GP Clinics


Researchers Identify Model for Reducing Binge Drinking in College Students

Researchers found the secret to getting college students to drink responsibly is convincing them it will quickly improve their health, relationships and grades. However, sustaining responsible drinking behavior takes a comprehensive set of supports, according to a new study in The Journal of the American Osteopathic Association (AOA).
Researchers surveyed nearly 300 college students who self-reported binge drinking within the last 30 days. Questions assessed their willingness to initiate and sustain responsible drinking habits as well as which factors they believed would be most helpful to that process.
“Prior studies have shown that convincing people to change their behavior requires a comprehensive approach,” says Manoj Sharma, MBBS, PhD, a professor of behavioral health at Jackson State University and lead researcher on this study. “As difficult as it is for people to adopt new behaviors, it is even harder for them to sustain those changes.”
In an interview by GP Clinics of Dr Sharma, he further stressed that the Multi-Theory Model (MTM) used in this study is a robust behavior change approach with applications to all health behaviors.
Surveyed students indicated that initiating a change to drink responsibly or abstain from drinking would first require them being convinced of the immediate advantages to health, relationships and grades. In addition, participants noted that confidence in their ability to change—either from a belief in themselves or a higher power—as well as a change in their physical environment, such as moving out of a fraternity house where drinking is prevalent, would be necessary for change.
The requirements for sustaining responsible drinking or abstinence leaned more heavily on actions than beliefs. Respondents said keeping a diary or utilizing an app that helped track drinking habits would help monitor their consumption. They also said adopting new habits like exercise or other positive behaviors would help them avoid heavy drinking in response to emotional triggers. Finally, those surveyed indicated that recruiting friends and family for emotional support would help ensure they maintain responsible drinking habits.
“Having identified these core supports, we can now design precision interventions that can be implemented by physicians, colleges, even parents,” says Dr Sharma. “Anyone can apply these principles to create a lasting positive change.” His colleague and co-author on this study, Vinayak K. Nahar, MD, an assistant professor at Lincoln Memorial University, is designing such a precision intervention to be implemented by physicians.
The study also analyzed participants’ overall willingness to initiate and sustain responsible drinking habits or abstinence. Compared to men, women were 38 percent more willing to initiate or try responsible drinking and 49 percent more willing to sustain those habits.
“Drinking is less of an accepted cultural norm among women and non-whites, and so those groups are more inclined to change their behaviors,” says Dr Sharma. “Convincing white men to adopt more responsible and moderate levels of drinking appears to be the bigger challenge at this point.”


  1. Sharma, M., Anyimukwu, C., Kim, R. W., Nahar, V. K., & Ford, M. A. (2018). Predictors of responsible drinking among college students who binge drink: A multi-theory model (MTM) approach. The Journal of the American Osteopathic Association, 118(8), 519-530. doi: 10.7556/jaoa.2018.120.
  2. Sharma, M., Stephens, P. M., Nahar, V. K., Catalano, H. P., Lingam, V., & Ford, M. A. (2018). Using multi-theory model to predict initiation and sustenance of fruit and vegetable consumption among college students. The Journal of The American Osteopathic Association 18(8), 507-517.doi:10.7556/jaoa.2018.119