students and during that year, the university police dealt with 192 incidents involving students and alcohol. Of these, 149 were criminal in nature and 25 were medical emergencies. Increased enforcement by the campus and local police department seems to have led to an acrimonious relationship between students and police, as evidenced by a riot in October of 1997 between Potsdam Village police and college students. Anecdotal evidence from students indicates that because of fear of law enforcement they are currently less likely to seek medical care for potentially life threatening cases of intoxication. To compound the problem, discussions with emergency room administrators at Canton-Potsdam hospital indicate that medical insurance carriers will not reimburse 4 for self-inflicted alcohol abuse problems. As a result, emergency room physicians rarely record student cases as alcohol related. This makes data capture difficult, if not impossible. Canton-Potsdam hospital emergency room administrators have estimated, however, that approximately two students per week receive medical treatment or emergency services related to intoxication. This is the equivalent of approximately 65 students per academic year. Historically, the community has experienced about 1 fatality per year related to alcohol. Although there are not specific local data to support this estimate, it does reflect national statistics (Wright & Slovis, 1996). In an attempt to deal with the alcohol abuse problem on campus, SUNY Potsdam has developed a First Year Experience (FYE) for incoming freshmen, and participation in the program involves students' willingness to live in alcohol and drug free dormitories. In addition, the university's president has commissioned a group of faculty, administrators and students to explore alcohol abuse prevention and treatment interventions for students. The committee is preparing a recommendation for a required classroom experience for all students regarding education about alcohol. Ideally, the committee would like to recommend a classroom intervention that would have the greatest impact on student knowledge, attitudes and self-reported behavior regarding alcohol. There is a dearth of previous research, however, regarding the effectiveness of two of the most widely used classroom interventions for student alcohol abuse prevention the use of motivational speakers and the new "Alcohol 101" program. This research will provide the university with an important evaluation of these programs before significant policy decisions are made about what classroom interventions to implement. 5 CHAPTER 2 LITERATURE REVIEW Introduction The importance and health relevance of alcohol abuse in the United States are numerous. Research regarding the long-term physical effects of alcohol is well documented. Alcohol is the third leading cause of preventable mortality in the United States (McGinnis and Foege, 1993). The United States suffers economically from alcohol abuse as well: between 1985 and 1992, alcohol-related problems cost the United States $148 billion dollars, a 42% increase during that time period over previous time periods (NIAAA, 1998). Alcohol use and abuse among American college students has become a major public health problem. Acute and life threatening intoxication, injuries, the development of chronic liver disease, academic problems, and criminal behavior on the college campus and surrounding communities are some of the consequences of this health issue (Gfroerer et al., 1997; Johnston et al., 1997). Self-reported binge drinking, which is defined as the consumption of five or more drinks at one sifting for men and four or more drinks at one sitting for women (Wechsler et al., 1994), is highest in the United States among young adults. Among this same population, high-risk alcohol consumption is highest among college students (Gfroefer et al., 1997; Wechsler et al., 1997). The percentage of college students who drink to get drunk increased from 39% in 1993 to 52% in 1997 (Wechsler, 1998). Forty one percent of college students report having engaged in binge drinking in the past two weeks (Wechsler, et al, 1994). There are also many negative social consequences associated with binge drinking. Students who binge drink are more likely to damage property, have trouble with authorities, miss classes, have hangovers, and experience injuries than those who do not (Wechsler, et al, 1994; Wechsler & Isaac, 1992). It is not just the students who participate in binge drinking who suffer the consequences. Wechsler, et al., (1995) conducted a survey in which 87% of non-binge drinkers who live in dormitories, fraternities or sororities have experienced one or more negative consequences as a result of other students binge drinking. A study through the New York State Office of Alcoholism and Substance Abuse Services (OASAS, 1996) found that 48% of students in upstate New York reported binge drinking. This compares to 41% statewide, 44% in suburban New York State and 28% in New York City. Research from the Core Alcohol and Drug Survey at 105 college campuses between 1994 and 1996 showed that half of American college students consume one drink of alcohol per week or less (Meilman et al., 1997). Of the other 50% of college students who consume more than one drink of alcohol per week, a number of demographic categories can identify those students who are at greater or lesser risk of health and academic problems. It is becoming increasingly difficult to use gender to predict drinking problems in college. While being male has been a significant predictor of alcohol abuse in the past, recent research has not been able to show gender as a predictor (Carey and Correia, 1997; O'Hare and Tran, 1997). American college women appear to be catching up with their male counterparts in the risk-taking consumption of alcohol and are more likely to have problems related to alcohol consumption than are men (Harrison et al., 1997). College women with relatively high levels of self-esteem, however, are less likely to engage in heavy drinking than are other women with lower self-esteem (Yeastedt et al., 1998). College women under the age of 20 have significantly greater expectations for positive global effects related to heavy alcohol consumption than do college women 7 over the age of 20. A family history of alcoholism exacerbated the expectancies for positive effects in these women under the age of 20 ( Lundahi et al., 1997). After graduation, however, women are less likely to decrease the frequency of intoxication per week than are men (Gotham et al., 1997). Fraternities and sororities have been a part of college life for almost as long as there have been universities in the United States. Research conducted over the last decade has shown a consistent pattern of alcohol abuse among members of Greek fraternal organizations on college campuses (Wechsler et al., 1998). Members of fraternities and sororities drink more alcohol per week, are more likely to engage in heavy drinking per episode, and are more likely to have personal health and academic problems related to alcohol consumption than are students who are not members (Harrington, et al., 1999). In addition, members of Greek fraternal organizations have consistently higher positive expectations for excessive alcohol consumption than do non-members (Cashin et al., 1998). Cashin et al., (1998) further divided student involvement in fraternities and sororities to determine what level of inclusion in Greek life was indicative of risky alcohol consumption. They found that the leaders of the Greek fraternal houses were as likely, if not more likely, than other members to have negative consequences related to heavy drinking. Furthermore, these leaders are setting norms for heavy drinking within the houses. There is little evidence that students who engage in heavy drinking in their first two years of college decrease the amount they drink when they are in their last two years. There is a smaller percentage of college juniors and seniors who are heavy drinkers, but those juniors and seniors who are heavy drinkers were also heavy drinkers in their first two years (Gotham et al., 1997; Wechsler et al., 1995). The reduced percentages of heavy drinkers in upper division classes may be related to the role that alcohol plays in academic success (Wood et al., 1997; Sher et al., 1997). 8 Research comparing college students in California to those who completed the Public Health College Alcohol Study, conducted by the Harvard School of Public Health, found that California college students were less likely to engage in problem drinking than were the students who were surveyed nationwide (Wechsler, 1997). California college students surveyed, however, were, on average, older than their national counterparts, were more likely to be married, and were more likely to live off campus. After college, research has shown that episodes of intoxication decrease dramatically, particularly for men. In research conducted by Gotham et al., (1997) the third year after the subjects received their bachelor's degrees had resulted in a significant reduction in the frequency of weekly episodes of intoxication compared to the subjects' senior year of college. The associations between reductions in frequency of intoxication were strongest among men who had entered the workforce. Research has found that compared to non-athletes, college athletes drink significantly more alcohol, engage in more binge drinking episodes and suffer more negative outcomes related to drinking (Leichliter, et al., 1998; Wechsler, et al., 1997; Nattiv et al., 1997.) The research conducted by Leichliter (1998) did not fmd support for the hypothesis that team leaders were more responsible for using alcohol than were other team members, although male team leaders engaged in risky alcohol consumption more often than did female team leaders. Additional research, however, found that among female athletes, risk-taking behavior that involved variables for alcohol consumption and unsafe sex was lower among the athletes than among their non-athletic peers (Kokotailo et al., 1998). Religion, ego involvement with the tenets of one's religion, and Christian denomination appear to play a role in the alcohol consumption behavior of college students. Patock-Peckham et al., (1998) found that students with no religious affiliation consumed significantly more alcohol more often, engaged in binge drinking more often, and drank to celebrate more often than did students with either Protestant or Catholic affiliation. There were no differences across groups for negative outcomes related to heavy drinking, and students with a Protestant affiliation expressed greater levels of control in drinking behavior than did Catholics. Further research showed that among students in a "bible belt" college, there was no correlation between religiosity and alcohol consumption for men (Poulson, et al., 1998). Women students with strong religious beliefs, however, consumed significantly less alcohol than did women students with weaker religious convictions. Motivation for Drinking In national surveys conducted to determine why students drink, students often cite stress or tension reduction. (Sax, 1997; Cronin, 1997;). Common stressors mentioned by students include homework and other academic expectations, loneliness, and meeting other students in social situations (Perkins, 1999). Although students frequently do cite stress relief as a motivational factor in alcohol consumption, research has shown that at times when students could be expected to feel excessive stress, such as final exam week and the week preceding final exam week, alcohol consumption among students decreases (Noel and Cohen, 1997). Drinking games have been identified as a method cited by students to relieve stress through the use of alcohol (Johnson et al., 1998). At the same time, however, drinking games accounted for a high percentage of negative outcomes related to college student alcohol consumption. Furthermore, contrary to the hypothesis that these games reduce tension, those participating in drinking games exhibited lower social anxiety overall than those who did not play, and the game itself did not provide any tension-reducing moderating effects (Ibid). Social and/or sexual enhancement is also frequently cited by students as a motivation for alcohol consumption (Thombs et al., 1997; Cronin, 1997; Hittner, 10 1997). Trends in alcohol consumption among college students over the last three decades have shown declines in beer drinking and physical and emotional self confidence and a corresponding increase in expectations about alcohol to increase sexual intimacy and enhance social relationships through the release of inhibitions (Sax, 1997; Lundahl, 1997). Risk-taking behavior among adolescents, including late adolescent college students, is a factor in heavy drinking. "Sensation seeking" within the context of heavy alcohol consumption is particularly prevalent among male adolescents, who perceive such behavior as a positive factor in their relationships with their peers (Parsons, et al., 1997). Among male college students, those who are most likely to engage in risky alcohol consumption are more likely to resemble Type I alcoholics (Johnson et al., 1998). Negative Consequences of Heavy Drinking Numbers of students who use designated drivers when they are drinking alcohol away from home have increased dramatically in the recent past (Barr and MacKiimon, 1998; Douglas et al., 1997). As a result, automobile accidents involving alcohol and college students have also decreased (Douglas et al, 1997). At the same time, however, 27% of students surveyed in the 1995 College Health Risk Behavior Survey reported drinking and driving a car within the last 30 days (Douglas et al., 1997). Students who are designated as a sober driver for other students who are drinking usually are able to abstain from drinking, or at the most consume one drink. In addition, students who ordinarily binge drink indicate that they do not drink at a!! when they are serving as a designated driver (DeJong and Winsten, 1999). The use of designated drivers has had negative consequences related to college alcohol consumption, however: Students who are using designated drivers are more likely to binge drink when they are in a social setting where alcohol is being served (Ibid.). 11 As a means of examining variables related to alcohol server interventions, in order to develop policies that would decrease the risk of drunken driving accidents, researchers surveyed bar owners about which policies they considered favorable. Policies considered favorable were those that focused on providing services to customers, while unfavorable policies were those that limited the sale of alcohol (Turrisi et aL, 1999). Aggression and alcohol among college students is a major concern. Male college students who are defined as "sensation seekers," exhibit more aggressive tendencies after having consumed alcohol than do sensation seekers who have not consumed alcohol (Cheong and Nagoshi, 1999). Firearm use among students has also recently become a public health issue. Seven percent of college students surveyed during the 1994/95 academic year indicated that they had carried a weapon during the last 30 days. Those students who carry firearms are more likely to have been the victims of violence, and the men who carry firearms consume significantly more alcohol than their unarmed peers. Differences between armed and unarmed female students were not as consistent (Presley et al., 1997). Students surveyed about expectations related to alcohol consumption report that they perceive that they have increased power and aggression while intoxicated (Lundahl et al., 1997). Medical problems due to alcohol related injuries and illnesses are likely to be under-reported due to the current financing structures of medical care (Wright & Slovis, 1996). Research conducted by Wright et al., (1998) showed that during one academic year at the University of Tennessee, 16% of students were admitted to the emergency department of the local hospital for alcohol related emergencies. Although there were equal numbers of male and female students, white students and freshmen were over-represented. While the researchers estimated that one out of every fifteen students at the University of Tennessee could be expected to come to the emergency room with an alcohol related emergency during their four years in college, those data may well be an underestimate. 12 College students report that when they drink alcohol they expect positive, global effects from intoxication, including sexual enhancement (Lundahl et al., 1997). Because of this, unintended sexual contact and unsafe sexual practices are associated with alcohol consumption among college students (Noormohamed et al., 1998; Sax, 1997; McNair et al., 1998; Goldstein et al., 1998). At the same time, heavy alcohol use has been shown to be a factor in sexual victimization of college women (Synovitz and Byrne, 1998; Gross and Billingham, 1998). Among college women, alcohol consumption and sexual victimization are strongly correlated, as are being a sorority member and sexual victimization, while for college men, sexually permissive attitudes and attitudes about rape were more strongly correlated with being the perpetrator of sexual victimization (Tyler et al., 1998). Drinking games among men, however, are strongly associated with instances of sexual victimization (Johnson et al., 1998). Heavy alcohol consumption among college students also has been shown to adversely affect memory and acquisition for both verbal and numerical domains (Sher et al., 1997). Furthermore, research has indicated that individuals in the 21 24 year age group had more significant memory impairment after episodes of intoxication than did individuals in the 25 - 29 year age group (Acheson et al., 1998). This research supports animal models that have shown that alcohol is a more potent antagonist of memory in adolescent animals than it is in adult animals. Students who fall asleep in class consume more alcohol than do students who do not fall asleep in class (JeanLouis et al., 1998). Additional research, however, has indicated that although there is a strong relationship between alcohol consumption and academic problems, particularly for freshmen students, much of the association appears to be attributable to preexisting differences among students on admission to college (Wood et al., 1997). Prevention Strategies An attempt at changing false perceptions regarding binge drinking experienced some success at Northern Illinois University. Sanders (1997) reported that a survey 13 conducted in 1988 revealed that 43% of the students engaged in binge drinking, while students reported that they thought 69.7% engaged in binge drinking. The 43% figure was reported in the campus newspaper and student volunteers gave $1.00 to each student who gave the correct figure. A subsequent survey in 1995 revealed that 27.7% of the students reported binge drinking, while students reported that they thought 42.9% engaged in the behavior. It appears as though a change in the perceived norms has an impact on the actual norms. Although data regarding the success or failure of other alcohol prevention programs on college campuses are limited, there are other programs that are currently being implemented that involve the changing of college drinking norms. Cornell University in New York and Chapel Hill University of North Carolina are implementing a three-phase program that involves the use of surveys and media to address the alcohol related norms on campus. Final implementation of the program will take place in the year 2001. The Village of Potsdam and SUNY Potsdam have responded to the local alcohol abuse problem in several ways. The local police department has developed the Canton-Potsdam Alcohol Enforcement Task Force. This involves increased enforcement of alcohol-related policies (sobriety-testing, alcoholic beverage control) and employee training in alcohol enforcement. The Police Department believes the increased presence of the police will discourage alcohol-related offenses. Village police officers speak to freshman students and their parents during orientation, and present those in attendance with a pamphlet detailing local ordinances related to alcohol and other issues. Recently, Potsdam Village police have begun sending a letter home to parents of students who are involved in an alcohol-related incident. For the most part, according to the police department, parents are appreciative and supportive of these letters. This increases communication between the parents and local officials, they believe, and will decrease the number of repeat offenders. Another local municipal initiative recently implemented is keg registration. Local merchants who sell beer kegs are encouraged to ask those purchasing a keg of beer to sign a release reminding them of the legal ramifications of underage drinking. 14 According to police officials there has been at least one instance of the individual choosing not to purchase the keg based on this registration initiative. The department also uses the keg registration form to identify households hosting parties with alcohol and to speak with the hosts before the event, reminding them of local ordinances and offering support if need be. Potsdam Village police have been offering Employee Alcohol Awareness Seminars since 1995, where servers of alcohol are trained in and what they can do toreduce alcohol-related incidents. The Potsdam Village Police department claims to have success with these programs. Additional approaches involve street signs warning of regulations prohibiting open alcohol containers and other public notices regarding information related to the services the Potsdam Village police provide. 