A mobile-based pregaming drinking prevention intervention for college students: study protocol for a randomized controlled trial.
A mobile-based pregaming drinking prevention intervention for college students: study protocol for a randomized controlled trial.
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DOI：
10.1186/s13722-022-00314-5
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发表时间：
2022-06-18
影响因子：
3.7
通讯作者：
Clapp, John D.
中科院分区：
文献类型：
--
作者：
Pedersen, Eric R.;Hummer, Justin F.;Davis, Jordan P.;Fitzke, Reagan E.;Christie, Nina C.;Witkiewitz, Katie;Clapp, John D.
婚前饮酒是一种在大学生中流行的高饮酒环境，通常会导致血液酒精水平升高和负面后果。超过15年的研究表明，pregaming是大学生中已知的最危险的行为之一，但还没有开发出针对pregaming的干预措施来帮助预防这种行为。对学生的一般性简短干预并不能减少游戏前的行为，可能不合适，因为它们不能帮助学生发展游戏前环境特有的技能，从而帮助他们减少饮酒。我们开发了一种简短的，基于移动设备的干预措施，旨在防止大学生在游戏前大量饮酒，最终目标是减少这种危险做法的行为，最终影响全球饮酒并防止后果。干预措施，大学环境中的赛前意识（PACE），是通过结合两项创新来促进行为改变而开发的：（1）基于移动的应用程序，其增加了可访问性，易于使用且具有吸引力，并扩大干预内容的范围和（2）个性化的赛前游戏-具体的干预内容，减少伤害和认知行为技能被证明是预防和减少大学生大量饮酒的机制。经过开发和测试阶段，我们建议在一项初步的随机对照试验中测试PACE的有效性，该试验有500名大学生，他们每周至少进行一次赛前训练。将在即刻（干预后2周）和短期（干预后6周和14周）检查怀孕、一般饮酒和酒精相关后果。我们还将评估年龄、性别和重度饮酒的调节效应，以便为PACE初步试验后计划进行的更大规模干预试验提供更精确的信息。这项游戏前干预临床试验，如果被发现是有效的，将最终与一个容易传播的基于移动的干预大学生饮酒。它有可能接触到数百万大学生，也许是大学咨询中心使用的一种临床工具，作为正式护理的辅助手段，或者作为一年级学生或校园内其他高危群体的预防工具。试验注册：ClinicalTrials.gov标识符NCT 04016766。
Pregaming is a high-drink context popular among college students that often leads to elevated blood alcohol levels and negative consequences. Over 15 years of research studies have demonstrated that pregaming represents one of the riskiest known behaviors among college students, yet no pregaming-specific interventions have been developed to help prevent this behavior. General brief interventions for students do not reduce pregaming behavior and may not be appropriate, as they do not help students develop skills unique to the pregaming context that could help them drink less. We developed a brief, mobile-based intervention that is proposed to prevent heavy drinking during pregaming for college students, with the ultimate goal that behavioral reductions in this risky practice will ultimately affect global drinking and prevent consequences. The intervention, Pregaming Awareness in College Environments (PACE), was developed by combining two innovations to facilitate behavior change: (1) a mobile-based application that increases accessibility, is easy and engaging to use, and broadens the reach of the intervention content and (2) personalized pregaming-specific intervention content with harm reduction and cognitive behavioral skills proven to be mechanisms preventing and reducing heavy drinking among college students. After a develop and beta-test phase, we propose to test the efficacy of PACE in a preliminary randomized controlled trial with 500 college students who pregame at least once per week. Pregaming, general drinking, and alcohol-related consequences outcomes will be examined in the immediate (2 weeks post-intervention) and short-terms (six and 14-week post-intervention). We will also evaluate moderator effects for age, sex, and heaviness of drinking to allow for more refined information for a planned larger test of the intervention to follow this initial trial of PACE. This pregaming intervention clinical trial, if found to be efficacious, will culminate with an easily-disseminated mobile-based intervention for college student drinkers. It has the potential to reach millions of college students, perhaps as a clinical tool used by college counseling centers as an adjunct to formal care or as a preventive tool for first-year students or other high-risk groups on campus. Trial registration: ClinicalTrials.gov Identifier NCT04016766.
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影响因子：
2
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影响因子：
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DOI：
10.1111/j.1530-0277.2011.01571.x
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