Delivery of a Prevention Program in Large College Classes: Effectiveness of the Expectancy Challenge Alcohol Literacy Curriculum.
Delivery of a Prevention Program in Large College Classes: Effectiveness of the Expectancy Challenge Alcohol Literacy Curriculum.
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在大型大学班级中实施预防计划：预期挑战酒精素养课程的有效性。
DOI：
10.1080/10826084.2023.2223282
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发表时间：
2023
影响因子：
2
通讯作者：
Davis,CameronA
中科院分区：
文献类型：
--
作者：
Flori,JessicaN;Schreiner,AmyM;Dunn,MichaelE;Crisafulli,MarkJ;Lynch,GabrielleT;Dvorak,RobertD;Davis,CameronA
背景：尽管大学生饮酒量略有减少，但与饮酒相关的危害仍然普遍存在。除了经验性期望挑战干预措施之外，团体实施的计划对饮酒影响不大，但由于依赖酒精管理而不切实际。然而，期望挑战酒精素养课程 (ECALC) 提供了一种非体验式替代方案，适合广泛实施，以实现普遍、选择性或指示性预防。目标：ECALC 对于强制学生、兄弟会成员以及 30 名或更少的一年级大学生小班来说非常有效。然而，较大的大学通常有 100 名或更多学生的班级，ECALC 尚未针对这种规模的团体进行测试。为了填补这一空白，我们进行了一项分组随机试验，其中 5 个班级的 100 多名大学生接受了 ECALC 或注意力匹配对照演示，并在 4 周时完成随访。 结果：ECALC 与酒精综合影响量表 (CEOA) 6 个分量表的显着变化相关，干预后预期在 4 周随访时预测饮酒，并且组间存在显着的预期差异。与对照组相比，接受 ECALC 的学生表现出显着的预期变化，并且在随访中报告饮酒量减少。结论：研究结果表明 ECALC 是一种有效的、单次小组提供的干预计划，可以在大班中成功实施。
Background: Despite modest reductions in alcohol use among college students, drinking-related harms continue to be prevalent. Group-delivered programs have had little impact on drinking except for experiential expectancy challenge interventions that are impractical because they rely on alcohol administration. Expectancy Challenge Alcohol Literacy Curriculum (ECALC), however, offers a non-experiential alternative suitable for widespread implementation for universal, selective, or indicated prevention.Objectives: ECALC has been effective with mandated students, fraternity members, and small classes of 30 or fewer first-year college students. Larger universities, however, typically have classes with 100 students or more, and ECALC has not yet been tested with groups of this size. To fill this gap, we conducted a group randomized trial in which five class sections with over 100 college students received either ECALC or an attention-matched control presentation and completed follow-up at four weeks.Results: ECALC was associated with significant changes on six subscales of the Comprehensive Effects of Alcohol Scale (CEOA), post-intervention expectancies predicted drinking at four-week follow-up, and there were significant expectancy differences between groups. Compared to the control group, students who received ECALC demonstrated significant expectancy changes and reported less alcohol use at follow-up.Conclusions: Findings suggest ECALC is an effective, single session group-delivered intervention program that can be successfully implemented in large classes.