15 CHAPTER 3 METHODS Instrument The instrument for this intervention was the Student Alcohol Questionnaire (SAQ), which was developed by researchers at Indiana University and the State University of New York at Potsdam. The questionnaire (Appendix A) consists of 84 items. Questions 1-8 ask about demographic information, items 9-32 ask about selfreported alcohol consumption behavior, items 33 and 34 ask about tobacco use, items 35-60 test the subject's knowledge about alcohol, and items 71-84 measure the subject's attitudes towards alcohol. The SAQ was amended to meet the needs of this research. Dr. David Hanson, one of the authors of the SAQ provided assistance with these changes. The college majors were changed to reflect the majors at SUNY Potsdam and an additional question about living arrangement was added. Other minor changes were made in the demographic section of the SAQ. A question about drinking cohorts and a question about coerced sexual activity were moved from the attitude section to the behavior section. An additional question regarding the number of roonmiates who drink to intoxication each week was added to the behavior section. No changes were made to the knowledge section. The rest of the original questions regarding attitudes were removed and six additional Likert-styie statements regarding attitudes about alcohol were added to the bottom of the questionnaire. Those statements are: 1. Drinking alcohol is an important part of college life. 2. Shy or inhibited people have an easier time meeting new people when they are drunk. 3. In Potsdam there are many things to do besides drinking. 4. A party without alcohol is not much fun. 5. Getting drunk once or twice a week is okay. 16 6. Drinking alcohol is a good way to relieve the stresses of college life. The attitude portion of the survey was constructed as Likert-style opinion statements that produced a score relative to the subject's attitudes about drinking alcohol in college. Scores for each item ranged from zero to three, with three being the score most highly related to a positive attitude about alcohol consumption in college. As there were six total items, a student could have a score as high as an eighteen (a very positive attitude about college drinking), or as low as a zero (a very negative attitude about college drinking). Three SUNY Potsdam professors and a group of eight undergraduate students assessed the validity of the six additional questions. The students recommended changing the phrase "Drinking to intoxication" in statement five to "Getting drunk." Originally there were five attitude statements and the students recommended adding a statement about parties and alcohol (#4) for a total of six statements. Twenty-one undergraduate students assisted in assessing the internal consistency of the attitude scale. Their scores on the attitude scale were used to calculate Cronbach's alpha, which yielded a coefficient of .86. Knowledge scores for each subject were calculated as the number of correct answers. On the knowledge portion of the survey subjects were instructed not to guess. This was an attempt to minimize correct guessing on the part of the student so that the knowledge score measured only what the student was sure he or she knew. Behavior scores were a composite of scores for amount of alcohol consumed, frequency of drinking and consequences related to intoxication. Items 10 15 measured amount of alcohol consumed at one time, and frequency of drinking. Each item had 5 possible choices. For the frequency of consumption questions, choices were "1. every day," 2. "at least once a week, but not every day," 3. "at least once a month, but less than once a week," 4. "more than once a year but less than once a month," and "5. once a year or less." Subjects received five points for each choice of 17 item number 1, 4 points for item number 2, 3 points for item number 3, 2 points for item number 4, and 1 point for item number 5. For the amount of alcohol consumed in one sitting questions, choices were 1. "more than six (beers, glasses of wine or shots of liquor)," 2. "five or six...,,, 3. "three or four...," 4. "one or two... ," 5. "less than one...." Subjects received five points for every answer of number 1, 4 points for number 2, 3 points for number 3, 2 points for number 4, and 1 point for number 5. Students who had a combination of number ones or twos for amount and frequency for either beer, wine or hard liquor received an additional five points and were classified as a "heavy drinker." This classification of "heavy drinking," i.e. more than five drinks at a time at least once a week is an accepted public health definition (Greenfield, 1998; Mikanik et al., 1996). Subjects received an additional five points if they answered "yes" to item number 17 regarding sexual coercion. Behavioral consequences of intoxication were included in items 19 36. Subjects received an additional five points for every consequence item that they checked. In addition, for identification and matching purposes, subjects were asked to write in the last six digits of their social security number. Items 33 and 34, in regard to tobacco use, were eliminated from the survey. Reliability (Engs and Hanson, 1994) and validity (Engs, 1978) of the instrument have been published. Permission to use the instrument was granted by the authors. Reliability and validity of the last six statements were assessed by a group of SUNY Potsdam students and faculty before the questionnaire was administered. The Interventions "Alcohol 101" is a new computer-based CD Rom interactive alcohol education program for college students. The University of Illinois at Urbana/Champaign developed it in collaboration with the Century Council, an organization funded by the nation's leading distillers of alcoholic beverages. According to information that 18 accompanies the program, "Alcohol 101 was created to reduce the harm associated with the misuse of alcohol. The program provides the physiological, psychological and legal information to help college students make responsible decisions about drinking. Or not drinking." The Century Council provided the CD Rom disks to SUNY Potsdam to use as the university saw fit and without restrictions or obligations. The program is presented to students as a cyber game. The setting for the game is a college party where students at the party make decisions about alcohol and are able to see the consequences of those decisions. For the classroom instruction, the program uses an LCD projector with a computer interface. The Lesson Plan that accompanies the program guides the instructor through the activities in a stepwise fashion. The use of motivational speakers is a popular method of providing information about the hazards of drug or alcohol abuse to college students. The National Collegiate Athletic Association (NCAA), for example, provides funding for participating schools to engage speakers for their athletes about drug education or weilness programs. The NCAA provides a list of potential speakers, and more than half of them focuses on alcohol. The motivational speaker for this research was Rick Waters, a counselor with the St. Lawrence County Alcohol Services Agency. Mr. Waters is an experienced teacher and alcohol counselor. His presentation was approximately 60 minutes in length and covered the same subjects as the Alcohol 101 presentation - drunken driving, overdose, aggressive behavior and unplanned sexual behavior. Dr. Neil Johnson, the chair of the Community Health Department, was the facilitator for the Alcohol 101 presentation. Dr. Johnson taught at SUNY Potsdam for 37 years. He is a well-known and respected professor on campus. 19 Subjects The unit of analysis for this research varies by the type of analysis. The randomly selected class is the unit of analysis for the MANOVA and ANCOVA procedures. The individual is the unit of analysis for the multiple regression procedures. The SLJNY Potsdam Registrar provided a list of seventy-five minute classes that begin at 9:30 am on Tuesday and have enrollments that include at least 10% freshmen students and 10% seniors. From this list, a random sample of nine classes was selected, with a total enrollment of 370 students. The subjects for this research were the undergraduate students over the age of 18 who were enrolled in the classes. A tabular description of the demographics of the sample is found in Appendix B. The classroom professor served as the survey administrator. At the first administration of the survey, student subjects were asked to participate in the study. The classroom professor read the informed consent document to the students in his/her class and provided a copy of the document to each student. The survey took about 15 minutes to complete. Study Design Research Questions #1 and #2 were conducted as pretest posttest control group designs. The classroom was the unit of analysis. Research Question #3 was conducted as descriptive research and the individual student was the unit of analysis. All subjects completed the SAQ on Tuesday, September 21, 1999. This was the fourth week after students returned to campus for the Fall, 1999 semester. Classrooms that were randomly selected for the research were randomly assigned to one of the two interventions or as a control classroom. The subjects in the control classroom did not take part in an intervention and proceeded with regular classroom activities. The 20 interventions took place on September 23, 28, and 30, 1999. The survey was readministered on October 26, November 16 and December 7, 1999. Question #1 The design for this question was a pretest/posttest control group design. The unit of analysis for this question was the class. This question was analyzed using analysis of covariance (ANCOVA) for the mean self-reported alcohol behavior posttest scores for each of the three groups. The pretest scores were used as the covariate so that variability that can be attributed to differences in self-reported preintervention behavior was partitioned out of the analysis. Separating self-reported alcohol behavior from knowledge and attitude for this research can be defended. During the Demonstration Phase of the Alcohol 101 program, which was conducted by the University of Illinois at Urbana/Champaign, measurement of alcohol consumption behavior only examined intent to engage in alcohol consumption prevention behaviors. Actual behavior (self-reported or otherwise) has not, as yet, been measured or analyzed for the Alcohol 101 program. Examining any actual changes in self-reported behavior will provide important information about the effectiveness of the program. There is scant research, as well, that documents the effectiveness of motivational speakers to actually change risktaking behaviors. A two-tailed level of significance was set at 0.05. Power was set at 0.80. Effect size for this research had to be estimated from data gathered from the Alcohol 101 Demonstration Phase research (Reis, 1999). Comparing post intervention knowledge of students who took part in the Alcohol 101 intervention to knowledge of the control group students revealed statistically significant effect sizes ranging from 0.16 to 0.37. Based on these preliminary data, effect size for this research was estimated at 0.20. Sample size for an ANOVA analysis with an estimated effect size of .20, alpha at 0.05 21 and power at 0.80 would be approximately 81 subjects per group. For all but the fourth survey, there were more than 90 subjects per group. Question #2 The research for this question was conducted as an experimental pretest posttest control group design. There was random assignment to either an intervention group or a control group. The unit of analysis was the class. There were three levels of the independent variable, which was exposure to an alcohol education intervention An Alcohol 101 Group, a motivational speaker group and a control group. The dependent variables were self-reported alcohol-consumption behavior, knowledge about alcohol, and attitudes about alcohol. Individual subject values for self-reported alcohol consumption behavior, knowledge about alcohol and attitudes towards alcohol were scored and calculated. Using the posttest scores, multivariate analysis of variance (MANOVA) was used to test the null hypotheses for this question. Health behavior is often related to the individual's attitudes and knowledge about the particular behavior. Research (Marietta, 1999; Tessaro, 1997) has demonstrated that changes in knowledge can influence both attitudes and behavior in college students. Because of this, knowledge about alcohol, attitudes about college drinking and actual drinking behavior may not be independent of each other. MANOVA techniques were used in answering this question in order to account for the potential relationship between the dependent variables. Because the dependent variables are capable of influencing each other, MANOVA is able to provide a more powerful statistical analysis than would multiple univariate analyses. Wilk's lambda and the corresponding F-value were reported. A two-tailed alpha level of 0.05 was specified. Although random assignment should theoretically provide for homogeneity of variance, the pretest scores were analyzed to 22 ensure that homogeneity of variance between groups did exist. Box's M was used to test for this. For post-hoc testing of the results, discriminant analysis was used to determine if the values for the dependent variables were able to discriminate among the three groups. Values of the independent variables were fitted into the discriminant function for each subject. Subjects were then assigned to groups based on their discriminant score (D). Accuracy of predicted group membership (Alcohol 101, motivational speaker or control group) was reported and compared to the results of the MANOVA analysis. The Scheffe Comparison was proposed to be used post hoc to determine which population means were significantly different, if any. As recommended by Scheffe (Scheffe, 1959), a significance level of 0.10 was specified to avoid excess Type II error. Since MANOVA is robust to modest violations of normality as long as the violations are due to skewness and not outliers, any outliers that were more than three standard deviations from the mean for that group were eliminated from the MANOVA analysis using the "case selection" procedure in SPSS. Equal sample sizes, homogeneity of variance and a sample size that produces more than 20 degrees of freedom in the univariate case also allow for robustness of the test. Question #3 This question was addressed as descriptive research, with an attempt to determine the strength of the relationship between self-reported alcohol consumption behavior and four predictor variables - gender, grade point average, class level, and religion. Multiple regression techniques were used. The pretest scores for the entire sample were analyzed. The unit of analysis was the individual student. 23 Self-reported alcohol consumption behavior was determined from the responses to items 10-3 6 of the SAQ. To ensure that the assumption of linearity was met between the predictor and outcome variables, a scatter plot of the residuals was constructed. Visual analysis of the residuals assured that this assumption was met. While it was not expected that the predictor variables will be highly correlated with one another, multicollinearity was addressed by performing correlation analysis between the predictor variables before the regression was run. The total variance of self-reported alcohol consumption behavior that can be predicted by the regression equation was reported as an R2 value. An F value for the analysis of variance for the regression analysis was also reported. The F value determined if the equation provided an explanation of self-reported alcohol consumption behavior that is better than chance. Performing a test of significance (alpha tested the null hypothesis H0: b = 0. 0.05) for each regression coefficient Standardized beta weights were used to determine the relative contribution of each attribute variable to self-reported alcohol consumption behavior. Dummy variables for the discrete predictor variables were constructed to code for the presence or absence of the following categories: Gender (female = 1); Class level (Sophomore status = 1, Junior status 1, Senior status 1); Religion (Roman Catholic = 1, Member of a Protestant denomination that allows drinking = 1 Jewish = 1, Member of a Protestant denomination that does not allow drinking = 1) Variables were not constructed for Freshman status or No Religion. Muslim students were not represented in the sample. Threats to Design Validity Potential threats to internal validity for this research are minimized due to randomization and the presence of a control group. Attrition was the greatest potential threat to internal validity. Those students who engage in risky alcohol consumption behavior would be those who are likely to be absent from class during the follow-up 24 surveys. The presence of a numerical identification number and cross checking of subsequent surveys helped to minimize this threat. Graphical assessment of data screening is found in Appendix C and a tabular presentation of the results of data screening assessments is found in Appendix D. Summary results of the data analysis is presented in tabular form in Appendix B. The extent to which the results of this research can be generalized to other populations is limited to undergraduate college students in the Northeastern or Atlantic areas of the United States. Students at SUNY Potsdam are recruited from all regions of the state of New York and Eastern United States. Additional Descriptive Data Descriptive data includes: Preintervention associations between self-reported heavy drinking and age, gender, SUNY Potsdam School, grade point average, membership in a Greek fraternal organization, on or off campus living arrangement, class level, heavy drinking behavior of roommates, and coerced sexual encounters. Chi square tests of independence were used to test the associations and a significance level of 0.05 was specified. Also reported in tabular form in Appendix F are mean scores for knowledge, attitude and self-reported behavior for the pretest responses for the total sample and posttest by group. These mean scores are further stratified by gender, age, grade point average and religion. Survey Anonymity Students who did not wish to participate in the research were given the choice to decline to complete the survey. Only one student, on the third survey, did so. The survey instrument specifies that the subjects not write their names on the survey. For this research, each subject included the last six digits of his or her Social Security 25 Number at the top of the form. No other descriptors or identifiers were used. All surveys and raw data will be destroyed at the completion of the research project. Institutional Review Board applications and approvals for both Oregon State University and the State University of New York are found in Appendix F. Statistical Analysis All statistical analysis procedures were conducted using the Statistical Package for the Social Sciences (SPSS) for Windows, Version 9.0. CHAPTER 4 RESULTS This chapter will provide a description of the sample and data screening techniques that were used to test statistical assumptions before the data analyses were run. Also included in this chapter are the results of the data analysis for all three research questions and a description of preintervention associations. Description of the Sample Sample size A total of 370 students from nine different classes at the State University of New York at Potsdam completed the Student Alcohol Questionnaire at least once during the Fall, 1999 semester. To conform with Institutional Review Board protections for minors, the data from two seventeen-year old students and one sixteen- year old were deleted from the data matrix. In addition, since the research was concerned only with undergraduate college students, six graduate students and one student who listed his or her grade level as "other" were eliminated as well. Graduate students were eliminated from the analysis through the "case selection" procedure in SPSS. This left a final sample size of 360 undergraduate students. During the Fall, 1999 semester, there was a total of 3587 undergraduate students enrolled at the university. The sample, therefore, comprises approximately 10% of the total undergraduate students at the institution. There were 111 students in the three classes that comprised the Alcohol 101 intervention, 147 students in the three classes that made up the motivational speaker intervention and 102 students in the three classes that comprised the control group. 27 Gender of the sample According to the SUNY Potsdam Office of Assessment and Institutional Research, approximately 61% of the students enrolled during the Fall, 1999 semester were women and 39% were men. In this sample, 211 students (5 8.6%) were women and 149 students (41.4%) were men. There was a slightly higher percentage of men students in the Alcohol 101 group and a slightly higher percentage of women students in the control group. Gender of the sample by group is presented in Table 1. Table 1 Gender of the Sample by Group Gender Group Total Male Female Alcohol 101 51 Motivational Speaker Control 63 35 149 60 84 67 211 Total 111 147 102 360 Ages of the sample Ages for this undergraduate sample ranged from 18 to 51. Students between the ages of 18 and 23 comprised 89.4% of the sample, however. The median age was 20. Those students who were either 18 or 19 years old comprised 38.7% of the sample, 20 year olds comprised 23%, 21 year olds comprised 16%, 22 year olds comprised 8% and 23 year olds comprised approximately 3% of the sample. In the Alcohol 101 group 88.2% were between 18 and 23. In the motivational speaker group 86.2% were between 18 and 23, and in the control group 95% of the students were between 18 and 23. 28 Undergraduate majors At SUNY Potsdam, there are three schools: The School of Arts and Sciences, The School of Education, and the Crane School of Music. In the Fail, 1999 semester, 55% of those undergraduates who had declared a major were in the School of Arts and Sciences, 20% were in the School of Education, and 16% were in the Crane School of Music. In the sample for this research, 53.5% of the students were in the School of Arts and Sciences, 20.6% were in the School of Education and 8% were Crane students. Students who had not yet declared a major comprised 17.5% of the sample. One student declined to name a major. Similar percentages occurred in each of the three groups. Approximately 10% of the students in the motivational speaker group and the control were Crane students and there were 3.6% Crane students in the Alcohol 101 group. Year in school Inclusion criteria for selecting classes for this research specified that the class must have had at least ten percent of its enrollment made up of freshmen students, and ten percent seniors. That criteria resulted in classes that yielded the following analysis of class level for the study: Eighty-one students (22.5%) were freshman, 105 (29.2%) were sophomores, 96 (26.7%) were juniors, and 78 (21.7%) were seniors. Similar percentages were seen in the individual groups, with the exception of the 19 freshmen students in the Alcohol 101 group, who made up 17.3% of that group. Grade point average Grade point averages (GPA) for this research were self-reported, and should be considered as such. SUNY Potsdam grades are numerical and range from 0.0 to 4.0. In the total sample, 5 students (1.4%) reported a 4.0 GPA, 57 (15.8%) reported a 3.5, 102 students (28.3%) reported having a GPA of 3.0, 78 (21.7%) reported a 2.5, 38 (10.6%) reported a 2.0 and 6 students (1.7%) reported a GPA of less than 2.0. Fifty-nine first semester freshmen, who comprised 16.4% of the sample, do not have a GPA yet. Fourteen students, or 4% of the sample declined to report their GPA. Similar GPAs were seen in the breakdown by individual group. Ethnicity According to the SUNY Potsdam Institutional Demographic Database, 2.8% of the students are black, 1.8% are Latino, 0.8% are Asian Pacific Islanders, 1.8% are Native Americans, and 83.7% are white. Approximately 9% of the students are nonresident foreign students or decline to state their ethnic background. In the total sample for this research, 9 (2.5%) of the students are black, 8 (2.2%) are Latino, 10 (2.8%) are Native Americans, 2 (0.6%) are biracial or multiracial and 320 (8 8.9%) are white. Students who describe themselves as "other" or who declined to state their ethnicity comprised 2.8% of the sample. Membership in fraternities or sororities In the total sample, approximately 43 (12%) of the students belong to Greek organizations. This compares to eleven percent of the students in the larger SUNY Potsdam campus who belong to fraternities or sororities. Membership in Greek organizations in individual groups included 24 students (16.3%) in the motivational speaker group, 12 students (11%) in the Alcohol 101 group and 7 students (7%) in the control group. Religion For the entire sample, 167 (46.4%) students were raised in the Roman Catholic faith, 83 (23.1 %) were raised in a Protestant faith that allows the consumption of alcoholic beverages, 15 (4.2%) were raised in a Protestant faith that does not allow the consumption of alcoholic beverages, and 11 (3.2%) are Jewish. Seventy-one students (19.7%) reported being raised with "none or other" religious faith. Thirteen students (3.6%) declined to answer the question. Muslim students were not represented in the sample. For the entire group, 54 students (15%) considered religion to be "very important" in their lives, 104 (2 8.9%) considered religion to be "moderately important," 106 (29.4%) considered religion to be "mildly important," 90 (25%) considered religion to be "not important" in their lives, and 6 students (1.7%) declined to respond. Living arrangement and drinking cohorts More than half of the students in the sample live in either a dormitory double room or off campus with other students (29.2% and 25% respectively). Fifty-eight (16%) students in the sample live in a dormitory suite with other students, 49 (13.6%) live off campus with family, 33 (9.2%) live in single dormitory rooms and 18 (5%) live off campus alone. Approximately two percent of the students declined to state their living arrangement. When the students in this sample drink alcohol, 295 (82%) drink with their friends. Seven students (1.9%) drink with their parents. One student in the total sample indicated that he or she drinks with a date. Approximately 15% of the students surveyed do not drink alcohol. Seventy-nine students (21.9%) in the total sample answered "none" to the question "How many of your housemates/roommates get drunk each week?" Seventy- 31 eight students (21.7%) answered "one," 32 (8.9%) answered "two," 15 (4.2%) answered "three," and 37 (10.3%) answered "four or more." Sixty-seven students (18.6%) indicated that they do not live with other students. Fifty-one students (14.2%) declined to answer the question. (Students who do not drink at all were instructed to skip all of the questions regarding alcohol consumption behavior.) Coerced sexual activity During the Fall, 1999 semester, 4 students in the total sample (1.1%) indicated that they had either forced sexual activity on another person or were forced into sex themselves. Three of these students were in the motivational speaker group and one was in the control group. Heavy drinking In the total sample, 117 students (32.5%) met the criteria for heavy drinking, i.e., five or more drinks at one time at least once a week. Two hundred forty three students (67.5%) did not. Individual groups revealed similar percentages. Data Screening Scores for aftitude, self-reported behavior and knowledge about alcohol were calculated for each student in each group and entered into the data matrix. The calculated attitude scores ranged from 0 to 18, with 18 the highest possible score. The highest possible score on the knowledge part of the survey was 36, and the highest score calculated during the research was 31. The highest possible score for the selfreported behavior part of the survey was 125, and the highest calculated score for any one student during the research was 89. 32 Screening of the data for this research began with proofreading of the data matrix. Scores that did not appear to be plausible were analyzed and corrected. One case had ethnicity entered as a "2.5" for example. Another case had a zero instead of a 99 entered for a knowledge score. Means and standard deviations for all outcome variables were examined by group to determine if they fell within reasonable limits. Missing values Missing value labels were examined to ensure that all outcome variables had been correctly labeled. Not all of the students in the total sample completed the survey every time it was administered. The scores for all three-outcome variables were entered as missing values if a student was not present at the time of the survey administration. Approximately 20% of the total sample was absent from class for the first two survey administrations. Twenty five percent were absent for the third administration and 31% were absent for the fourth administration. The similarity of the means for all outcome measures from survey to survey did not reveal a nonrandom pattern among student absences. Those students with high self-reported behavior scores were not more likely to be absent than those with lower scores, for example. All surveys were scored by hand. If a student answered the behavior section, and did not complete the knowledge or attitude sections, it was assumed that the student arrived in class late and did not have time to finish the survey. These students were assigned missing values for their attitude and knowledge scores. Since the survey instructs the subject to skip all of the self-reported behavior questions if the subject does not drink alcohol at all, students who did not answer the behavior part of the survey but did answer the attitude and knowledge sections were assigned a score of zero rather than a missing value for behavior. 33 Outliers Since multivariate procedures are sensitive to the presence of outliers, the data were carefully scrutinized to find outliers and determine their fate for the purposes of this research. Outliers in this study were determined to be those scores that were more than three standard deviations from the mean. An examination of the means and standard deviations for the outcome variables revealed that for the knowledge and attitude scores, a score that is more than three standard deviations from the mean lies beyond the limits of that individual data set. For the self-reported behavior scores, stem and leaf plots were constructed to explore for outliers. Outliers on the behavior scale were eliminated through the "case selection" procedure in SPSS. For analysis of the first and second survey data, cases were selected if the behavior score was less than or equal to 67, for the third survey less than or equal to 65 and less than or equal to 61 for the fourth survey. The behavior scores for two subjects on the first survey and two subjects on the fourth survey were more than three standard deviations from the mean and were eliminated from the analysis. Several behavior scores were identified as being 1.5 standard deviations from the mean, but were left in the data analysis. In addition, stem and leaf plots for behavior scores before and after case selections were examined. Normality Assessing whether the data were normally distributed, in order to meet assumptions of normality, was conducted both visually and statistically. Histograms of all outcome variables, overlain with a normal curve were constructed. Stem and leaf plots and probability plots were also constructed. Graphs for the histograms overlain with a normal curve were constructed. Stem and leaf plots and probability plots were also constructed. No violations of normality were identified. 34 Statistical analysis of normality was conducted through an examination of skewness and kurtosjs of the outcome variables. These data were close to zero for all of the variables that were examined. Homogeneity of variance Correlation matrices were examined to explore for any possible inflated or deflated correlations. The highest correlation (r .6 for all groups) was between attitude and self-reported behavior.) Correlations between knowledge and selfreported behavior, and knowledge and attitude were not strong. Homogeneity of variance across all levels of the outcome variables was assessed through Box's M. For all of the outcome variables of the first three surveys, Box's M was not significant at the 0.05 level, and the null hypothesis was not rejected. Box's M was significant for the fourth survey administration, however. Linearity An examination of correlations and scatterplots assessed linearity between pairs of outcome variables. The strongest linear relationship was found between attitude and self-reported behavior. Many subjects had high knowledge scores together with low self-reported behavior and attitude scores. Since linearity is a statistical assumption for MANOVA techniques, those dependent variables with knowledge in the combination, therefore, may not provide as much information about the effectiveness of the intervention. Any significant effects in the MANOVA procedure would be expected from combinations of attitude and self-reported behavior scores where the strongest correlations were found. Univariate analysis of variance was performed on the knowledge scores for all of the three post intervention surveys. Scores were not significantly different for any 35 of the three measures. (p .360 for the second survey; p = .260 for the third survey; and p = .158 for the fourth survey.) Means for the control group knowledge scores were higher than the intervention groups for each post intervention measurement. Research Question #1 Is there a significant difference in self-reported alcohol consumption behavior between undergraduate college students who participate in different types of alcohol programs? This question was answered using Analysis of Covariance (ANCOVA) procedures. The independent variable was one of two alcohol education programs or the control group, the dependent variable was the self-reported post intervention behavior score for each of the three post intervention measures, and the covariate was the first pre-intervention measure of self-reported behavior. Since ANCOVA only yields meaningful information when a number of assumptions are met, additional data screening was performed before the analysis was conducted and is described below. Linearity of the covariate Analyzing the correlation between the covariate and the dependent variables assessed linearity of the covariate. Correlations ranged from .897 for the first and second behavior measures to .781 for third and fourth behavior measures. Equality of slopes Equality of slopes of the regression lines, in order to assume that the regression of the post intervention behavior scores on the pre-intervention behavior scores for all 36 three groups was the same, was tested using ANOVA. Cases less than three standard deviations from the mean were selected for the analysis. The interaction effects between group and first behavior for each post intervention measure showed no evidence of violation of the equal slopes assumption. Independence of the covariate In order to produce meaningful data from analysis of covariance, the covariate must be related to the dependent variable, but must also be independent of the treatment effect. The first behavior score as the covariate meets this assumption. Analysis of covariance Behavior scores for each post intervention measure were not significantly different across groups. ANCOVA results are presented in Table 2. Table 2 Summary Results of Analysis of Covariance Measure R squared Df Second Third Fourth .805 .659 .620 2 2 2 Mean Square 77.77 209.490 12.986 F Sig. 1.934 2.99 .210 .15 .054 .81 37 Research Question #2 Are self-reported alcohol consumption behavior, knowledge about alcohol, and attitudes about alcohol significantly different between undergraduate college students who have participated in different types of alcohol education programs? Are any differences sustainable for a twelve-week period? Multivariate analysis of variance was performed on the post intervention scores for each survey administration with the intervention group (Alcohol 101, motivational speaker or control) as the independent variable. Four procedures were performed each time, with different groupings of dependent variables: Posttest attitude, knowledge and behavior; attitude and behavior; attitude and knowledge; and knowledge and behavior. There were no significant differences between groups for any of the measurements. Wilk's lambda values ranged from .983 (p = .395) for the fourth measurement of knowledge and self..reported behavior to .998 (p = .972) for the fourth measurement of attitude and self-reported behavior. Summary results are presented in Table 3. Table 3 Summary results of Multivariate Analysis of Variance Survey Wilk 's F value Second Second (KA) Second (KB) Second Hypothesis Error df Sig. df Lambda Value .991 .349 6.0 460.0 .91 .989 .766 4.0 578.0 .55 .991 .651 4.0 582.0 .63 .996 .284 4.0 578.0 .89 38 Table 3, Continued Third (KAB) .987 .580 6.0 514.0 .75 Third(KA) .989 .987 .995 .982 .703 .862 .341 .702 4.0 4.0 4.0 6.0 518.0 522.0 516.0 454.0 .59 .49 .85 .65 .985 .983 .998 .857 1.022 .130 4.0 4.0 4.0 458.0 462.0 470.0 .49 .40 .97 Third (KB) Third (AB) Fourth (KAB) Fourth (KA) Fourth (KB) Fourth (AB) The attitude arid behavior scores were given particular scrutiny apart from the other scores, as these pairings were the only ones that met all the MANOVA assumptions, including linearity. No trends were identified. (Second survey p = .888; third survey p = .850; fourth survey p = .972.) Since preintervention associations indicated an association between heavy drinking and gender, i.e., men drink more than women do, the MANOVA analyses were conducted separately for women. Although the analysis revealed higher Wilk's lambda values, and less likelihood that the differences could have occurred by chance, none of the values was statistically significant. An analysis of means for women by group, however, revealed a trend in the measurement of attitude and behavior for the second survey (MANOVA p .05 2). Means for knowledge, attitude and behavior for women in the Alcohol 101 group were essentially unchanged between the first survey and the second survey. For women in the Motivational Speaker group, however, means for the second knowledge measurement were 2 points higher than they were for the first knowledge measurement, and mean behavior scores were 2.4 points lower. Mean attitude scores were just slightly higher (7.66 for the first and 7.97 for the second). In the control group, mean attitude scores were not changed from the first measurement to the second, but mean knowledge scores for the second survey were almost four points higher than for the first survey, and mean behavior scores were 2 points higher. Results of MANOVA analyses for women are presented in Table 4. 39 Table 4 Summary results of Multivariate Analysis of Variance for Women Students Survey Wilk 's F value Lambda Second (KAB) Second (KA) Second (KB) Second (AB) Third (KAB) Third(KA) Third (KB) Third(AB) Fourth (KAB) Fourth (KA) Fourth(KB) Fourth(AB) Hypothesis Error df Sig. df Value .941 1.709 6.0 332.0 .12 .988 .520 4.0 334.0 .72 .957 1.877 4.0 336.0 .11 .945 2.376 4.0 334.0 .052 .948 1.431 6.0 316.0 .20 .971 .952 .955 .965 1.17 2.00 1.866 .866 4.0 4.0 4.0 6.0 318.0 322.0 318.0 292.0 .32 .09 .12 .52 .982 .963 .970 .672 1.411 1.159 4.0 4.0 4.0 294.0 296 300.0 .61 .23 .33 Although none of the results was significant, post-hoc discriminant analysis was performed to determine if was possible to determine individual students' groups based on their survey scores. For the second survey, 41.6% of the original grouped cases were correctly classified; for the third survey, 3 9.6% were correctly classified; and for the fourth survey, 37.2% were correctly classified. For all three measurements, the first discriminant function consisted of the knowledge and behavior scores, and the attitude scores comprised the second discriminant function. None of the functions was significant at the 0.05 level of significance. Means for knowledge, attitude and self-reported behavior were examined to ascertain any possible non-significant trends in the results. For the attitude scores, only slight differences were seen. Mean scores ranged from 7.9 for the third measurement 40 among the Alcohol 101 group to 9.1 for the fourth measurement among the control group. For the knowledge measurements, the mean score for the control group was approximately 1.5 points lower than the intervention groups on the first survey. On the three post intervention surveys, however, the mean knowledge score for the control group was slightly higher than the intervention groups. For the self-reported behavior scores, the mean scores for the two intervention groups was approximately 2.5 points higher than the control group on the first survey. On the second survey, self-reported behavior scores for the two intervention groups were slightly lower than the control group. On the third survey, the self-reported behavior scores for the control group were still higher, but only slightly so. On the fourth survey, all self-reported behavior mean scores were within 0.3 points of each other. Research Question #3 Among undergraduate college students, can self-reported alcohol consumption behavior be predicted from gender, grade point average, class level, or religion? Multiple regression procedures were used to answer this question. The predictor variables were regressed on the first behavior score. Dummy variables were created for gender (female = 1), class level and religion. Variables were not created for Freshman status or "No religion," i.e. students who indicated that they were not raised in a religious faith. Outliers that were more than 3 standard deviations from the mean were eliminated from the analysis by using the "case selection" procedure in SPSS. Two subjects had behavior scores that were more than three standard deviations from the mean, and were eliminated from the analysis. The independent variables in this regression equation provide approximately 10% of the variance in self-reported alcohol consumption behavior of this sample of 41 undergraduate college students. Only the variable "gender" and membership in a Protestant faith that allows drinking resulted in significant values. An examination of the standardized coefficients reveals that, in this analysis, selfreported grade point average, religion and class level contribute relatively little to the explanation of self-reported alcohol consumption behavior. Coefficients are presented in Table 5. Table 5 Coefficients for Multiple Regression Standardized Unstandardized B 1 (Constant) Gender Grade Point Average Sophomore status Junior Status Senior Status Roman Catholic Jewish Protestant Allows 31.270 -6.058 t Sig Std. Error 6.238 Beta 1.923 -.211 5.013 .00 -3.151 .00 -2.029 1.403 -.098 2 -1.446 .15 1.695 4.519 4.530 4.543 2.317 7.160 2.571 .056 .094 .072 .042 -.039 -.166 .375 .630 .485 .506 -.574 -2.043 6.455 -.066 -.954 2.854 2.201 1.172 -4.110 -5.253 .71 .53 .63 .61 .57 .04 Drinking Protestant No -6.160 .34 The linear fit of the equation was tested using ANOVA procedures (j, = .043). This model provided an explanation of self-reported alcohol consumption behavior that is better than chance. A scafterplot of standardized residuals against standardized predicted scores was constructed to examine whether assumptions of normality, linearity and homoscedasticity were met. The plot did not reveal any violations of these assumptions. 42 Preintervention Associations Associations between a number of demographic variables and drinking behavior were explored for this research. The dichotomous variable "Heavy Drinking" was used as the measure for alcohol consumption behavior. Students who met the criteria for heavy drinking, i.e. five or more drinks in a row at least once a week, were considered heavy drinkers. Chi square tests of independence were used to test associations between drinking behavior (heavy drinking or not heavy drinking) and 1. Age of the student; 2. Gender; 3. SUNY Potsdam School; 4. Grade point average; 5. Membership in a Greek organization; 6. On or off campus living arrangement; 7. Class level; and 8. Number of roommates who get drunk at least once a week. Religion and ethnicity were not analyzed due to counts less than five in at least one of the cells. Only one Jewish student was a heavy drinker and only 3 students who were members of a Protestant faith that does not allow drinking were heavy drinkers. Of the categories of non-white students, only three were heavy drinkers. For the age association, only students between the ages of 18 and 22 were included in the analysis due to small cell counts for all the other ages. First semester Freshmen were not included in the grade point average analysis. In the living arrangement analysis, the only off campus students who were counted were those living with other students. Only five students in the sample reported that they had a 4.0 grade point average (and one was a heavy drinker), so associations between grade point average and drinking behavior were calculated for GPAs below a 4.0. For this sample, heavy drinking was associated with gender, grade point average, membership in a Greek organization, the number of roommates who drink to intoxication at least once a week, and year in school. An association between heavy drinking and SUNY Potsdam School was significant when the Crane School of Music was included in the analysis. In this sample, however, only 3 Crane students were heavy drinkers. When Crane students are removed from the analysis, the chi square statistic is no longer significant at the .05 level of significance. Summary results are presented in Table 6. 43 Table 6 Chi-Square Tests of Association Between Heavy Drinking and Demographic Variables Demographic Variable Gender GPA Greek Membership Intoxicated Roommates Year in School Chi-Square Value Df Sign flcance 26.672 20.260 4.874 1 3 0.065 4 .00 .00 .03 .00 10.261 3 .02 4 1 44 CHAPTER 5 DISCUSSION This research was conducted to evaluate the effectiveness of two different kinds of classroom-based educational interventions that are intended to positively affect attitudes about alcohol consumption, knowledge about alcohol and patterns of alcohol use among undergraduate college students. This research showed that for the students at the State University of New York at Potsdam, these interventions were not effective for the purposes for which they were intended. Human health behavior is a complex set of physical, psychological, cultural, social, economic and organizational factors. Programs that are intended to change health behavior must consider as many of these factors as possible. In addition, programs that focus on unhealthful behaviors of adolescents must address factors of physical and emotional development as well. Beginning with early behavior change models constructed in the l930's and continuing to the detailed human health behavior theories being developed by current researchers, there has not, as yet, been developed a model that can be effectively used to address the problem of college alcohol use and abuse. It is clear from this research that simple education is not such a model. Two different types of classroom education were used. One was "Alcohol 101," a state-of-the-art computer based CD Rom educational program that is intended to be almost completely student-centered. The other was a more traditional teacher-centered lecture-based "motivational speaker" presentation. Both presentations covered the same topics drunken driving, sexual assault, and health consequences of intoxication. The University of Illinois at Urbana/Champaign is conducting demonstration phase research regarding the effectiveness of the Alcohol 101 program. Specifically, the research is concerned with students' attitudes about drinking, and intentions about drinking alcohol or not drinking. A survey for students to use is embedded in the 45 Alcohol 101 program, and in the fall, 1997 semester, 55 university campuses nationwide participated in the demonstration research project. This research has not been published. In addition, a group of 643 undergraduate students at the University of Illinois participated in a research project for a short-term evaluation of the effectiveness of the program. In a method similar to the SUNY Potsdam research, the students were divided into three groups: an Alcohol 101 group, a traditional education group and a control group. Students were questioned about which method of learning they preferred, and the Alcohol 101 students were overwhelmingly favorable to the CD- ROM type of learning. Students were also asked how much they believed they had learned, and there was a statistically significant difference in how much the Alcohol 101 students believed they had learned compared to the other groups. The Alcohol 101 students were also more likely to say that they understand important concepts related to alcohol use and abuse. In terms of changing behavior, students were questioned about how likely they were to change their alcohol consumption behavior in the next month. Approximately 4% more of the Alcohol 101 students indicated that they were considering changing their behavior. This research has not been published. The SUNY Potsdam research, on the other hand, measured actual knowledge (as opposed to asking students how much they believed they had learned) and self reported behavior (as opposed to intentions to change behavior). When considering that only 4% more of the Alcohol 101 students at the University of Illinois indicated that they had intentions to change their behavior, compared to those who received traditional alcohol education, however, there do not appear to be serious conflicts in the results of both research projects. For Research Questions #1 and #2, the classroom was the unit of analysis. The individual was the unit of analysis for Research Question #3. Using printouts from the SUNY Potsdam's Registrar's Office nine different classes that met inclusion/exclusion criteria were randomly selected. In order to reach as many students as possible, 46 inclusion criteria required that the student registration for the class must include at least 10% freshmen and 10% seniors. As a result, most of the classes were General Education 200 level classes. Grade levels were almost evenly divided among the classes. Three of the classes were randomly assigned to the Alcohol 101 intervention, three were randomly assigned to the motivational speaker, and three were randomly assigned to a control group that did not receive any kind of alcohol education presentation. All of the educational programs went smoothly. "Smart classrooms" with the required computer equipment were used for the Alcohol 101 presentations. A computer technician was on "standby" to troubleshoot any potential problems with the equipment or software during each of the computer presentations. In order to ensure high attendance and prevent students from "skipping" class during the days of the interventions, students in classes that received interventions were not informed ahead of time about the presentation. Informal reports from students regarding the presentations were positive and enthusiastic. According to the professor who facilitated the Alcohol 101 classes, students were actively engaged in the presentations, and many remarked afterward that the presentation was "cool." At least two students who heard the motivational speech said that it was the best presentation on alcohol that they had ever heard. Classroom professors acted as survey administrators for each of the four survey administrations. They were sent electronic mail reminders the Friday before the survey, and were provided with surveys on the day before each of the scheduled survey days. Surveys were returned through campus mail. Some of the professors scheduled exam reviews or quizzes on the days of the survey in order to have as many students in class as possible. Approximately 50 students declined to enter the last six digits of their Social Security Number on the survey each time it was administered. For these subjects, it was necessary to match their demographic data each time. 47 The sample of students in this research compared favorably to the larger campus population in terms of gender, age, religion, membership in Greek fraternal organizations and ethnicity. Mean grade point average (2.91) for the sample was higher than the larger campus (2.25) but was probably representative of self-reported grade point average for the rest of the campus. SUNY Potsdam students are overwhelmingly white and Christian, and the sample for this research represented that ethnic group. All of the Roman Catholic students knew their faith, but many Protestant students listed "Methodist" or "Presbyterian" or "Episcopalian" under the category "none or other (please write in)." During hand scoring of the surveys, these students were classified as "Protestant that allows drinking." Statistical analysis showed no differences across groups that could be attributed to the interventions. Not only were there no statistically significant differences between the intervention groups and the control group, the means for attitude, knowledge and behavior across groups were almost identical on the first and subsequent post intervention surveys. The results of the second (first post intervention) survey were carefully scrutinized since, if there were differences, they would most likely occur in that survey. The mean attitude scores (range = 0 18) across all three groups were just 0.28 points apart. The lowest attitude mean score was for the control group. Mean behavior scores (range = 0 67) were just 0.5 points apart, although the highest mean was in the control group. After the third survey, mean attitude scores were still less than 0.4 points apart. This time, the highest mean attitude score was in the control group. The mean behavior score for the control group was 2 points higher than the two intervention groups. After the fourth survey, mean attitude scores were still unchanged. Mean behavior scores for the Alcohol 101 group and the control group were almost identical, and a slightly higher mean score was seen in the motivational speaker group. In Research Question #1, analysis of covariance was unable to show a statistically significant difference across groups on the behavior measure alone. ANCOVA procedures, using the first behavior score as the covariate, were used to control for any unidentified confounding effects on behavior scores. The first behavior scores were artificially equated and post intervention scores were assessed based on what the scores would have been under equivalent conditions. Because statistical associations showed a statistically significant association between gender and drinking behavior, post intervention drinking behavior scores for women were calculated separately, on the assumption that there may have been gender differences in the response to the educational interventions. Although there was less of a probability that the differences in scores for women could have occurred by chance than for both men and women together, the differences were still not statistically significant. Most statistical assumptions for MANOVA for the second research question were met. One exception was linearity between knowledge scores and other outcome variables. This research showed that students' knowledge about alcohol and the consequences of intoxication are not related to either their attitudes about college drinking or their actual drinking behavior. Because data gleaned from MANOVA procedures are more meaningful when dependent variables are somewhat correlated, those measurements that met all of the assumptions, including linearity, i.e., those that did not include knowledge in the grouping, were examined carefully. There were no significant differences in the grouping of these dependent variables across groups for any of the post intervention measures. Because scores from the first survey administration showed an association between gender and heavy drinking, MANOVA procedures were conducted for women students alone. As with Research Question #1, although Wilk's lambda values were higher for women, indicating that the differences were less likely to have occurred by chance, none of the results was statistically significant. The third research question was intended to determine if various demographic variables could be used to predict drinking behavior among undergraduate college students. Speaking again to the complexity of the problem of alcohol use and abuse among college students, less than 10% of the variability in drinking behavior could be attributed to gender, age, grade point average and religion. Gender and membership in a Protestant faith that allows drinking were the only independent variables that were statistically significant. This research used two different measures of drinking behavior a continuous measurement based on a composite score from both amount of alcohol consumed and consequences related to intoxication, and a dichotomous measurement of "heavy drinking." Heavy drinking was defined as the consumption of more than five drinks in a row at least once a week (Greenfield, 1998; Midanik et al., 1996). This kind of heavy drinking is also called "binge drinking." For this research, it was possible for students to be a heavy drinker and have a relatively low behavior score. A student who consumed five drinks at one time once a week, would have a continuous behavior score of 10, for example, but would be classified as a "heavy drinker." At the same time, if a student consumed a relatively large amount of alcohol during the week, or suffered consequences related to drinking, but never consumed more than 5 drinks at a time, it was also possible for that student to have a relatively high behavior score and not be defined as a "heavy drinker." Other research has shown that younger students in the lower class levels, in comparison to upper-class students, do relatively more of the drinking on college campuses (Wechsler, 1997; Sax, 1997). This research at SUNY Potsdam showed that the mean behavior scores from the continuous variables that measured both amount of alcohol consumed and consequences related to intoxication, were similar across ages up to age 22, and across class levels. Students in this research do not drastically reduce I1I] the amount of alcohol they consume once they turn 21, and, for them, alcohol is no longer "forbidden fruit." The percentage of heavy drinkers for each age and class level, however, did not reveal consistent trends related to age and class. While 24% of the 21 year-olds in this research were heavy drinkers, 27% of the twenty-two year-olds were heavy drinkers. At the same time, the percentage of 19 year-olds who were heavy drinkers (47%) was greater than the percentage of 18 year-olds (40%) who were heavy drinkers. Mean behavior scores dropped as much as 5 points between the ages of 22 and 23. Percentages of heavy drinkers also dropped when students turned 23 years old. Approximately one percent (4) of the students in this sample reported that they either forced sex on another student while intoxicated, or had sex forced upon them. Although any percentage of coerced sexual activity is unacceptable for any group, particularly in an age of life-threatening sexually transmitted infections, the number of students reporting sexual coercion in this sample was too small to be statistically meaningful. Although recent research has not been able to show gender as a predictor of heavy drinking among college students (Carey and Correia, 1997; O'Hare and Tran, 1997) this research showed that, in general, SUNY Potsdam women students had lower mean scores for all measures across all groups. The largest differences were in behavior scores, followed by attitude scores, and finally knowledge. Mean attitude scores for women were consistently 1.5 points lower than those for men students. Behavior scores ranged from 5 points lower for all groups after the third survey to 6 points lower after the fourth survey. The only variation in this trend was a higher behavior score for women students for the first survey in the control group. Women's scores were only 1.5 points higher at that time for that group, however. The association between gender and heavy drinking is clearly related to the relatively lower behavior scores for women students. These results are consistent with other research that has shown the male gender to be a predictor of heavy drinking in 51 college (Greenberg et al., 1999; Perkins, 1999). In addition, research has indicated that stressful conditions in college and risk and sensation seeking are strongly associated with harmful alcohol consumption patterns among men students, and less so for women. (Dawson, 1992; Beck et al., 1995). Men students are more likely to drink in a context of "sex seeking," while women students are more likely to drink to deal with emotional pain (Beck, et al., 1995). This research showed an inverse relationship between grade point average and both attitudes about drinking and drinking behavior. While 12% of students with a self-reported GPA of 3.5 were heavy drinkers, 50% of those with a GPA of 2.0 were heavy drinkers. There was a 12% reduction in the number of heavy drinkers for every 0.5 increase in grade point average. Although grade point average contributes a relatively small amount of explanation to the variance in drinking behavior, mean behavior scores dropped from between 3 to 7 points for every 0.5 increase in grade point average. The association between grade point average and heavy drinking in this research is related to this inverse relationship. At SUNY Potsdam, students who are heavy drinkers are more likely to have a relatively lower grade point average than his or her non-heavy drinking fellow students. Research (Wood et al., 1997) has indicated that students who are heavy drinkers are also more likely to have been admitted to the college with other factors that have been traditionally associated with academic failure. This research suggests, then, that academically talented students may be able to drink excessively without having their drinking habits adversely affect their academic progress. This phenomenon may help to explain why grade point average was not a significant predictor of drinking behavior in research question #3, which used the continuous measure of drinking behavior, but was strongly associated with heavy drinking, which used the dichotomous variable. The actual difference between alcohol consumption and grade point average may lie not in amount of alcohol consumed over time, but the amount of alcohol consumed at one sitting. 52 For attitudes, there was as much as a 5-point decrease (28%) in mean scores between a 2.0 and a 4.0 GPA. While students might suggest that poor grades result in heavy drinking to "drown their sorrows," they would have a relatively difficult time making a case for poor grades resulting in positive attitudes about college drinking. Since attitude and behavior are correlated among this sample, this research shows that a high behavior score and a high score regarding positive attitudes about college drinking can have a negative effect on students' academic performance. Mean knowledge scores revealed a 1 2 point increase for every 0.5 increase in GPA. In this research, forty-six percent of the students who have not declared a major are heavy drinkers. Although there was not an association between SUNY Potsdam school and heavy drinking when only the School of Arts and Sciences and the School of Education are counted, the association becomes significant when the Crane School of Music is included. Crane students are less likely to be heavy drinkers than students in the other two schools. Only 3 Crane students in the survey met the criteria for "heavy drinker." Admission requirements for Crane are different than those of the rest of the college, and students rarely are admitted to the school with a high school GPA of less than 3.5. In addition, Crane students must perform a musical audition as part of the admission process. Once matriculated, Crane students immediately declare a major and carry between 18 and 21 units per semester. Students in this research were surveyed about the religion in which they were raised. The numbers of Jewish students and students who were raised in Protestant faiths that do not allow drinking were too small to provide meaningful data. However, there were significant numbers of students who were raised Roman Catholic, in a Protestant faith that allows drinking, or who were not raised in a religious faith. For all four surveys, Protestant students had the lowest mean behavior scores and the highest mean knowledge scores. Roman Catholic students had the highest mean behavior scores for all surveys except the fourth. Similar differences were seen in mean attitude scores. Although there is research demonstrating that social norms associated with membership in the major US religions provide preventive effects against harmful 53 drinking patterns (Patock-Peckham et al., 1998; Smith, 1990) this research did not show that this holds true for the SUNY Potsdam students. The mean behavior and attitude scores for those who were not raised in a religious faith were similar to Roman Catholic and Protestant students. Of the seven students who were raised in a Protestant faith that does not allow drinking, three were classified as heavy drinkers. There is much research showing that membership in a college fraternity or sorority is positively associated with harmful alcohol consumption patterns (Wechsler et al., 1998). According to the Harvard Alcohol Study (ibid), as many of 85% of students who belong to Greek fraternal organizations are binge drinkers. In this research conducted at SUNY Potsdam, half of all members of fraternities and sororities are heavy drinkers. Although this figure is considerably less than what the Harvard Study showed, the percentage of heavy drinkers is still 18% higher among members of Greek fraternal organizations than nonmembers. On the Student Alcohol Questionnaire, the question about Greek fraternal membership was fitted among other demographic questions so as not to raise a "red flag," as students are well aware of the current negative image of Greek fraternal campus organizations. Chi square tests showed an association between membership and heavy drinking, with students who are members of Greek organizations more likely to be heavy drinkers. Cashin et aT, (1998) showed that college students who are members of Greek fraternal organizations drink significantly more alcohol than their non-Greek fellow students, and drink heavily more often, and, in addition, are more likely to suffer negative consequences related to drinking. Furthermore, the leaders in the Greek houses appear to set the heavy drinking norms for their fraternal members. Lo and Globetti (1995) indicated in research conducted in the Midwestern United States, that heavy drinking patterns among Greek members is associated with the subcultural support inherent in the Greek system. In addition, they found that students who fraternized with their heavy drinking peers in this Greek system subculture were more likely to be heavy drinkers themselves. Furthermore, these researchers determined that excessive alcohol drinking patterns in high school could 54 be used to explain students' decisions to join Greek organizations. If this is the case, it may not be the Greek organization subculture that results in heavy drinking students, but rather the heavy drinking subculture attracts students who already have problems with alcohol. At SUNY Potsdam, students must live on campus for their first four semesters. Part of the rationale for this regulation includes the legal liability for the university, for students who are enrolled and living away from home. Legally, the university is expected to take on the role of the absent parent. This regulation assumes that students who live on campus will be better controlled in situations involving risky behaviors such as heavy alcohol consumption. Older resident assistants live in dormitories and are on call to watch over younger students. Although this research showed an association between living arrangement and heavy drinking, i.e. those students who live on campus are more likely to be heavy drinkers, living arrangement may actually be a confounding variable, as students who live on campus are also younger and more likely to be freshmen and sophomores and the association may actually be with the variables of age and class level. This research did not show a linear relationship between heavy drinking and the drinking behavior of roommates or housemates. Eighteen percent of those who have zero roommates who drink to intoxication at least once a week are heavy drinkers, while 68% of those who have four or more roommates who drink to intoxication at least once a week are heavy drinkers. However, thirty-seven percent of those with two roommates who drink to intoxication once a week are heavy drinkers, while 50% of those with either one roommate or three roommates who drink to intoxication once a week are heavy drinkers. While the research showed an association between having roonimates who drink to intoxication and heavy drinking in the individual subject, it appears to be an "all or nothing" relationship. The actual number of intoxicated roommates does not seem to matter as much as simply having at least one intoxicated member of the subject's household. Among all those subjects with at least one intoxicated roommate, 51% are heavy drinkers. Although this research did not explore 55 whether the subject influenced the drinking behavior of his or her roommates or whether the roommates' behavior influenced the subject, it does appear that peer influence plays a relatively important role in drinking behavior among these students. Research conducted by Rose (1999) at Western Kentucky University showed similar results. Peer cluster theory and six psychosocial characteristics were used to explain adolescent alcohol use among college students. Those students with heavy drinking friends were those most likely to be heavy drinkers themselves. This research helped to provide significant information regarding the complexity of the problem of alcohol abuse on college campuses. Although both traditional and state-of-the-art educational interventions were employed, neither appeared increase students' knowledge about alcohol or to affect alcohol consumption behavior or attitudes about college drinking among these undergraduate college students. Study Limitations Although several limitations to the validity of the research results were anticipated, numerous methods of controlling for these limitations were incorporated into the research methodology. The validity of self-report data is always a concern in surveys and questionnaires. For this research the data most suspect are those that measure drinking behavior, grade point average and membership in Greek fraternal organizations. Most statistical tests that are sensitive to outlying scores specify an outlier as a score that is more than three standard deviations from the mean. For this research, only four subjects were considered outliers for the behavior scores. None of the students' scores for either knowledge or attitude was an outlier. The mean grade point average for this sample was 0.66 higher than the overall GPA for the campus. This is not considered to be a serious threat to the validity of the results as GPA was not a dependent variable in either of the statistical tests that sought to evaluate the effectiveness of the interventions. Over the last several decades, Greek fraternal 56 campus organizations have developed a negative image both on the campus itself and in the surrounding communities. As a result, students who are members of fraternities or sororities might have been less inclined to absolutely truthful about their membership. Again, this is not considered to be a serious threat to the validity of the results, as Greek fraternal membership was not a dependent variable in the evaluation of the effectiveness of the interventions. Demographic data for each student was compared with each survey administration. It is assumed that if a student were inventing data about him or herself, the answers would not be consistent from survey to survey. The survey of just one student had to be eliminated from the data analysis due to implausible demographic data, i.e., the student was a Latino Muslim with a very high behavior score. A small sample size, particularly for some subgroups, was a limitation to the study as well. Some religious and ethnic groups were not represented in numbers high enough to make meaningful conclusions about their relationship to outcome variables. Although music majors were represented in the study, the fact that their numbers did not reflect the percentage of music majors on campus requires that any study results regarding music students and outcome variables be approached with caution. The fact that the sample was relatively homogeneous, however, contributed to potentially less variability of intersubject differences. The presence of a control group provided a baseline of comparison to interpret the effectiveness of the educational intervention. Generalizability of results would be limited to college campuses with similar demographics to SUNY Potsdam a midsize Northeastern rural public liberal arts university. Large or urban campuses or private universities would possibly have different outcome results. The Student Alcohol Questionnaire has been previously tested for reliability and validity. Dr. David Hanson, one of the survey authors, is a professor at SUNY Potsdam and made himself freely available for assessing necessary changes to the SAQ. In addition, he provided valuable assistance in explaining the scoring criteria. 57 Nevertheless, some changes were made to the end of the SAQ, and while the amended survey was assessed for reliability and validity, these results were not published. Although multivariate statistical techniques were employed to provide more information, it was difficult to specify power for the research since there currently has been no similar research conducted from which a plausible effect size could be estimated. Research conducted at the University of Illinois at Urbana Champaign provided some information for an effect size, and a power of 0.80 was specified for the ANCOVA procedures. For all but the fourth survey, the sample sizes for each group were sufficient. Attrition was a concern in this research with as many as 31% of the students in the total sample being absent from class on the day of the fourth survey administration. Attrition appeared to be random, however. In comparison to the first survey, and as measured by their behavior scores, those students who were absent during the second, third and fourth surveys were not more likely to be absent due to alcohol consumption. Potential testing effects on the knowledge part of the survey were explored. Mean knowledge scores increased 4% from the first survey to the last. Among individual groups, however, increases in knowledge were random. Only the Alcohol 101 group showed a consistent increase in mean knowledge scores from the first survey (19.1) to the last (20.5). This is just a 2% increase in number of correct answers, however. With few changes in mean attitude and behavior scores from first to last survey administrations, testing effects are not considered a serious limitation. The lack of statistical significance in research questions 1 and 2, and the relatively small amoimt of variance in drinking behavior explained by the four predictor variables in research question 3, may indicate that even small findings in this research may not be important. The remarkable similarity of means for all outcome 58 variables for all four administrations of the SAQ should suggest that consideration of any effects demonstrated by this study be approached with caution. Recommendations Learning about the consequences of alcohol abuse did not alter these students' attitudes about college drinking or their alcohol consumption behavior. The college alcohol abuse problem clearly has roots in social, political, economic, cultural and psychological factors (Douglas et al. 1997; Gfroerer et al., 1997). Not the least of these factors is adolescent development related to peer influence and approval (Perkins et aL, 1999b). Further research is recommended. In particular, a long-term follow-up cohort study is strongly recommended, with measurements not only of alcohol consumption patterns, attitudes and knowledge, but those psychological, cultural and social factors that result in harmful alcohol consumption among adolescents. Such a research project should ideally begin in middle school and be able to follow a cohort of student through college and beyond. Research is also recommended for young men with an undeclared major and a low grade point average those students most likely to have a problem with drinking. Research regarding second semester freshmen is also recommended. While these first semester freshmen did not drink as much as their sophomore counterparts, it is important to find out if that relationship changes as the freshmen students move into their second semester on campus after having had a chance to make new friends. It would also be important to find out what happens when a college student turns 23 years of age, as 23 year olds are less likely to have high behavior scores and be heavy drinkers. A new technique that employs social marketing of campus drinking norms has demonstrated remarkable success at the University of Southern Illinois (Sanders, 1997) and at SUNY New Paltz. The technique is based on the idea that many students believe the percentage of students who abuse alcohol on campus is much higher than it actually is. Surveys are conducted on campus to determine the actual amount of 59 alcohol abuse among students, and the results are socially marketed to the students. The results usually employ a phrase such as "The majority of students on this campus do not abuse alcohol. Join the majority!" Binge drinking at SIU dropped from 43% before to 28% after the program. Comparable results were seen at SUNY New Paltz when that university incorporated a similar program. The SLTNY Potsdam President's Committee on Alcohol is planning a program like those instituted at SIU and SUNY New Paltz. Students will be surveyed about their drinking behavior on the first day of classes in the Spring, 2000 semester. The results will tabulated and, if they are similar to what was shown in this research, i.e., only 37% of students are heavy drinkers, this will provide a powerful social marketing tool. Students will be involved as program administrators from beginning to end. At the same time, it is critically important to continue to search for answers to this serious public health problem. Simple education provided by these two interventions appeared to be a rational solution, but unfortunately it is not. 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Female alcoholic outpatients and female college students: a correlational study of self-reported alcohol consumption and carbohydrate-deficient transferrin levels. J Stud Alcohol 59:555-9. APPENDICES 68 Appendix A The Student Alcohol Questionnaire STUDENT ALCOHOL QUEsTIONNAIREa and the ALCOHOL ATTITUDE QUESTIONNAIRIEb a © R.C. Engs, 1975 b ©D.J. Hanson, 1971 This is a survey of college students' knowledge, attitudes and behaviors concerning alcohol. We hope that you will volunteer to complete this questionnaire. Please write in the last six digits of your social security number. DO NOT WRITE YOUR NAME on this questionnaire as we wish to retain your anonymity. PLEASE CIRCLE THE NUMBER THAT APPLIES TO YOU. 1. Male 2. Female Your Sex: (write in) 2. Your Age: 3. Your major: 1. Music 2. Sociology 3. Physical Sciences 4. Mathematics 5. ArtfDrama/Dance 6. Psychology 7. Education (Please do not circle your second major) 8. Community Health 9. Anthropology 10. Computer Science 11. Business and Economics 12. Politics 13. History 14. Philosophy 15. Language 16. Undeclared 4. Year in School: 5. Graduate 5. 3. Junior 4. Senior 1. Freshman 2. Sophomore 6. Other __________________(write in) Grade Point Average: 3.5 3.0 4.0 2.5 2.0 under 2.0 first semester freshman 6. Ethnicity: 1. White 2. Black or African-American 3. Latino American 4. Asian American 5. Native American 6. Biracial/multiracial 7. Other: 7. During the past year have you been a member or a pledge of a fraternity/sorority? 1.yes 2.no 8. 1. Roman Catholic 2. Jewish In what religion were you raised? Protestant (religion allows drinking of alcoholic beverages) 3. Protestant (religion does not allow drinking) 5. Muslim 4. 6. None or other: 8. How important is religion to you? 1. very important 2. moderately important 3. mildly important 4. not important 9. What is your living arrangement? 2. dorm double 3. dorm suite 4. off campus alone 5. off campus with one 1. dorm single (write in) or more additional students 6. off campus with family 7. other WE WOULD LIKE TO ASK YOU ABOUT YOUR DRINKING PATTERNS 10. Let's take beer first. How often, on the average, do you usually have a beer? (If you do not drink beer at all, go to question 12) 1. everyday at least once a week but not every day 2. at least once a month but less than once a week 3. more than once a year but less than once a month 4. once a year or less 5. 70 11. When you drink beer, how much, on the average, do you usually drink at any one time? 1. more than I six pack (6 or more cans or tavern glasses) 2. 5 or 6 cans of beer or tavern glasses 3. 3 or 4 cans of beer or tavern glasses 4. 1 or 2 cans of beer or tavern glasses 5. less than 1 can of beer or tavern glass 12. Now let's look at table wine. How often do you usually have wine? (If you do not drink wine at all, go to question 14) 1. everyday 2. at least once a week but not every day 3. at least once a month but less than once a week 4. more than once a year but less than once a month 5. onceayearorless 13. When you drink wine, how much, on the average, do you usually drink at any one time? 1. over 6 wine glasses 2. 5 or 6 wine glasses 3. 3 or 4 wine glasses 4. 1 or 2 wine glasses 5. less than 1 glass of wine 14. Next we would like to ask you about liquors and spirits (whiskey, gin, vodka, mixed drinks, etc.). How often do you usually have a drink of liquor? (If you do not drink liquor at all, skip questions 14 and 15.) 1. everyday 2. at least once a week but not every day 3. at least once a month but less than once a week 4. more than once a year but less than once a month 5. once a year or less 15. When you drink liquor, how many drinks, on the average, do you usually drink at any one time? 1. over 6 drinks 2. 5 or 6 drinks 3. 4. 5. 3or4drinks lor2drinks less than 1 drink IF YOU DO NOT DRINK ALCOHOL AT ALL, PLEASE GO TO QUESTION 37. 16. Whom do you drink with most often? 1. friends 2. parents 3. brother(s)/sister(s) 5. alone 6. a date 7. never drink 4. other relative 8. some other person (write in) 17. After drinking during the last two weeks, did you force someone or did someone force you to have sex? l.yes 2.no 18. If you live with other students, how many of your room/housemates get drunk at least once each week? 1. none 2. one 3.two 4. three 5. four or more 6. don't live with other students 71 The following are common results of drinking alcohol that students have reported. In the last TWO WEEKS, have you: (Please circle any that apply to you.) 19. had a hangover 29. had trouble with the law because 20. been nauseated and of drinking vomited from drinking 30. lost ajob because of drinking 21. driven a car after having several drinks 31. got a lower grade because of drinking 22. driven a car when you knew 32. been in trouble with the school administration you had too much to drink because of behavior resulting from drinking 23. driven a car while drinking too much 24. come to class after having several drinks 33. been in a fight after drinking 25. "cut a class" after having several drinks 34. thought you might have a problem with 26. missed a class because of a hangover your drinking 27. arrested for DWI (Driving While Intoxicated) 35. damaged property, pulled a false fire alarm 28. been criticized by someone you were or other such behavior after drinking dating because of your drinking 36. participated in a drinking game WE WOULD NOW LIKE TO ASK YOU SOME INFORMATION ABOUT ALCOHOL The answers to the questions will either be TRUE or FALSE. Please circle the correct answer. If you do not know the answer to the question, DO NOT GUESS. Leave the item blank. T F 37. Drinking milk before drinking an alcoholic beverage will slow the absorption of alcohol into the body. T F 38. Wines are made by fermenting grains. T F 39. Alcoholic beverages do not provide weight-increasing calories. T F 40. In America, drinking is usually considered an important socializing custom in business, for relaxation and for improving interpersonal relationships. T F 41. Gulping of alcoholic beverages is a commonly accepted drinicing pattern in this country. T F 42. Alcohol is usually classified as a stimulant. T F 43. Alcohol is not a drug. T F 44. A blood alcohol content of 0.1% is the legal defmition of alcohol intoxication in most states, in regards to driving. T F 45. Approximately 10% of fatal highway accidents are alcohol related. T F 46. Alcohol was used for centuries as a medicine in childbirth, for sedation and surgery. T F 47. Table wines contain from 2 12% alcohol by volume. T F 48. It is estimated that approximately 85% of the adult Americans who drink, misuse or abuse alcoholic beverages. T F 49. Many people drink to escape from problems, loneliness and depression. T F 50. Liquor mixed with soda pop will affect you faster than liquor drunk straight T F 51. The most commonly drunk alcoholic beverages in the United States are distilled liquors (whiskey, gin, vodka). T F 52. A 150 pound person, to keep his blood alcohol concentration below the legally intoxicated level, would have to drink fewer than 3 beers in an hour. T F 53. A person cannot become an alcoholic by just drinking beer. 72 T F 54. To prevent getting a hangover, one should sip one's drink slowly, drink and eat at the same time, space drinks over a period of time, and not drink over one's limit. T F 55. Responsible drinking can result in relaxation, enhanced social interactions, and a feeling of well-being. T F 56. Distilled liquors (whiskey, gin, vodka) usually contain about 15-20% alcohol by volume. T F 57. Moderate consumption of alcoholic beverages is generally not harmful to the body. T F 58. It takes about as many hours as the number of beers drunk to completely burn up the alcohol ingested. T F 59. Mi ounce of whiskey contains about 60 calories. T F 60. Many people drink for social acceptance, because of peer pressures, and to gain adult status. T F 61. A blood alcohol concentration of .02% causes a person to be in a stupor. T F 62. Liquors such as gin, scotch and whiskies are usually distilled from mashes made from fermenting grains. T F 63. Proof on a bottle of liquor represents half the percent of alcohol contained in the bottle. T F 64. The United States lacks a national consensus on what constitutes the responsible use of alcoholic beverages. T F 65. There is usually more alcoholism in a society that accepts drunken behavior than in a society that frowns on drunkenness. I F 66. Beer usually contains from 2 12% alcohol by volume. T F 67. Eating while drinking will have no effect on slowing down the absorption of alcohol in the body. T F 68. Drinking coffee or taking a cold shower can be an effective way of sobering up. T F 69. Wines throughout history have been commonly drunk at religious ceremonies and family gatherings. T F 70. Drinking of alcoholic beverages has been common in the USA since the Puritans first settled here. T F 71. Alcohol has only been used in a very few societies throughout history. T F 72. Liquor taken straight will affect you faster than liquor mixed with water. WE WOULD NOW LIKE TO ASK YOU ABOUT SOME OF YOUR FEELINGS ABOUT DRINKING Please circle the response that most closely represents your opinion. 73. Drinking alcohol is an important part of college life. a. strongly agree b. agree c. disagree d. strongly disagree 74. Shy or inhibited people have an easier time meeting new people when they are drunk. a. strongly agree b. agree c. disagree d. strongly disagree 75. In Potsdam, there are many things to do besides drinking. a. strongly agree b. agree c. disagree d. strongly disagree 76. A party without alcohol is not much fun. a. strongly agree b. agree c. disagree d. strongly disagree 77. Getting drunk once or twice a week is okay. a. strongly agree b. agree c. disagree d. strongly disagree 78. Drinking alcohol is a good way to relieve the stresses of college life. a. strongly agree b. agree c. disagree d. strongly disagree 73 Appendix B Description of the Sample Table Bi Year in School Frequency Valid Freshman Sophomore Junior Senior Total 81 105 96 78 360 Percent 22.5 29.2 26.7 21.7 100.0 Valid Percent 22.5 29.2 26.7 21.7 100.0 Cumulative Percent 22.5 51.7 Valid Percent 90.4 2.5 Cumulative Percent 90.4 93.0 95.2 98.0 98.6 100.0 78.3 100.0 Table B2 Ethnicity of the Sample Frequency Valid Missing Total White Black Latino-American Native American Biracial/Multiracial Other Total 99.00 321 9 8 10 2 Percent 89.2 2.5 2.2 2.8 5 .6 1.4 355 98.6 5 1.4 360 100.0 2.3 2.8 .6 1.4 100.0 Table B3 Religions of the Sample Frequency Valid Roman Catholic Jewish Protestant (allows drinking) Protestant (does not allow drinking) None or other Total Missing 99.00 Total 167 Percent 46.4 Valid Percent 48.1 11 3.1 3.2 83 23.1 4.2 23.9 4.3 19.7 96.4 3.6 100.0 20.5 100.0 15 71 347 13 360 Cumulative Percent 48.1 51.3 75.2 79.5 100.0 74 Table B4 Importance of Religion of the Sample Valid Very important Moderately important Mildly important Not important Total Missing 99.00 Total Frequency 54 Percent Valid Percent 15.0 15.3 15.3 104 106 28.9 29.4 25.0 98.3 29.4 29.9 25.4 100.0 44.6 74.6 90 354 6 Cumulative Percent 100.0 1.7 100.0 360 Table B5 Living Arrangement of the Sample Valid Frequency Percent Dorm single Dorm double Dorm suite Off campus alone Off campus with students Off campus with family Other 33 105 58 9.2 29.2 Valid Percent 9.2 29.2 16.1 16.1 18 5.0 90 49 25.0 5.0 25.0 13.6 13.6 7 1.9 1.9 Total 360 100.0 100.0 Cumulative Percent 9.2 38.3 54.4 59.4 84.4 98.1 100.0 Table B6 Number of Roommates who "Get Drunk" Each Week Valid Frequency Percent 79 71 9 2 78 32 3 15 4ormore 38 67 21.7 8.9 4.2 10.6 18.6 0 1 Missing Total Don't live with other students Total 99.00 309 51 360 85.8 14.2 100.0 Valid Percent 25.6 25.2 10.4 4.9 12.3 21.7 100.0 Cumulative Percent 25.6 50.8 61.2 66.0 78.3 100.0 75 Table B7 Grade Point Averages of the Sample Valid Frequency Percent Valid Percent Cumulative Percent 6 1.7 38 78 102 57 10.6 2.1 13.3 27.3 100.0 13.3 40.6 76.2 96.2 97.9 1.25 2.0 2.5 3.0 3.5 4.0 Total Missing 1.00 First Semester Freshman 99.00 Total Total 5 286 21.7 28.3 15.8 1.4 79.4 1 .3 59 35.7 19.9 1.7 100.0 14 16.4 3.9 74 360 100.0 Frequency Percent Valid Percent Cumulative Percent 43 11.9 88.1 11.9 88.1 100.0 11.9 100.0 20.6 Table 1B8 Greek Membership of the Sample Valid Yes No Total 317 360 100.0 Appendix C Data Screening Graphs and Plots 100 80 60 40 Std. Dev = 3.68 20 i) Mean = 8.2 ci) N = 278.00 I- 0 00 10.0 5.0 2.5 7,5 15.0 17.5 12.5 First Attitude Score Figure Cl Histogram of First Attitude Scores Overlain with a Normal Curve 70 60 50 40 30 Std.Dev 5.71 Mean = 18.6 N = 280.00 12.5 2 17.5 15.0 22.5 20.0 27.5 25.0 30.0 'ledge Score of First Knowledge Scores vith a Normal Curve 77 40 30 20 0 10 Std. Dev= 14.61 Mean = 22.6 N=279.00 0 10.0 20.0 30.0 40.0 50.0 60.0 0.0 5.0 15.0 25.0 70.0 35.0 45.0 55.0 65.0 First Behavior Score Figure C3 Histogram of First Behavior Scores Overlain with a Normal Curve Std. Dev = 0 Mean = 8.4 cD N = 293.00 00 50 2.5 10.0 7.5 20.0 15.0 12.5 17.5 Second Attitude Score Figure C4 Histogram of Second Attitude Scores Overlain with a Normal Curve 3.55 78 70 60 50 40 30 20 Std. Dev 0 C Mean = 10 i.i. 5.92 19.8 N = 295.00 0 0.0 5.0 2.5 10.0 7.5 15.0 12.5 20.0 17.5 25.0 22.5 30.0 27.5 Second Knowledge Score Figure C5 Histogram of Second Knowledge Scores Overlain with a Normal Curve 50 40 30 20 Std. Dcv = 10 I) 15.22 Mean = 22.4 N = 295.00 0 .o.o.o.o.o.o.o.o.o.o.o.o.a.o.o.o Second Behavior Score Figure C6 Histogram of Second Behavior Scores Overlain with a Normal Curve 79 Std.Dev= 3.65 Mean = 8.1 N=263.00 0.0 4.0 2.0 8.0 6.0 16.0 12.0 10.0 14.0 18.0 Third attitude score Figure C7 Histogram of Third Attitude Scores Overlain with a Normal Curve 70 60 50 40 30 20 Std. Dev = 5.74 C) Mean = 20.1 10 a) N=266.00 0.0 5.0 2.5 10.0 7.5 15.0 12.5 20.0 17.5 25.0 22.5 30.0 27.5 Third knowledge score Figure C8 Histogram of Third Knowledge Scores Overlain with a Normal Curve 80 50 40 30 20 Std. Dev = 14.86 10 Mean = 21.3 2 N=265.00 0 Third behavior score Figure C9 Histogram of Third Behavior Scores Overlain with a Normal Curve Std. Dev = 3.61 C.) C) Mean = 9.1 C) N=240.00 0.0 100 5.0 2.5 7.5 20.0 15.0 12.5 17.5 Fourth Attitude Score Figure C 10 Histogram of Fourth Knowledge Scores Overlain with a Normal Curve 81 80 70 60 50 40 30 ... 20 Std. Dev= 5.31 Mean = 20.1 10 N = 236.00 I- u. 0 2.5 7.5 5.0 12.5 10.0 17.5 15.0 22.5 20.0 27.5 25.0 30.0 Fourth Knowledge Score Figure Cli Histogram of Fourth Knowledge Scores Overlain with a Normal Curve 60 50 40 30 20 Std. Dev= 13.73 Mean = 21.2 N = 243.00 0 5 10 0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 5.0 15.0 25.0 35.0 45.0 55.0 65.0 75.0 Fourth Behavior Score Figure C12 Histogram of Fourth Behavior Scores Overlain with a Normal Curve 82 0 0 0 0 0 0 0 0080 0 0 000000 00 0 0 anna 0000 O 00 00000000 0000 0 0 000000000000 0 (10080 0 000000 00 00 00013 1] o 10 O 00 ci 0 a Ii 000 0) 0 C) CID 0008 000 0 0 0 00 0 0 00 0 0 00 0 -' 0 LI 0000 CI (10000 00 00 000(100 0 00 C 0000 011 LI Ii 00000 8 0 00 o LI 0 0 0 as 00 no a 0 1) 0 Di) 00 0 11) In 5- -10 0 10 20 30 40 First Knowledge Score Figure C13 Scatterplot of First Attitude Scores with First Knowledge Scores 20 0 0 O aIr LI ((fl) LI CI Dcii CI 0 CEO 0 0 LU 0 0 (ID 0 LU) Ci] CO (1 1) C orosiCIcto Li 0 0 00 Cr1) Lii) 01) LU 0 Xl Cr 0 0 0 0 0 COt CX] LU 00 0 Ct) Lii lIE 0 (1 0 LU 0 C 0 ITO Cii LI 0 0 0 LU LU 0 0) 5- 0 ocij C 0Lt100 C) 0 0 C 00 10 0 0 cra ci Cr 0 w m a ci II LU (1 0 0 LU 0 0 0 0 I] Cl 0 0 W0 CD C/D 0 0 0 coo a 0 0 0 0) -o In 5I- -lOj -10 - 0 10 20 30 40 50 First Behavior Score Figure C14 Scatterplot of First Attitude Scores with First Behavior Scores 60 70 83 0 rt it00 so no it aa sit it a a a it ci a o a a C 2) at a C [ED 0 at 0 0 00 CC il000 0 a an a atm o o o O I) 0 C 0 C/D a 0 00 it at0000 00 o a 2)00 00 CCCI) at 0 00 C 00) 0 CC it 0 IC000 0)0W a a a 0 000 0 Ci) a 06 tillS I) -r o 0) 0 C 00 OttO 1110 0 0 0 05 it ci In 000 0 0 011 0 0 0 CC Ci S 0 0 a 0 a a ci 0 0 0 0 0 a a 0) 0I 0 0 0 0 0 it 000 00 0 12) a 0 U 0 0 so a o 0 i a 0 0 0 -10 0 20 10 50 40 30 60 70 First Behavior Score Figure C15 Scatterplot of First Knowledge Scores with First Behavior Scores 20 a 0 0 000 00 00 00 0 000 0 13 00 I) 000 000000000 13 0 0 0000000000I) C 000000500000aO 0 00 0000 000 000000 0 00000 00 000000000 0 000 0000 00 0 0 00 0 0 00 00 000 0000 no 0 o 00 000 0 10 0 0) I- C 0 0 0 0[1000000000 0 (10 00 0 000 0 11 o Duo as a 0 0) 0 0 0 00 0 0 C 0 -10 -10 0 10 20 30 Second Knowledge Score Figure C16 Scatterplot of Second Attitude Scores with Second Knowledge Scores 40 84 a 0 0 CI 0) 0 CE 00000 0 0 1000 0 0 O 0 CI EL 0 lUll 0 aImw010000 OW (000 0 LEUO 0 100)0) 0100)0)) t11EL II) 1 1) II 1) o 01011000 1)1010 o [(0100)0 000 0 [0 10 COIL 00 0 = 0 0 Ii U O U 1011000 010 101)00) 0 CI 0 1) 0 0 0 0 0 010IMUL0W0LE 0 C 0 0 010101 0100 (/D II) a 0 SCOW aLLESLI0 0 0 0 0 0)0) C 0 rID 0 Second Behavior Score Figure C17 Scatterplot of Second Attitude Scores with Second Behavior Scores 40 30 a £ 00 a 0 °o 0)000 cB o o 100 DOlT) 00 000101 0 (1 0 0 O 0 0 (11110 nILE] II) C] 0(10 00 10 CE 20 C 0 O -l0 EEL 00 11t 00 0 O C 0) 10 O 0 000 El It CE 0 11)0 0 0(01) 100 11] 0000 00000 (ID 0 0 [00 0 0 0 00 0 (0] 0 DID 10 (10 000 [0 0 0100010 0101000 COO 0 CD 00 000 0 0 01010 [00 010 0 (0 000 000 0 0 00 000 011) O 1) 0 000 0)0 = C 0 0 0 0 10 0 0 0 0 0 1) = 0 0 S 0 II 0 0 0 0) (ID -10 0 0) Second Behavior Score Figure C18 Scatterplot of Second Knowledge Scores with Second Behavior Scores 85 20 0 13 U U (3 (3 so o 10 U 0 0130 0 00 0 0 0 0 U o o I- 0 U ' 0 (1 0 CU 00000000 00 00 000 00 00 00 0000 00000 QUO 00 0 0 U DO OS 0 0 0 0000000013J U 0000 0000 00 0011 0 00-00000 000 1)0 000 CI o t, 110 0 0 0 0 00110 00 0 0 13 o 0 U 0 U U 1) 13 00 0 0 0 0 0 0 0 00 0 0 0 E -10 -10 0 20 10 30 Third knowledge score Figure C19 Scatterplot of Third Attitude Scores with Third Knowledge Scores 20 0 0 00 0110 0 000 0 0 00 0 110 0Dm DOlt 0 01 U 0 00 (101000In 0 U 0 0(0001 100(00 0 10 CD 001 0001000 (01 (00 0 0 Cl 0 10 U 0 13101 lflIrlmOmtO 0 0 IJI1000CIOJCI 00Dm11 1010 0 S 0 S Cl 0 000 00000 0011 0 CCI 10 01110010000 0 U 0 0110 0101 0 01000 0 0 1110 000 0 0 0 3$ 0 I- F -10 -20 0 20 40 60 80 Third behavior score Figure C20 Scatterplot of Third Attitude Scores with Third Behavior Scores 100 - ci 0 flU 0 1) 1) 0 a am [a 11] 112 CD 01110 0 10 DIII) CI 0 0 111210110 10W 02111 0 00 ci coo C0 Ii 0 0 100 0 0 11 o ICCOD Co 0 0 Cl 0 11 0 cc, Cl C 0 DCIII o 0 11000 110 ci ci 11000 010(1 011 Cl 0 (11 000 0 10 1113000010001220 0111 0 0 [100120 CO 0 CD (DICCO) o 000 0 0 00 CIIIIOOWIII 000 In Cl 0 0 U) 11 00ttnm 121 0 fOCI loot] [1 OL000000 0001W 11 C, 0 0 0 Cl 0 0 0 I 0 -20 20 60 40 80 Third behavior score Figure C21 Scatterplot of Third Knowledge Scores with Third Behavior Scores 0 0 0 Ci 00 0 DO 0QOJ0 0 0 00 0 0 0 0 00000000000 o 0 00000000 0 0 000 0 000000000 0 1100 ODD 000000 ci 0 000 000 0000 00 0 0 00000 0 0 0 o o 10 o 0 0 0 0 0 0 Do rID 0 Ii 0 0 o 0 00 =00)1 0 0 o 0 00 0 00 0 0 CI 0 0 = cc 0210 0 0 0 0 0 00 0 oL 0 10 20 30 Fourth Knowledge Score Figure C22 Scatterplot of Fourth Attitude Scores with Fourth Knowledge Scores 40 87 20 0 0 0 a ci 0 0 0 0 000 0)0 00 rI a InC 0 0 a a a 0 0 o cI EU am 0 0 0] a a an a 0. 0 0] 0 0 ) 0 0 0 0(03 toE! 000.130 II ctn (II) 0033(00 aoao an, Do 0(330030 00.0 0 a) L 0] 0.3 II (0 (C 0]] in noaj w a a a 0 con ininzxw 0 0 a 10 03 Cl 0 a 0 0 0 03 0 a 0 -10 -20 0 40 20 80 60 Fourth Behavior Score Figure C23 Scatterplot of Fourth Attitude Scores with Fourth Behavior Scores 40 a 30 a no an 0= 00 0 CO 0 ECU CIa CUE! 0 10 0 CO Eta 0 Ci to intone a 000 arIa]] COO a) 0 CEO 030] 01 0 0 (3 10 0 CC a 0 0 00030crcc 00 00 icon non (0])! ClOt]) o 320 0 1= 0100 CI 0 0 0 0 0 Ii 0 0 Cl 0 0 0 0 0 I] 0 00 0 0 o1: 00 00 0 00 O 0 0 0 0 (3 0 C] a I -20 0 20 40 60 Fourth Behavior Score Figure C24 Scatterplot of Fourth Knowledge Scores with Fourth Behavior Scores 80 88 Appendix D Data Screening Tables Table Dl Statistical Analysis of Normality for Outcome Variables for the First Survey First Attitude Score First Knowledge Score N Valid Missing Skewness Std. Error of Skewness Kurtosis Std. Error of Kurtosis 277 2 -.113 .146 .012 .292 279 Ffrst Behavior Score 279 0 0 .313 .146 -.545 .146 -.428 -.574 .291 .291 Table D2 Statistical Analysis of Normality for Outcome Variables for the Second Survey N Valid Missing Skewness Std. Error of Skewness Kurtosis Std. Error of Kurtosis Second Attitude Score 235 44 -.195 .159 -.20 1 .316 Second Knowledge Score 235 44 -.600 .159 -.175 .316 Second Behavior Score 235 44 .501 .159 -.214 .316 Table D3 Statistical Analysis of Normality for Outcome Variables for the Third Survey Thfrd attitude score Thfrd knowledge score N Valid Missing Skewness Std. Error of Skewness Kurtosis Std. Error of Kurtosis 220 59 -.147 .164 -.332 .327 Third behavior score 222 57 -.937 221 58 .688 .164 .136 .326 .163 .470 .325 Table D4 Statistical Analysis of Normality for Outcome Variables for the Fourth Survey N Skewness Std. Error of Skewness Kurtosis Std. Error of Kurtosis Valid Missing Fourth Attitude Score 205 Fourth Knowledge Score 200 Fourth Behavior Score 207 74 -.100 .170 .337 .338 79 -.766 .172 .510 .342 72 1.049 .169 1.472 .337 89 Table D5 Correlation Matrix for Outcome Variables for the First Survey Correlation First Attitude Score First Knowledge Score First Behavior Score First Attitude Score First Knowledge Score First Behavior Score 1.000 .193 .698 .193 1.000 .142 .698 .142 1.000 Table D6 Correlation Matrix for Outcome Variables for the Second Survey Second Att itude Score Correlation Second Attitude Score SecondKnowledge Score Second Behavior Score 1.000 .139 .605 Second Knowledge Second Behavior Score Score .139 .605 1.000 .134 .134 1.000 Table D7 Correlation Matrix for Outcome Variables for the Third Survey Thfrd attitude score Third knowledge score Correlation Third attitude score Third knowledge score Third behavior score 1.000 .161 .662 .161 1.000 .226 Third behavior score .662 .226 1.000 Table D8 Correlation Matrix for Outcome Variables for the Fourth Survey Correlation Fourth Attitude Score Fourth Knowledge Score Fourth Behavior Score Fourth Attitude Score Fourth Knowledge Score Fourth Behavior Score 1.000 .061 .634 .061 1.000 .076 .634 .076 1.000 Table D9 Correlation Matrix for the First Behavior Score (Covariate) and Dependent Variables Correlation First Behavior Score Second Behavior Score Third behavior score Fourth Behavior Score First Behavior Second Third Fourth Score Behavior Score behavior Behavior Score score 1.000 .897 .788 .790 .897 .788 .790 1.000 .852 .792 .852 1.000 .781 .792 .781 1.000 Table D10 Tests of Between-Subjects Effects for Homogeneity of Regression Dependent Variable: Second Behavior Score Source Corrected Model Intercept GROUP Bi GROUP * Bi Error Total Corrected Total Type III Sum of Squares 43844.286 96560.395 44.029 34824.467 2793.167 3767.825 157946.000 47612.111 df 118 1 2 53 63 116 Mean Square 371.562 96560.395 22.014 657.065 44.336 F 11.439 2972.804 .678 20.229 1.365 Sig. .000 .000 .510 .000 .075 32.481 235 234 R Squared = .921 (Adjusted R Squared = .840) Table Dli Tests of Between-Subjects Effects for Homogeneity of Regression Dependent Variable: Third behavior score Source Corrected Model Intercept GROUP BI GROUP * Bi Error Total Corrected Total R Squared Type III Sum of Squares 35578.290 78864.449 219.799 28198.184 2969.137 6380.637 137890.000 41958.927 1 Mean Square 326.406 78864.449 2 53 54 110 109.900 532.041 54.984 58.006 df 109 F 5.627 1359.596 Sig. .000 9.172 .948 .000 .155 .000 .579 1.895 220 219 .848 (Adjusted R Squared = .697) Table D12 Tests of Between-Subjects Effects for Homogeneity of Regression Dependent Variable: Fourth behavior score Source Corrected Model Intercept GROUP Bi GROUP *Bl Error Total Corrected Total Type III Sum of Squares 25661.511 71596.682 69.473 20989.477 2711.778 693 1.117 117424.000 32592.627 df 101 1 2 45 54 102 204 203 R Squared = .787 (Adjusted R Squared = .577) Mean Square 254.074 71596.682 34.737 466.433 50.218 67.952 F Sig. 3.739 1053.634 .000 .000 .511 .601 6.864 .739 .000 .889 91 Appendix E Tables of Data in the Analysis of the Research Questions Table El Analysis of Covariance Dependent Variable: Second Behavior Score Source Corrected Model Intercept Type III Sum of Squares df Mean Square F Sig. 3 12774.915 106.692 38320.052 77.770 40.205 3 17.744 .000 .105 .000 .147 Bi 38324.745 106.692 38320.052 GROUP Error Total Corrected Total 155.541 2 9287.366 157946.000 47612.111 231 1 1 235 234 R Squared = .805 (Adjusted R Squared = .802) Alcohol 101 n = 79; Motivational Speaker n = 67; Control n Table E2 Analysis of Covariance Dependent Variable: Third behavior score Source Type III Sum ofSquares Corrected Model Intercept B! GROUP Error Total Corrected Total 29356.064 708.940 29042.295 418.979 15204.108 143074.000 44560.172 2.654 953.115 1.934 89 df Mean Square F 3 9785.355 708.940 29042.295 209.490 70.065 139.661 10.118 1 1 2 217 221 220 414.505 2.990 Sig. .000 .002 .000 .052 R Squared .659 (Adjusted R Squared = .654) Alcohol 101 n = 81; Motivational Speaker n = 53; Control n = 87 Table E3 Analysis of Covariance Dependent Variable: Fourth Behavior Score Source Type III Sum ofSquares Corrected Model Intercept B1 GROUP Error Total Corrected Total 20209.602 666.775 20097.652 25.972 12383.026 117424.000 32592.627 df Mean Square F Sig. 3 6736.534 666.775 20097.652 108.803 10.769 324.600 .210 .000 1 1 2 200 204 203 12.986 61.915 R Squared = .620 (Adjusted R Squared = .6 14) Alcohol 101 n = 70; Motivational Speaker n = 66; Control n 68 .001 .000 .811 Table E4 Box's Test of Equality of Covariance Matrices for Attitude, Knowledge and Behavior for the Second Survey Box'sM 11.255 F .920 dfl 12 d12 231530 Sig. .525 Tests the null hypothesis that the observed covariance matrices of the dependent variables are equal across groups. Design: Intercept+GROUP Table E5 Multivariate Analysis of Variance for Attitude, Knowledge and Behavior for the Second_Survey Ljjéct Value F Error df Sig. Hypothesis df Intercept Wilks' Lambda .057 1279.954 3.000 230.000 .000 Wilks' Lambda .991 .349 6.000 460.000 .911 GROUP Design: Intercept+GROUP Alcohol 101 n = 94; Motivational Speaker n = 103; Control n =96 Table E6 Box's Test of Equality of Covariance Matrices for Attitude and Knowledge for the Second Survey Box'sM F 10.656 1.758 dfl 6 d12 2017170 Sig. .103 Tests the null hypothesis that the observed covariance matrices of the dependent variables are equal across groups. Design: Intercept+GROUP 93 Table E7 Multivariate Analysis of Variance for Attitude and Knowledge for the Second_Survey Value F Hypothesis df Wilks' Lambda .059 2324.368 2.000 289.000 .000 Wilks' Lambda .989 .766 4.000 578.000 .548 Effect Intercept Error df Sig. GROUP Design: Intercept+GROUP Alcohol 101 n = 94; Motivational Speaker n = 103; Control n =96 Table E8 Box's Test of Equality of Covariance Matrices for Attitude and Behavior for the Second_Survey Box'sM 7.947 F dfl 1.311 6 df2 Sig. 2017170 .248 Tests the null hypothesis that the observed covariance matrices of the dependent variables are equal across groups. Design: Intercept+GROUP Table E9 Multivariate Analysis of Variance for Attitude and Behavior for the Second Survey Effect Value F Hypothesis df Error df Sig. Intercept Wilks' Lambda .150 8 15.965 2.000 289.000 .000 Wilks' Lambda .996 .284 4.000 578.000 .888 GROUP Design: Intercept+GROUP Alcohol 101 n = 94; Motivational Speaker n = 103; Control n =96 Table ElO Box's Test of Equality of Covariance Matrices for Knowledge and Behavior for the Second Survey BofsM 9.758 F dfl dt2 Sig. 1.610 6 2007682 .140 Tests the null hypothesis that the observed covariance matrices of the dependent variables are equal across groups. Design: Intercept+GROUP 94 Table Eli Multivariate Analysis of Variance for Knowledge and Behavior for the Second_Survey Value F Wilks' Lambda .073 1843.109 Wilks' Lambda .991 .651 Effect Intercept Hypothesis Error df Sig. 2.000 291.000 .000 4.000 582.000 .627 df GROUP Design: Intercept+GROUP Alcohol 101 n = 94; Motivational Speaker n = 103; Control n = 96 Table E12 Boxts Test of Equality of Covariance Matrices for Attitude, Knowledge and Behavior for the Third Survey Box'sM F 13.781 1.129 dfl 12 d12 310655 .330 Sig. Tests the null hypothesis that the observed covariance matrices of the dependent variables are equal across groups. Design: Intercept+GROUP Table El3 Multivariate Analysis of Variance for Attitude, Knowledge and Behavior for the Third Survey Effect Value F Hypothesis df Error df Sig. Intercept Wilks' Lambda .059 1360.511 3.000 257.000 .000 Wi1ks Lambda .987 .580 6.000 514.000 .746 GROUP Design: Intercept+GROUP Alcohol 101 n = 93; Motivational Speaker n = 79; Control n 90 95 Table E14 Box's Test of Equality of Covariance Matrices for Attitude and Knowledge for the Third Survey Box'sM dfl df2 Sig. 8.530 1.406 6 1470594 .208 Tests the null hypothesis that the observed covariance matrices of the dependent variables are equal across groups. Design: Tntercept+GROUP Table E15 Multivariate Analysis of Variance for Attitude and ge for the Third Survey Error df Sig. Value Intercept Wilks' Lambda .060 2020.174 2.000 259.000 .000 Wilks' Lambda .989 .703 4.000 5 18.000 .590 GROUP Design: Intercept+GROUP Alcohol 101 n = 93; Motivational Speaker n = 79; Control n =90 Table E16 Box's Test of Equality of Covariance Matrices for Attitude and Behavior for the Third Survey Box'sM F 5.378 .886 dfl 6 dt2 1469988 .504 Sig. Tests the null hypothesis that the observed covariance matrices of the dependent variables are equal across groups. Design: Intercept+GROUP Table E17 Multivariate Analysis of Variance for Attitude and Behavior for the Third Survey Effect Value F Hypothesis df Error df Sig. Intercept Wilks' Lambda .168 637.149 2.000 258.000 .000 Wilks' Lambda .995 .341 4.000 5 16.000 .850 GROUP Design: Intercept+GROUP Alcohol 101 n = 93; Motivational Speaker n = 79; Control n =90 Table E18 Box's Test of Equality of Covariance Matrices for Knowledge and Behavior for the Third Survey Box'sM 10.336 F 1.704 6 1553622 .116 dfl dt2 Sig. Tests the null hypothesis that the observed covariance matrices of the dependent variables are equal across groups. Design: Intercept+GROUP Table E19 Multivariate Analysis of Variance for Knowledge and Behavior for the Third Survey Value F Hypothesis df Wilks' Lambda .072 1677.534 2.000 26 1.000 .000 Wilks' Lambda .987 .862 4.000 522.000 .486 Effect Error df Sig. Intercept GROUP Design: Intercept+GROUP Alcohol 101 n 93; Motivational Speaker n = 81; Control n = 91 Table E20 Box's Test of Equality of Covariance Matrices for Attitude, Knowledge and Behavior for the Fourth Survey Box'sM F 33.734 2.758 dfl 12 df2 Sig. 244157 .001 Tests the null hypothesis that the observed covariance matrices of the dependent variables are equal across groups. Design: Intercept+GROUP Table E21 Multivariate Analysis of Variance for Attitude, Knowledge and Behavior for the Fourth Survey Effect Value F Hypothesis df Error df Sig. Intercept Wilks' Lambda .043 1693 .009 3.000 227.000 .000 Wilks Lambda .982 .702 6.000 454.000 .648 GROUP Design: Jntercept+GROUP Alcohol 101 n = 74; Motivational Speaker n = 85; Control n = 73 97 Table E22 Box's Test of Equality of Covariance Matrices for Attitude and Knowledge for the Fourth Survey Box's M F 13.977 2.300 dfl 6 df2 Sig. 1190851 .032 Tests the null hypothesis that the observed covariance matrices of the dependent variables are equal across groups. Design: Intercept+GROUP Table E23 Multivariate Analysis of Variance for Attitude and Knowledge for the Fourth Survey Value F Hypothesis df Wilks' Lambda .043 2544.082 2.000 229.000 .000 Wilks' Lambda .985 .857 4.000 458.000 .490 Effect Intercept Error df Sig. GROUP Design: Intercept+GROUP Alcohol 101 n = 74; Motivational Speaker n = 85; Control n 74 Table E24 Box's Test of Equality of Covariance Matrices for Attitude and Behavior for the Fourth Survey Box'sM F 7.948 1.308 dfl 6 df2 Sig. 1222976 .249 Tests the null hypothesis that the observed covariance matrices of the dependent variables are equal across groups. Design: Intercept+GROUP Table E25 Multivariate Analysis of Variance for Attitude and Behavior for the Fourth Survey Effect Value F Hypothesis df Error df Sig. Intercept Wilks' Lambda .134 759.392 2.000 235.000 .000 Wilks' Lambda .998 .130 4.000 470.000 .972 GROUP Design: Intercept±GROUP Alcohol 101 n 79; Motivational Speaker n = 87; Control n = 73 98 Table E26 Box's Test of Equality of Covariance Matrices for Knowledge and Behavior for the Fourth Survey Box'sM F 21.985 3.618 dfl 6 df2 Sig. 1194071 .001 Tests the null hypothesis that the observed covariance matrices of the dependent variables are equal across groups. Design: Intercept+GROUP Table E27 Multivariate Analysis of Variance for Knowledge and Behavior for the Fourth Survey Value F Hypothesis df Wilks' Lambda .056 1944.826 2.000 231.000 .000 Wilks' Lambda .983 1.022 4.000 462.000 .395 Effect Intercept Error df Sig. GROUP Design: Intercept+GROUP Alcohol 101 n = 76; Motivational Speaker n = 86; Control n = 73 Table E28 Summary Results of Discrirninant Analysis for the Second Predicted Group Total It'Iemherchin Original Count % Group Alcohol 101 Alcohol 101 36 Motivational Speaker 32 29 42 103 Control 28 16 52 96 Alcohol 101 38.3 25.5 36.2 100. 0 Motivational Speaker 31.1 28.2 40.8 100. Motivational Speaker Control 24 34 94 0 Control 29.2 16.7 54.2 100. 0 39.9% of original grouped cases correctly classified. Table E29 Summary Results of Discriminant Analysis for the Third Survey Predicted Group Membership Original Count % Total Group Alcohol 101 Alcohol 101 23 Motivational Speaker 22 26 31 79 Control 21 22 47 90 Alcohol 101 24.7 26.9 48.4 100.0 Motivational Speaker 27.8 32.9 39.2 100.0 Control 23.3 24.4 52.2 100.0 Motivational Speaker Control 25 45 93 36.6% of original grouped cases correctly classified. Table E30 Summary Results of Discriminant Analysis for the Fourth Survey Group Alcohol 101 Original Count % Predicted Group Membership Alcohol 101 Total Motivational Speaker 26 Control 17 31 74 Motivational Speaker 17 35 33 85 Control 12 26 35 73 Alcohol 101 23.0 35.1 41.9 100.0 Motivational Speaker 20.0 41.2 38.8 100.0 Control 16.4 35.6 47.9 100.0 3 7.5% of original grouped cases correctly classified. 100 Table E31 Correlation Matrix for Predictor Variables Correlation Gender Grade Point Average Freshman status Sophomor e status Junior Status Senior Status Roman Catholic Jewish Protestant Allows Drinking Protestant No drinking Gender Grade Freshman SophPoint status omore Average status Junior Senior Roman Jewish Protestant - Protestant Allows Status Status Catholic 1.000 .061 .061 1.000 .033 .102 -.044 -.070 .064 -.002 -.058 .029 .041 .026 -.029 -.053 .064 .057 -.148 .080 .033 .102 1.000 -.175 -.156 -.144 -.001 -.034 -.072 .107 -.044 -.070 -.175 1.000 -.494 -.456 .003 -.007 -.008 .026 .064 -.002 -.156 -.494 1.000 -.406 -.065 .002 .032 -.068 -.058 .029 -.144 -.456 -.406 1.000 .054 .020 .035 -.011 .041 .026 -.001 .003 -.065 .054 1.000 -.137 -.523 -.196 -.029 .064 -.053 .057 -.034 -.072 -.007 -.008 .002 .032 .020 .035 -.137 -.523 1.000 -.089 -.089 1.000 -.031 -.127 -.148 .080 .107 .026 -.068 -.011 -.196 -.031 -.127 1.000 Table E32 ANOVA for Linear Fit of the Equation Model Sum of Squares df 1 Regression Residual Total 3666.488 42829.535 46496.023 9 208 217 Drinking Mean Square 407.388 205.911 F 1.978 °. drinking Sig. .043 Predictors: (Constant), Protestant No drinking, Junior Status, Grade Point Average, Jewish, Gender, Protestant - Allows Drinking, Freshman status, Senior Status, Roman Catholic Dependent Variable: First Behavior Score 101 Appendix F Means and Standard Deviations by Group and Stratified by Gender, Age, Grade Point Average and Religion Table Fl Means and Standard Deviations for the First Survey by Group Group First Attitude Score Alcohol 101 Mean N Std. Deviation Motivational Speaker Mean N Std. Deviation Control Mean N Std. Deviation Total Mean N Std. Deviation 8.3226 First Knowledge Score 19.1720 First Behavior Score 23.7634 93 93 93 3.5970 8.4615 5.3418 19.0108 15.1596 23.1304 92 14.2229 20.8191 94 14.4304 22.5627 279 14.6133 91 93 3.8015 7.7979 94 3.6414 8.1906 278 3.6779 6.0496 17.7553 94 5.6790 18.6429 280 5.7124 Table F2 Means and Standard Deviations for the Second Surve Group Second Attitude Score Second Knowledge Score Alcohol 101 Mean 8.4681 19.1915 N 94 94 Std. Deviation 3.6121 6.4563 Motivational Speaker Mean 8.5340 19.5810 N 103 105 Std. Deviation 3.4466 6.2107 Control Mean 8.2500 20.53 13 N 96 96 Std. Deviation 3.6216 4.933 1 Total Mean 8.4198 19.7661 N 293 295 Std. Deviation 3.5478 5.9163 Second Behavior Score 22.1915 94 14.3364 22.2286 105 15.7537 22.7083 96 15.6043 22.3729 295 15.2165 102 Table F3 Means and Standard Deviations for the Third Survey by Group Group Third attitude score Third knowledge score Alcohol 101 Mean 7.9247 19.7312 N 93 93 Std. Deviation 3.4774 6.2834 Motivational Speaker Mean 8.1266 19.4691 N 79 81 Std. Deviation 5.4729 3.8443 Control Mean 8.3187 20.9022 N 91 92 Std. Deviation 3.6814 5.3351 Total Mean 8.1217 20.0564 N 263 266 Std. Deviation 3.6508 5.7371 Table F4 Means and Standard Deviations for the Fourth Survey by Group Group Fourth Attitude Score Fourth Knowledge Score Alcohol 101 Mean 9.0380 20.5526 N 79 76 Std. Deviation 3.4285 5.1079 Motivational Speaker Mean 19.3372 8.9080 N 87 86 Std. Deviation 3.8988 6.1177 Control Mean 9.2568 20.6757 N 74 74 Std. Deviation 3.4997 4.3765 Total Mean 9.0583 20.1483 N 240 236 Std. Deviation 3.6149 5.3099 Table F5 Means and Standard Deviations for the First Survey by Group by Gender Group Gender First Attitude Score First Knowledge Score Alcohol 101 Male Mean 10.0000 19.7805 N 41 41 Std. Deviation 3.3392 5.1842 Female Mean 7.0000 18.6923 N 52 52 Std. Deviation 3.2479 5.4648 Total Mean 8.3226 19.1720 N 93 93 Std. Deviation 3.5970 5.34 18 Motivational Male Mean 9.4750 20.5610 Speaker N 40 41 Std. Deviation 4.0761 5.6659 Third behavior score 21.0108 93 13.6990 20.3827 81 16.5042 22.3407 91 14.5528 21.2755 265 14.8593 Fourth Behavior Score 21.0610 82 14.5070 21.3409 88 14.6867 2 1.0274 73 11.6571 21.1523 243 13.7272 First Behavior Score 32.5366 41 14.3859 16.8462 52 11.8989 23.7634 93 15.1596 25.5366 41 16.1340 103 Table F5, continued Female Total Control Male Female Total Total Male Female Total Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation 7.6667 51 3.4039 8.4615 17.7885 52 6.1144 19.0108 21.1961 51 19.5 152 12.3029 23.1304 92 14.2229 19.7273 33 5.7507 16.8033 15.1106 21.4098 91 93 3.8015 8.3030 33 3.6270 7.5246 6.0496 33 61 61 61 3.6497 7.7979 5.4523 17.7553 94 5.6790 19.9826 14.1414 20.8191 94 14.4304 26.3652 94 3.6414 9.3246 114 115 115 3.7262 7.4024 5.4932 15.9607 19.8963 17.7091 164 165 3.4405 8.1906 278 3.6779 5.6923 18.6429 280 5.7124 164 12.9883 22.5627 279 14.6133 Table F6 Means and Standard Deviations for the Second Survey by Group by Gender Group Gender Second Att itude Second Knowledge Second Behavior Score Score Score Alcohol 101 Male Mean 9.8636 19.2500 28.6136 N 44 44 44 Std. Deviation 3.5932 6.8442 15.1875 Female Mean 7.2400 19.1400 16.5400 N 50 50 50 Std. Deviation 3.1852 6.1644 10.8651 Total Mean 8.4681 19.1915 22.1915 N 94 94 94 Std. Deviation 3.6121 14.3364 6.4563 Motivational Male Mean 9.2667 19.3043 25.5652 Speaker N 45 46 46 Std. Deviation 3.7983 7.4442 18.8770 Female Mean 7.9655 19.7966 19.6271 N 58 59 59 Std. Deviation 3.0606 5.1050 12.3622 Total Mean 8.5340 19.5810 22.2286 N 103 105 105 Std. Deviation 3.4466 6.2107 15.7537 Control Male Mean 9.1515 21.4848 21.5758 N 33 33 33 Std. Deviation 3.5979 5.3626 14.3 135 Female Mean 7.7778 20.0317 23.3016 104 Table F6, Continued Total Total Male Female Total N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation 63 3.57 16 8.2500 63 4.6593 96 3.62 16 20.53 13 96 4.933 1 9.4508 19.8699 Motivational Speaker Male Female Total Control Male Female Total Total Male Female N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N 22.7083 96 15.6043 25.5854 122 123 123 3.6547 7.6842 6.7423 19.6919 16.5569 20.0756 171 172 172 3.2872 8.4198 293 3.5478 5.2664 13.7760 22.3729 295 15.2165 19.7661 295 5.9163 Table F7 Means and Standard Deviations for the Third Survey by Group by Gender Group Gender Third attitude score Third knowledge score Alcohol 101 Male Mean 9.2927 21.2439 N 41 41 Std. Deviation 3.3034 5.6071 Female Mean 6.8462 18.5385 N 52 52 Std. Deviation 3.2502 6.5782 Total Mean 7.9247 19.7312 N Std. Deviation Mean 63 16.3 190 Third behavior score 26.9512 41 15.1393 16.3269 52 10.3937 21.0108 93 93 93 3.4774 9.2414 6.2834 20.0000 13.6990 23.3448 29 4.1718 7.4800 29 5.6379 19.1731 50 52 29 20.4665 18.7308 52 3.5239 8.1266 5.4114 19.4691 20.3827 13.7671 79 81 81 3.8443 9.1667 30 5.4729 22.2903 3.93 12 5.6462 20.1967 16.5042 21.5000 30 14.3569 22.7541 7.9016 31 61 61 61 3.5105 8.3187 5.0722 20.9022 92 14.7486 22.3407 5.335 1 14.5528 24.2700 91 3.68 14 91 9.2400 21.2079 100 3.7230 7.4356 101 5 .6415 19.3515 16.6435 19.4606 163 165 165 100 105 Table F7, Continued Total Std. Deviation Mean N Std. Deviation 3.4409 8.1217 263 3.6508 5.6975 20.0564 266 21.2755 265 5.7371 14.8593 13.3953 Table F8 Means and Standasd Deviations for the Fourth Survey by Group by Gender Group Gender Fourth Attitude Fourth Knowledge Fourth Behavior Score Score Score Alcohol 101 Male Mean 20.5806 29.0000 10.5000 N 31 32 33 Std. Deviation 4.7524 15.0416 3.4078 Female Mean 20.5333 15.7143 8.0426 45 N 49 47 Std. Deviation 5.3919 11.4801 3.0995 Total Mean 20.5526 21.0610 9.0380 N 76 82 79 Std. Deviation 5.1079 14.5070 3.4285 Motivational Male Mean 19.3438 23.5882 9.0909 Speaker N 34 32 33 Std. Deviation 4.1334 7.3248 16.5897 Female Mean 19.3333 19.9259 8.7963 N 54 54 54 Std. Deviation 5.3518 13.3202 3.7837 Total Mean 19.3372 21.3409 8.9080 N 86 88 87 Std. Deviation 6.1177 14.6867 3.8988 Control Male Mean 21.7143 10.3333 21.0500 N 21 21 20 Std. Deviation 5.6493 10.6201 3.7193 Female Mean 8.8302 20.2642 21.0189 N 53 53 53 Std. Deviation 3.3497 3.7424 12.1220 Total Mean 9.2568 20.6757 21.0274 N 74 74 73 Std. Deviation 3.4997 4.3765 11.6571 Total Male Mean 25.0575 9.9186 20.3929 N 84 87 86 Std. Deviation 15.0088 3.7892 6.0640 Female Mean 18.9744 20.0132 8.5779 N 154 152 156 Std. Deviation 12.4853 3.4334 4.8596 Total Mean 20.1483 21.1523 9.0583 N 243 240 236 Std. Deviation 5.3099 13.7272 3.6149 106 Table F9 Means and Standard Deviations for the First Survey by Groun by Ae Group Age First Attitude Score First Knowledge Score Alcohol 101 18.00 Mean 9.2857 18.0714 19.00 20.00 21.00 22.00 23.00 Total Motivational Speaker 18.00 19.00 20.00 21.00 22.00 N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Control Std. Deviation 23.00 Mean N Std. Deviation Total Mean N Std. Deviation 18.00 Mean N Std. Deviation 19.00 Mean First Behavior Score 29.0714 14 14 14 3.4065 7.2353 5.9286 13.7363 20.2941 18.2941 17 17 17 3.4009 7.9565 23 4.0168 8.8125 6.7894 19.4783 23 5.6558 19.5000 13.4618 24.5652 23 17.4299 25.1875 16 16 16 3.2704 10.2222 3.8123 18.5556 15.3589 26.2222 9 9 9 2.2236 7.2500 4 5.1235 8.4096 6.6916 20.5000 4 2.3805 12.4778 27.2500 4 19.8893 24.8795 83 18.95 18 83 3.5717 8.7059 5.5566 17.5000 83 15.0822 21.5000 17 18 18 4.4408 9.7333 6.4739 19.2667 13.7467 28.0714 15 15 14 3.8631 8.3182 22 3.9567 7.5714 4.1139 18.4348 15.8525 24.4348 23 14.8472 21.5000 23 6.8545 19.2857 14 14 14 2.7376 9.0000 7.4568 22.0000 4 2.8284 22.5000 2 3.5355 18.8289 76 6.1653 16.7917 24 5.0818 16.0625 11.7653 32.2500 4 18.7861 23.0000 2 4.2426 24.2400 75 14.1954 21.0833 24 15.3053 24.4375 4 .8165 11.0000 2 5.6569 8.6622 74 3.7609 7.7083 24 3.7819 8.6250 107 Table F9. Continued 20.00 21.00 22.00 23.00 Total Total 18.00 19.00 20.00 21.00 22.00 23.00 Total N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation 16 16 16 4.1932 8.2000 20 4.3842 8.1333 5.3225 18.4500 20 14.2078 19.6500 20 13.7008 22.4667 6.525 1 19.4000 15 15 15 3.0907 6.5455 4.8374 19.5455 14.85 10 11 11 11 2.1149 7.6667 5.3172 10.6667 14.2408 10.3333 22.0000 3 3 3 1.1547 7.9101 89 3.6483 5.1316 17.6067 89 5.6339 17.3393 56 5.6866 17.8542 48 5.6191 18.8030 66 6.2787 19.4000 45 5.3700 19.5833 24 5.5082 17.6667 1.5275 21.3483 89 8.4182 55 3.8953 8.4792 48 3.8812 8.1538 65 4.05 14 8.2000 45 3.0271 8.3333 24 2.5988 8.2222 9 9 4.0859 8.3049 246 3.6557 6.2048 Table FlO Means and Standard Deviations for the Second Surve Group Age Second Au itude Score Alcohol 101 18.00 Mean 9.2500 N 12 Std. Deviation 2.8002 19.00 Mean 7.5500 N 20 Std. Deviation 3.7343 20.00 Mean 8.4545 N 22 Std. Deviation 3.6610 18.43 15 248 5.7866 14.183 1 23.2143 56 14.5823 24.0213 47 14.4936 23.0303 66 15.4063 23.1333 45 13.9294 25.2917 24 14.2233 20.6667 9 14.6373 23.4130 247 14.52 16 Second Knowledge Second Behavior Score Score 18.6667 26.0833 12 12 7.4019 18.4500 20 6.3285 19.2273 22 6.0705 14.0548 20.7500 20 16.7705 22.8182 22 14.9145 108 Table F 10. Continued 21.00 22.00 23.00 Total Motivational Speaker 18.00 19.00 20.00 21.00 22.00 23.00 Total Control 18.00 19.00 20.00 21.00 22.00 23.00 Total Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean 23.3750 8.6250 18.6250 16 16 16 3.5379 9.7778 7.2007 18.7778 12.8056 23.5556 9 9 8.3333 21.7500 4 1.7078 18.9157 2.7285 7.7500 4 4.7170 8.4940 9 10.8641 23.2500 4 16.1735 23.0000 83 83 83 3.4724 7.7619 6.5522 17.8182 14.2272 21.8636 21 3.9231 9.3333 22 7.0213 21.2105 22 14.9293 18 19 19 3.6299 8.3750 24 5.6133 18.9583 24 5.3850 20.7143 18.0138 21.7500 24 18.3830 22.7857 14 10.032 1 3.28 12 8.2857 28.9474 14 14 2.3996 10.3750 7.1836 20.5000 8 8 8 4.6579 8.0000 7.5593 21.0000 12.9222 12.0000 2 2 1.4142 19.6180 89 6.3057 19.2692 7.0711 8.5862 87 3.5912 8.3462 26 3.3934 9.3529 26 4.7544 18.3529 17.8750 2 .0000 22.9101 89 15.7975 23.0000 26 17.165 1 24.7059 17 17 17 3.9519 8.6818 22 3.8345 7.8000 4.4150 21.8182 22 4.3822 21.6667 15.0448 22.5909 22 16.0614 22.7333 15 15 15 3.7071 7.1111 5.5119 23.0000 15.4941 9 9 9 2.6667 7.0000 4.8477 13.5000 7.4181 12.0000 2 2 .7071 2.8284 8.3736 20.3516 25.4444 2 .0000 23.1758 Table FlO, Continued Total 18.00 19.00 20.00 21.00 22.00 23.00 Total N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation 91 91 91 3.5673 8.3220 59 3.4713 8.6909 4.9696 18.6167 60 6.1454 15.1119 23.2000 60 15.6007 24.7321 56 16.7663 22.3676 68 16.3341 22.9778 45 12.7324 22.4615 26 10.6065 17.6250 68 19.3571 56 5.6228 19.9706 68 3.5387 8.2444 20.2889 55 3.8000 8.5000 5.403 1 45 45 3.2344 9.0385 26 6.6559 20.7692 26 6.9989 19.5000 3.583 1 7.6250 8 8 8 4.2405 8.4828 261 3.5329 3.9279 19.6502 263 5.9681 12.1765 Table Fl 1 Means and Standard Deviations for the Third Survey by Group by Age Group Age Third attitude score Third knowledge score Alcohol 101 18.00 19.00 20.00 21.00 22.00 23.00 Total Motivational Speaker 18.00 Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N 9.1429 19.4286 23.0304 263 15.0211 Third behavior score 25.2857 14 14 14 3.7796 7.1579 5.4591 13.6688 21.0000 20.5789 19 19 19 3.4361 7.7143 7.0263 18.7619 14.9666 23.4762 21 3.5234 8.4118 21 7.5 160 21 16.2561 20.2353 21.5882 17 17 17 3.2027 8.3333 4.3808 17.8333 13.1437 19.3333 6 3.0111 6.6000 6 6 9.4534 20.2000 8.8468 15.2000 5 5 5 4.0988 7.9512 7.0852 19.6220 6.8337 22.0122 82 82 3.4602 8.9091 6.4991 19.7273 82 13.8693 19.2727 11 11 11 110 Table Fil. Continued 19.00 20.00 21.00 22.00 23.00 Total Control 18.00 19.00 20.00 21.00 22.00 23.00 Total Total 18.00 19.00 20.00 21.00 22.00 Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N 3.7271 8.8750 4.3610 21.0000 14.7993 27.5000 16 16 16 3.7572 7.4500 20 4.3100 8.7857 4.1952 19.5909 22 5.7210 23 .4464 19.3636 22 16.8595 19.3571 24.2143 14 14 14 2.4862 10.6667 5.8652 15.0000 12.8253 16.0000 3 3 3 2.0817 7.5000 9.1652 22.0000 11.1355 16.5000 2 2 1.4 142 7.7782 8.4697 66 3.7137 9.0000 26 3.4525 8.6000 15 4.256 1 8.7368 19 4.0803 8.0000 19.7647 68 5.2749 20.5769 26 5.2928 19.5333 15 5.083 1 21.5500 20 4.9997 21.7857 2 3.5355 22.0294 68 17.1734 26.4000 25 18.0 139 21.0667 15 10.6467 20.0500 20 12.9634 22.8571 14 14 14 3.7622 7.2222 6.6469 23.0000 14.9967 25.7778 9 9 9 3.3082 7.0000 4.1231 13.0000 6.8698 11.0000 2 2 2.8284 8.4706 1.4 142 2 1.4142 20.8953 22.9529 85 3.7 180 86 5.3841 9.0196 20.0784 51 51 3.5298 8.1400 5.0827 20.4000 50 5.5915 19.9365 50 3.8012 7.9500 60 3.9464 8.4000 85 14.1202 24.5200 50 16.1665 23.1000 50 17.0955 20.9524 63 63 6.1902 20.4444 3.1363 8.1667 45 5.5823 19.9444 15.3732 22.8000 45 13.3818 22.0000 18 18 18 45 111 Table Fl!, Continued 23.00 Total Std. Deviation Mean N Std. Deviation Mean N Std. Deviation 3.1483 6.8889 7.4 160 8.73 13 19.0000 14.5556 9 9 9 4.1366 8.2876 6.1441 20.1271 233 236 5.7723 5.4339 22.3574 235 14.9266 3.6209 Table F12 Means and Standard Deviations for the Fourth Survey by Group by Age Group Age Fourth Knowledge Fourth Behavior Fourth Attitude Score Score Score Alcohol 101 18.00 Mean 10.3636 18.3636 25.7273 N 11 11 11 Std. Deviation 2.1574 4.2255 14.0221 19.00 Mean 18.8125 19.7647 8.8750 N 16 17 16 Std. Deviation 3.6674 3.9870 15.7024 20.00 Mean 20.7222 8.7647 22.7500 N 17 16 18 Std. Deviation 5.8481 16.7395 3.7338 21.00 Mean 9.4000 22.3077 23.4000 N 13 15 15 Std. Deviation 4.3853 12.6875 2.6939 22.00 Mean 24.7143 10.1429 23.3333 N 7 6 7 Std. Deviation 15.6068 4.4 132 3.5024 23.00 Mean 16.6667 22.3333 10.0000 N 2 3 3 Std. Deviation 1.4142 11.1505 7.7675 Total Mean 20.723 1 22.2958 9.3676 N 65 71 68 Std. Deviation 3.2732 5.2723 14.5665 Motivational 18.00 Mean 18.6250 19.3125 8.5333 Speaker N 15 16 16 Std. Deviation 3.7960 7.3292 11.8249 19.00 Mean 10.3333 19.6000 28.4667 N 15 15 15 Std. Deviation 4.8648 4.8226 2 1.2867 20.00 Mean 8.6667 19.9444 22.5556 N 18 18 18 Std. Deviation 3.8957 6.1498 14.7018 21.00 Mean 19.2000 9.4667 22.7333 N 15 15 15 Std. Deviation 6.6246 13.2959 2.7482 22.00 Mean 11.3333 14.0000 21.5000 N 6 6 6 Std. Deviation 7.3485 12.0955 3.6 148 23.00 Mean 11.0000 3.0000 25.0000 N 1 1 1 Std. Deviation . . 112 Table F12. Continued Total Control 18.00 19.00 20.00 21.00 22.00 23.00 Total Total 18.00 19.00 20.00 21.00 22.00 23.00 Total Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation 22.8592 9.3143 70 18.9859 71 71 3.9 178 6.4020 21.8333 15.1886 20.8889 9.7222 18 18 18 3.3573 8.4545 4.0037 19.0909 14.9544 21.3636 11 11 11 3.9335 9.4737 4.7213 22.2105 12.5720 20.2632 19 19 19 3.5803 9.1818 3.3263 18.9091 9.3502 22.1000 11 11 10 4.423 1 5.6649 20.5556 7.5785 22.3333 8.8889 9 9 9 3.5158 8.5000 3.7786 17.5000 2 4.9497 20.7571 70 4.3487 19.8444 45 5.5920 19.1667 42 4.3947 21.6038 13.7204 16.0000 2 5.6569 21.0145 69 11.5688 21.5111 45 13.6059 23.2093 43 17.2676 21.1636 55 13.6528 22.8250 40 11.6088 22.8636 22 13.3391 18.3333 2 .7071 9.2286 70 3.5841 9.4773 44 3.2813 9.2857 42 4.1748 8.9815 54 53 3.6832 9.3659 5.2490 20.1538 39 5.7516 19.4762 41 3.1761 9.9545 22 3.7982 8.0000 5 3.0000 9.3029 208 3.5874 21 6.0218 18.3333 6 8.0911 20.1359 206 5.4532 6 7.2847 22.0664 211 13.8404 113 Table F13 Means and Standard Deviations for the First Survey by Grade Point Average Group Grade Point First Attitude First Knowledge First Behavior Average Score Score Score Alcohol 101 1.25 23.0000 49.5000 Mean 12.5000 2.0 2.5 3.0 3.5 Total Motivational Speaker 1.25 2.0 2.5 3.0 3.5 Total Control 1.25 2.0 2.5 3.0 N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean 2 .7071 9.8000 2 2 2.8284 20.6000 26.1630 37.8000 5 5 5 3.1145 8.6400 25 2.9422 8.4211 4.2778 18.8000 7.563 1 25 4.9666 20.3684 26.2000 25 14.0119 23.3158 19 19 19 3.6865 7.0833 3.7448 17.7500 11.6240 20.0000 12 12 12 4.3788 8.4921 7.3 128 19.3492 15.4390 25.8095 63 3.5 189 63 63 5.0900 7.0000 2 1.3333 14.5068 29.3333 2 .0000 9.3750 3 3 2.5 166 10.9697 21.2500 16.2500 8 8 8 3.0677 8.8333 6.0886 18.3889 13.1230 26.8235 18 18 17 4.0620 8.8400 25 3.6706 8.7143 7.1795 19.6800 25 5.6842 20.4286 14.1122 26.1600 25 15.9522 17.7143 7 7 7 3.7733 8.8333 60 3.5993 10.0000 6.6797 19.0164 6.1927 10.0000 8.8452 24.8667 60 14.1654 49.0000 1 1 1 9.5455 18.5455 32.2727 11 11 11 3.7779 8.6429 3.8305 16.8571 14.2484 26.6429 61 . 14 14 14 2.9511 8.2000 4.5380 19.4400 12.2009 19.9600 114 Table F13. Continued 3.5 4.0 Total Total 1.25 2.0 2.5 3.0 3.5 4.0 Total N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation 25 2.8137 4.9167 25 5.9587 17.0000 25 11.8338 11.0833 12 12 12 3.7769 5.0000 7.1351 21.0000 8.7330 13.0000 1 1 1 7.8906 64 3.4784 9.8000 18.1406 64 22.2 187 64 13.7834 20.0000 5 6 2.7749 9.5417 24 3.2834 8.7018 57 3.2785 8.4928 69 3.3503 6.6129 5.3666 18.2083 24 4.8453 18.1930 57 5.6234 19.7826 69 5.2716 18.0645 5.61 14 39.3333 6 17.4662 29.7500 24 13.8885 26.5000 56 13.3743 23.1304 69 13.4939 16.0323 31 31 31 4.1688 5.0000 6.9997 21.0000 12.1559 13.0000 1 1 1 8.3957 18.8298 187 188 24.278 1 187 3.5338 5.6363 14.1603 Table F14 Means and Standard Deviations for the Second Survey by Group by Grade Point Average Group Grade Point Second Second Att itude Second Average Knowledge Score Behavior Score Score Alcohol 101 1.25 30.0000 Mean 12.0000 22.0000 2.0 2.5 3.0 3.5 N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N 1 1 . 10.8333 6 2.4833 8.4167 24 18.6667 6 8. 1404 40.8333 6 2.8880 8.9500 20 2.8924 7.5333 18.9167 24 5.7250 19.5500 20 6.6052 19.4667 14.2045 24.1667 24 11.2353 23.8500 20 13.9860 18.4000 15 15 15 115 Table F14, Continued Total Motivational Speaker 2.0 2.5 3.0 3.5 Total Control 1.25 Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N 2.0 2.5 3.0 3.5 4.0 Total Total 1.25 2.0 2.5 3.0 Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation 4.8531 8.65 15 66 3.4485 11.2727 6.9268 19.2576 66 6.3253 15.9 167 16.1723 24.3636 66 14.4058 23.3333 11 12 12 3.7441 8.3750 7.4157 19.6250 14.3675 24.1875 16 16 16 3.4230 8.7857 28 3.0835 7.7692 4.8836 21.5357 28 6.1673 20.6154 16.2408 25.0000 28 18.7557 18.8462 13 13 13 3.2 185 4.6822 19.9420 8.8971 68 3.4126 9.0000 69 6.0946 24.0000 9.6596 23.3623 69 15.9022 28.0000 1 1 1 10.0909 22.5455 3 1.5455 11 11 11 3.5904 9.6000 3.1421 19.6667 13.3069 30.5333 . 15 15 15 3.0892 8.3750 24 2.6835 4.6085 21.4583 24 5.1498 14.8894 24.1667 24 14.6574 5.5385 20.0000 11.4615 13 13 13 3.4063 2.0000 6.1101 21.0000 8.9220 14.0000 1 1 1 20.9692 24.2462 . 8.2923 65 3.4629 10.5000 65 65 4.8957 23.0000 14.8924 29.0000 2 2 2 2.1213 10.7143 28 3.3759 8.7273 1.4142 19.0000 29 6.7823 19.3273 55 5.1210 20.9583 72 5.9586 1.4142 30.0690 29 15.0165 25.9091 55 3.0939 8.6944 72 2.8711 55 13.8808 24.4028 72 15.9988 116 Table F14, Continued 3.5 4.0 Total Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation 16.3415 6.9756 20.0000 41 41 41 3.9780 2.0000 5.8992 21.0000 12.4411 14.0000 1 1 1 8.6181 199 3.4326 20.0500 200 5.8273 23.9800 200 15.0243 Table F15 Means and Standard Deviations for the Third Survey by Group by Grade Point Average Group Grade Point Third attitude Third knowledge Third behavior Average score score score Alcohol 101 1.25 30.0000 Mean 12.0000 6.0000 1 1 1 N Std. Deviation 2.0 36.0000 Mean 10.4444 20.5556 9 9 N 9 19.2808 5.7033 Std. Deviation 2.3511 2.5 20.9167 Mean 20.1250 7.7083 24 24 N 24 11.3594 Std. Deviation 2.9559 6.5230 3.0 20.4211 19.6842 Mean 7.7368 19 19 N 19 11.0758 Std. Deviation 3.2118 4.7530 3.5 18.1538 Mean 6.5385 19.6154 13 13 N 13 13.4774 Std. Deviation 4.1556 6.7273 Total 22.2121 Mean 7.9242 19.9545 N 66 66 66 13.8548 Std. Deviation 3.3710 6.0674 Motivational 1.25 Mean 7.0000 41.0000 Speaker 1 1 N Std. Deviation 2.0 Mean 22.1429 20.1429 9.4286 N 7 7 7 Std. Deviation 2.9921 2.2678 2 1.3263 2.5 Mean 8.5000 18.0769 19.3077 13 13 N 12 10.8119 Std. Deviation 3.6556 5.0409 3.0 19.8519 24.4074 Mean 8.5185 27 27 N 27 Std. Deviation 3.7042 5.6207 16.0438 3.5 20.8333 21.2500 Mean 7.5833 N 12 12 12 Std. Deviation 2.9683 5.1669 23.293 1 Total Mean 8.43 10 19.7167 22.4500 60 N 58 60 17.1844 Std. Deviation 3.4290 5.3744 Control 1.25 Mean 26.0000 27.0000 8.0000 117 Table Fl 5. Continued 2.0 2.5 3.0 3.5 4.0 Total Total 1.25 2.0 2.5 3.0 3.5 4.0 Total N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation 1 1 1 10.9091 22.1818 31.4545 11 11 11 3.6730 9.1818 3.6005 19.1667 11.8606 28.9167 11 12 12 3.1565 8.2609 5.1139 21.9130 10.3173 23 23 3.0632 5.2500 5.6722 20.6667 22.1739 23 13.5903 12.5000 12 12 12 3.3063 5.0000 6.5690 23.0000 8.1296 14.0000 1 1 1 21.2500 23.2333 60 13.0233 32.6667 . 8.2542 59 3.6369 10.0000 60 5.3698 13.0000 2 3 3 2.8284 10.3704 27 3.0527 8.2553 47 3.1792 8.2174 69 3.3337 6.4595 37 3.5637 5.0000 11.2694 7.3711 30.0370 27 17.6907 21.6296 27 4.0964 19.3469 49 5.7863 20.6957 69 5.4 105 22.4490 49 11.3909 22.3623 69 13.9400 6.0609 23.0000 17.3243 37 16.1143 14.0000 I 1 1 . . 8.1913 20.2957 22.6183 183 186 5.6381 14.6936 3.4643 20.3514 37 186 118 Table F16 Means and Standard Deviations for the Fourth Survey by Group by Grade Point Average Group Grade Point Fourth Fourth Attitude Fourth Average Knowledge Score Behavior Score Score Alcohol 101 1.25 20.0000 Mean 9.0000 21.0000 1 1 1 N Std. Deviation 2.0 50.4000 Mean 13.8000 21.2500 4 N 5 5 11.2827 Std. Deviation 3.0332 5.9090 2.5 20.2381 9.3500 20.9000 Mean 21 N 20 20 12.1857 Std. Deviation 2.7773 5.6186 3.0 19.3529 Mean 9.0667 21.2500 16 17 N 15 10.6239 Std. Deviation 2.9873 5.5558 3.5 17.6667 Mean 8.2500 20.0000 12 12 12 N 3.7447 13.2893 Std. Deviation 6.3960 Total 22.1071 Mean 9.4340 20.8302 53 53 56 N 3.3311 14.5686 Std. Deviation 5.5979 Motivational 2.0 23.5556 Mean 9.5556 17.7778 Speaker N 9 9 9 9.043 1 Std. Deviation 2.65 10 8.9969 2.5 9.8667 17.4000 26.6667 Mean 15 N 15 15 17.89 12 Std. Deviation 3.7007 6.9980 3.0 25.0417 Mean 10.0833 19.5417 24 N 24 24 Std. Deviation 4.2927 5.19 18 17.8386 3.5 15.8000 Mean 8.0000 22.2000 10 N 10 10 9.0406 Std. Deviation 4.0277 3.2249 Total 9.5862 19.1724 23.6379 Mean 58 N 58 58 15.6661 Std. Deviation 3.8618 6.2215 Control 2.0 25.4286 Mean 9.1429 21.5714 N 7 7 7 1.7728 2.9358 9.4843 Std. Deviation 2.5 Mean 10.2308 20.8462 27.0000 13 13 13 N 11.0000 Std. Deviation 2.0878 4.2 199 3.0 9.5909 20.2727 19.0000 Mean 21 N 22 22 Std. Deviation 3.6340 5.0632 8.8769 3.5 Mean 7.4444 19.0000 15.3333 N 9 9 9 Std. Deviation 4.9018 4.7697 8.1854 4.0 14.0000 Mean 1.0000 22.0000 119 Table F16. Continued Total Total 1.25 2.0 2.5 3.0 3.5 4.0 Total N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation Table F17 Means and Standard Deviations for the First Survei Group Religion Alcohol101 RomanCatholic Mean N Std. Deviation Jewish Mean N Std. Deviation Protestant (allows Mean drinking) N Std. Deviation Protestant (does Mean not allow drinking) N Std. Deviation None or other Mean N Std. Deviation Total Mean N Std. Deviation 1 1 1 9.1538 20.4038 21.1765 52 3.5776 9.0000 52 51 4.4689 21.0000 10.1286 20.0000 1 1 1 10.4286 19.8000 20 6.7715 19.7917 48 5.8780 20.2419 62 5.1999 20.4194 30.5714 21 3.0589 9.7500 48 2.9063 9.6557 61 3.7322 7.9355 31 21 14.6580 24.0000 49 14.0119 21.4355 62 13.5569 16.3871 31 4.0656 31 5.09 10 1.0000 22.0000 10.4041 14.0000 1 1 1 9.3988 20.1043 22.3576 163 163 165 3.5876 5.5206 13.7402 First Attitude Score 8.6857 First Knowledge First Behavior Score Score 28.1143 18.057l 35 35 35 2.8156 7.8000 4.3585 20.0000 14.1 167 5 5 5 2.7749 3.7417 20.0000 5.5408 8.739 1 20.8000 20.39 13 23 23 23 4.1034 8.3333 5.9084 16.6667 12.7198 34.6667 3 3 3 4.0415 7.1250 11.1505 19.6875 34.0196 23.1250 16 16 6.935 1 17.4 122 4.2091 8.3293 82 3.5173 18.9878 82 5.5810 16 24.7683 82 15.1407 120 Table F 17. Continued Motivational Speaker Control Total Roman Catholic Mean N Std. Deviation Jewish Mean N Std. Deviation Protestant (allows Mean drinking) N Std. Deviation Protestant (does Mean not allow drinking) N Std. Deviation Noneorother Mean N Std. Deviation Total Mean N Std. Deviation Roman Catholic Mean N Std. Deviation Jewish Mean N Std. Deviation Protestant (allows Mean drinking) N Std. Deviation Protestant (does Mean not allow drinking) N Std. Deviation None or other Mean N Std. Deviation Total Mean N Std. Deviation Roman Catholic Mean N Std. Deviation Jewish Mean N Std. Deviation Protestant (allows Mean drinking) N Std. Deviation 9.1290 18.12 12 26.5455 31 33 33 3.9978 6.0000 5.8457 14.3333 14.1997 21.3333 3 3 3 7.0000 8.0588 10.2632 19.7647 22.3681 2 1.3750 17 17 16 3.2301 7.0000 7.1198 21.5000 13.2105 16.0000 2 2 2 1.4142 8.5882 6.3640 19.4118 4.2426 21.2353 17 17 17 3.7426 8.5429 14.7798 23.5915 3.8247 8.3182 44 3.6138 8.0000 5.4893 18.7500 72 6.2230 16.3182 44 5.6229 10.0000 1 1 1 20.3846 18.7692 70 71 14.2303 23.1364 44 15.4598 24.0000 . 6.8462 13 13 13 3.8481 9.3333 6.0489 22.6667 13.8874 25.3333 3 3 3 5.6862 7.6364 22 3.6193 7.9398 3.2 146 10.5987 20.9545 22 13.2215 21.9639 18.4545 22 5.0495 17.6747 83 83 83 3.6771 8.6636 5.7150 17.3929 14.2884 25.6964 110 112 112 3.4833 7.2222 5.3547 17.0000 14.7109 21.3333 9 9 6.9101 20.0 189 11.8954 20.2885 4.1164 8.0566 53 53 3.7847 6.2342 9 52 12.9408 121 Table Fl 7. Continued Protestant (does not allow drinking) Noneorother Total 20.1250 26.5000 Mean 8.3750 N Std. Deviation Mean N Std. Deviation Mean N Std. Deviation 8 8 8 3.8891 7.7818 55 3.8088 8.2553 235 3.6601 7.2592 20.6398 21.6727 19.1091 55 5.7014 18.4557 237 5.8334 55 14.7586 23.4280 236 14.5590 Table Fl8 Means and Standard Deviations for the Second Survey by Group by Religion Group Religion Second Second Second Att itude Knowledge Score Behavior Score Score Alcohol101 RomanCatholic Mean 17.1429 27.2571 9.1143 35 N 35 35 Std. Deviation 5.6524 14.6113 3.1227 Jewish 22.0000 Mean 22.8000 7.8000 N 5 5 5 3.2404 Std. Deviation 2.2804 4.5497 Protestant (allows 20.8333 Mean 19.4583 8.7083 drinking) Motivational Speaker N Std. Deviation Protestant (does Mean not allow drinking) N Std. Deviation None or other Mean N Std. Deviation Total Mean N Std. Deviation Roman Catholic Mean N Std. Deviation Jewish Mean N Std. Deviation Protestant (allows Mean drinking) N Std. Deviation Protestant (does Mean not allow drinking) N 24 3.5445 6.7500 24 6.2252 16.5000 24 11.4853 14.0000 4 4.1130 6.9286 4 8.8506 20.3571 4 16.2481 14 14 14 3.9509 8.4268 82 3.4392 8.9524 7.3653 19.0854 17.1054 22.7927 82 82 14.1881 42 3.8947 6.3333 6.4064 19.3023 43 6.5339 18.3333 20.1429 25.1395 43 17.1764 19.6667 3 3 3 4.0415 4.7258 20.0000 24.5425 21.1111 8.1111 18 18 18 2.7416 8.0000 5.6464 27.0000 13.5555 19.0000 3 3 3 122 Table F18. Continued Std. Deviation Mean N Std. Deviation Total Mean N Std. Deviation Roman Catholic Mean N Std. Deviation Jewish Mean None or other Control N Std. Deviation Protestant (allows Mean drinking) N Std. Deviation Protestant (does Mean not allow drinking) N Total Std. Deviation None or other Mean N Std. Deviation Total Mean N Std. Deviation Roman Catholic Mean N Std. Deviation Jewish Mean N Std. Deviation Protestant (allows Mean drinking) N Std. Deviation Protestant (does Mean not allow drinking) N Std. Deviation None or other Mean N Std. Deviation Total Mean N Std. Deviation 1.0000 8.4118 1.7321 19.0000 6.5574 19.3333 17 18 18 4.1692 8.5301 6.8599 19.6235 14.9863 22.6471 83 85 85 3.6437 8.3556 45 3.5685 8.0000 6.3320 19.1778 45 5.5115 14.0000 15.8855 24.1333 45 16.1816 1 1 1 7.6667 22.9333 20.9333 22.0000 15 15 15 3.8483 10.3333 4.0790 22.3333 17.7622 25.0000 3 3 3 2.0817 8.4348 1.5275 20.52 17 23 14.7986 23.0435 4.1327 20.2299 13.4620 23.2989 87 15.4356 25.3740 23 3.7998 8.3218 87 3.5975 8.7787 87 5.0156 18.6423 23 122 123 123 3.5525 7.3333 5.9549 20.3333 9 9 2.6926 8.2456 5.1235 21.1228 16.0345 21.2222 9 12.5377 20.3684 57 3.3662 8.2000 57 5.5744 21.4000 57 13.7641 18.8000 10 10 10 3.0478 8.0370 54 3.9380 8.4246 252 6.9793 19.9818 13.0111 3.5491 55 5.9426 19.6575 254 5.9348 21.0909 55 14.7601 22.9173 254 15.1427 123 Table F19 Means and Standard Deviations for the Third Survey by Groun by Relinion Group Religion Third attitude Third knowledge Third behavior Alcohol 101 Motivational Speaker Roman Catholic Mean N Std. Deviation Jewish Mean N Std. Deviation Protestant (allows Mean drinking) N Std. Deviation Protestant (does Mean not allow drinking) N Std. Deviation Noneorother Mean N Std. Deviation Total Mean N Std. Deviation Roman Catholic Mean N Std. Deviation Jewish Mean N Std. Deviation Protestant (allows Mean drinking) N Std. Deviation Protestant (does Mean not allow drinking) None or other Total Roman Catholic Jewish score score 19.5000 34 5.2063 2 1.0000 23.3529 34 13.3890 22.2000 5 5 5 3.3615 8.2727 4.9497 20.7727 11.3666 2 1.0909 22 3.7945 8.3333 22 5.5885 14.3333 22 11.3344 18.0000 3 3 3 4.04 15 10.4083 18.7059 19.0788 19.1765 7.4118 17 17 17 4.0936 7.8765 9.3793 19.5802 16.3983 81 81 81 3.4 146 8.843 8 6.5285 19.2424 13.42 18 21.5926 24.4848 32 33 33 3.7855 10.0000 2 5.6569 5.7229 14.5000 2 7.7782 21.7692 19.7280 28.5000 2 24.7487 19.6923 6.923 1 13 13 13 3.4025 6.3333 2.3507 24.0000 14.9632 8.6667 N 3 3 3 Std. Deviation Mean N Std. Deviation Mean 3.055 1 3.6056 18.5385 7.5719 17.0769 N Control score 8.0294 34 2.8336 6.4000 Std. Deviation Mean N Std. Deviation Mean 8.6667 12 13 13 4.0973 8.3226 62 3.7799 8.5349 6.0775 19.6875 64 12.0448 5.395 1 19.3256 43 43 3.4527 8.0000 6.2516 14.0000 21.3906 64 17.2706 24.3023 43 14.8813 24.000a 124 Table Fl 9. Continued Total N Std. Deviation Protestant (allows Mean drinking) N Std. Deviation Protestant (does Mean not allow drinking) N Std. Deviation None or other Mean N Std. Deviation Total Mean N Std. Deviation Roman Catholic Mean N Std. Deviation Jewish Mean N Std. Deviation Protestant (allows Mean drinking) N Std. Deviation Protestant (does Mean not allow drinking) N Std. Deviation None or other Mean N Std. Deviation Total Mean N Std. Deviation 1 1 1 7.9231 23.7692 16.2308 13 13 13 4.0919 13.0000 4.3235 24.3333 11.0314 30.6667 3 3 3 4.3589 7.8571 4.0415 21.7727 22 3.2650 20.8049 19.8578 22.8571 21 3.9785 8.4198 21 14.6297 22.8642 81 82 81 3.7579 8.4679 5.4827 19.3545 14.4376 24.0636 109 110 5.735 1 3.3626 7.5000 18.5000 110 15.9404 24.0000 8 8 8 3.7033 5.8797 7.8 125 2 1.8542 13.0165 19.3958 48 3.7397 9.2222 48 4.6585 20.8889 48 12.2383 19.1111 9 9 4.4659 7.9000 50 3.9911 8.1964 224 3.6355 7.6558 19.9615 9 17.1861 20.1569 52 51 6.5678 20.0529 227 5.8565 14.5717 21.9912 226 14.9035 Table F20 Means and Standard Deviations for the Fourth Survey by Group by Religion Group Religion Fourth Attitude Fourth Fourth Score Knowledge Score Behavior Score Alcohol 101 Roman Catholic Mean 9.7308 20.79 17 23333 26 N 24 27 Std. Deviation 3.0667 5.2913 12.0384 Jewish Mean 7.1667 20.1667 16.3333 N 6 6 6 Std. Deviation 2.9269 5.3448 5.3 166 Protestant (allows Mean 9.3810 21.1364 21.0000 drinking) N 21 22 22 125 Table F20. Continued Std. Deviation Mean N Std. Deviation Total Mean N Std. Deviation Roman Catholic Mean None or other Motivational Speaker Control N Std. Deviation Jewish Mean N Std. Deviation Protestant (allows Mean drinking) N Std. Deviation Protestant (does Mean not allow drinking) N Std. Deviation None or other Mean N Std. Deviation Total Mean N Std. Deviation Roman Catholic Mean N Std. Deviation Jewish Mean N Std. Deviation Protestant (allows Mean drinking) N Protestant (does not allow drinking) Total Std. Deviation Mean N Std. Deviation None or other Mean N Std. Deviation Total Mean N Std. Deviation Roman Catholic Mean N Std. Deviation 2.7835 9.2857 5. 1018 20.0000 13.0894 24.6667 14 12 15 4.2141 9.2985 67 3.2474 8.9655 6.2668 20.7031 21.1176 5.3 115 2 1.9000 70 14.2820 19.0690 23.2069 29 29 6.0882 9.0000 29 16.8298 11.0000 4.3 792 6.5000 2 2. 1213 9.8333 18 3.5 189 7.0000 64 3 3 7.0000 20.4444 10.5830 26.5000 18 18 5.8634 24.6667 16.0156 13.0000 3 3 3 3.6056 9.7143 4.0415 2.6458 17.7 143 14 19.857 1 14 10.6544 22.3881 67 15.1117 23.6667 9.0000 6.3298 18.9552 67 6.4325 19.4412 34 4.4463 14.0000 7.7273 21.7273 15.2727 11 11 11 3.9266 10.0000 3. 1966 8. 1865 25.6667 19.6667 14 3.85 16 9. 1970 66 3.9466 9.8235 34 3.3 164 33 11.7889 14.0000 3 3 3 2.6458 9.2500 4.0415 21.6250 9.5044 21.7500 16 16 16 3.7506 4.1932 20.5692 12.9897 21.4063 64 11.6001 23.1124 9.3231 65 65 3.4915 9.5169 89 3.6122 4.4158 19.6897 87 5.2569 89 13.5566 126 Table F20. Continued Jewish Mean N Std. Deviation Protestant (allows Mean 7.2222 16.2000 9 10 10 2.5386 9.1800 7.4207 21.0196 6.8516 21.7059 50 3.3545 8.5000 51 51 4.9900 25.1667 13.7903 16.3333 14.5000 drinking) N Std. Deviation Protestant (does Mean not allow drinking) N Std. Deviation Noneorother Mean N Std. Deviation Total Mean N Std. Deviation 6 6 6 3.2711 9.4091 3.6560 7.2296 22.1333 45 15.3898 21.9055 44 3.8478 9.2727 19.8571 42 5.6980 20.0612 198 196 3.5547 5.4918 Table F21 Means and Standard Deviations for the First Attitude and Behavior Scores by Grade Point Average Grade Point Average First Attitude Score First Behavior Score 1.25 Mean 9.8000 39.3333 N 6 5 Std. Deviation 17.4662 2.7749 2.0 Mean 9.4615 28.6923 N 26 26 Std. Deviation 14.1217 3.1652 2.5 Mean 8.7937 25.8226 N 63 62 Std. Deviation 3.1885 13.4048 3.0 Mean 21.9241 8.3544 N 79 79 Std. Deviation 14.2 161 3.5084 3.5 Mean 6.3333 16.0256 N 39 39 Std. Deviation 12.2463 4.0415 4.0 Mean 10.0000 6.0000 N 5 5 Std. Deviation 4.0620 7.03 56 Total Mean 22.9954 8.2304 N 217 217 Std. Deviation 14.4182 3.5981 201 13.7214 127 Appendix G Institutional Review Board Applications and Approvals INSTITUTIONAL REVIEW BOARD APPLICATION FOR HUMAN SUBJECTS RESEARCH AT OREGON STATE UNIVERSITY AN EVALUATION OF THE EFFECTS OF ALCOHOL EDUCATION PROGRAMS FOR COLLEGE STUDENTS 1. SIGNIFICANCE OF THE RESEARCH The purpose of this research is to evaluate the effectiveness of two different alcohol education programs for college students a motivational speaker and the new "Alcohol 101" program that has been developed by the Century CounciL The research will address alcohol abuse among university students at the State University of New York at Potsdam. Specifically, the program will be evaluated through four administrations of a survey during the Fall, 1999 semester. 2. METHODS AND PROCEDURES Twelve classrooms at SUNY Potsdam that begin at 9:30 am on Tuesday, will be randomly selected for the research. The unit of analysis will be these classrooms. Students in each class will be asked to complete a 90 item survey four weeks after classes begin (September 21, 1999). The survey items cover self-reported alcohol behavior, knowledge about alcohol and attitudes about alcohol. In the week following the first administration of the survey, one third of the students (four classes) will participate in the Alcohol 101 program, a computer based game that educates students about potential hazards associated with alcohol consumption. Four other classes will attend a motivational speech covering the same subjects as the Alcohol 101 program. The final four classes will be a control group and will not take part in an intervention. The survey will be re-administered three additional times during the Fall semester four, eight and twelve weeks after the first administration of the survey. approximately 3. A DESCRIPTION OF THE BENEFITS AND/OR RISKS TO THE SUBJECTS iNVOLVED IN THIS RESEARCH. No risks or immediate benefits to students are anticipated. 4. SUBJECT POPULATION AND METHOD OF SELECTION. Subjects will be undergraduate students attending the State University of New York at Potsdam. They will be selected based on a random selection of classrooms. Approximately 300 360 students will participate in the research. Students under the age of 18 will be excluded from the research. 5. INFORMED CONSENT. Please see enclosed. 6. METHODS FOR OBTAINING INFORMED CONSENT. Classroom professors will be provided with the informed consent documents and will read the document to the subjects before the research begins. Each subject will be provided with a copy of the informed consent document. 128 7. METHODS FOR ANONYMITY Students will be instructed orally by their professor and in writing on the survey that they are not to put their names anywhere on the survey. For purposes of being able to match pre and post intervention surveys, students will be asked to include the last six digits of their Social Security Numbers at the top of the survey. 8. COPY OF THE QUESTIONNAIRE Please see enclosed. 9. OTHER iNSTITUTIONAL REVIEW BOARD APPLICATIONS. The IRB at SUNY Potsdam has approved the research. 129 INSTITUTiONAL REVIEW BOARD APPLICATION FOR HUMAN SUBJECTS RESEARCH AT SUNY POTSDAM 1. TITLE AN EVALUATION OF THE EFFECTS OF ALCOHOL EDUCATION PROGRAMS FOR COLLEGE STUDENTS 2. STATEMENT OF PURPOSE OF THE RESEARCH The purpose of this research is to evaluate the effectiveness of two education programs that address alcohol use among university students at SUNY Potsdam. Specifically, the program will be evaluated through four administrations of a survey in twelve classrooms during the Fall, 1999 semester. 3. COPY OF THE QUESTIONNAIRE Please see enclosed. 4. PROVIDE A COPY OF THE iNFORMED CONSENT FORM Please see enclosed. Students will be asked to read and sign the informed consent document prior to completing the survey. 5. WHAT IS THEIR COMPETENCE TO CONSENT? The audience that will be completing the questionnaire will be undergraduate college students. 6. VOLUNTARY PARTICIPATION Students will be informed that completing the survey is completely voluntary. 7. ELEMENTARY AND HIGH SCHOOL STUDENT Students will not be elementary or high school students. 8. ANONYMITY No names will be used with the survey. Students will be asked to write the last six digits of their Social Security Number at the top of each survey. This is for the purposes of matching pre and post intervention surveys. 9. MAILED QUESTIONNAIRES The survey will not be mailed. 10. ADMINISTRATION OF THE SURVEY. Classroom professors will assist with the administration of the survey. Students will be told that completion of the questionnaire is voluntary and that if they wish to participate, they will be assisting with research dealing with health issues of college students. 130 11. NAMES OR OTHER IDENTIFIERS. No names or other identifiers will be used on the survey. The survey will remind the students that they should not include their names on it. 12. OTHER IDENTIFICATION. It will not be possible to identif3 those completing the survey by any specific subgroup or other classification to which they may belong. 131 State University of New York College at Potsdam School of Education Department of Community Health Dear SUNY Potsdam Student: You are being asked to participate in a research project being conducted by Laurel Sharmer of the Community Health Department of SUNY Potsdam. The purpose of this study is to survey health issues among college students. The information used in this study will be obtained by your answers to a series of questions pertaining to this topic. The questions you will be asked to answer should take you approximately 20 minutes to complete. Your answers to these questions will be kept confidential and none of the information gathered in this study will be used to describe any one individual or his/her family. Additionally, you may drop out of the survey at any time if you feel that you do not want to continue to answer the questions. This study, which has been approved by SUNY Potsdam's President and the Institutional Review Board, is similar in design to many other studies of this type. Approval by the College President and Institutional Review Board attests that appropriate safeguards, which protect human subjects, have been included in the research design. The approval does not imply college endorsement of the content of the research or conclusions that might be drawn from the project. The study involves no risk to the people who choose to participate. Any questions you have about the study will gladly be answered prior to you participation. You can call Laurel Sharmer at (315) 267-3136 is you wish to know more about the study. I hereby agree to participate in the study being conducted by Laurel Sharmer surveying health issues among college students. Signature Date