Assessing the impact of The California Alcohol Server Training Act

摘要 大约50%的DUI罪犯报告说，他们最后一次喝酒精饮料的地方是在当地的酒吧或酒吧。 与酒精有关的机动车碰撞和暴力发生率较高的社区， 酒吧和餐馆等持牌经营场所的密度更高。各种研究 美国各地的地点也一直显示高比率的酒精服务，以假醉酒的顾客， 酒吧.为了解决这些持续存在的公共卫生问题，加州颁布了《负责任饮料法 2017年的《服务培训法》，以减少在有执照的餐馆向醉酒顾客过度提供酒精服务。 房地设施。负责任的饮料服务（RBS）是指酒精服务器的步骤， 饮料可以采取减少的机会，他们的顾客（或客人）成为醉酒，或失败， 进行干预，以减少顾客或其他人随后受到伤害的风险。的主要机制 鼓励负责任的服务一直是某种形式的工作人员或管理人员的培训。通常，这种训练 包括管理服务行为的法律，酒精对身体的影响，识别 醉酒，以及拒绝为那些表现出这些迹象的人服务的策略。有人可能会认为， RBS培训将是一项有效的预防战略，但评价结果好坏参半。加州 RBS培训法案要求从2021年开始对所有酒精服务器进行培训，这给了我们一个难得的机会， 更仔细地看看全州范围的RBS培训计划如何影响服务器行为。拟议 研究将包括复制一个强制性的全州RBS培训法实施的评估， 俄勒冈州，以及一个随机试验，其中一个在线苏格兰皇家银行培训计划已知是有效的，将 作为一个“基准”，用以衡量一组“通常和习惯”做法 他们训练的效果具体目的是：（1）评估强制性服务器培训的影响 在加州与酒精有关的机动车碰撞;和（2）评价“通常和 与已知有效的在线培训（WayToServe）相比， （3）在全州范围内对酒类销售点的所有者/管理者进行调查， 将有助于确定新的服务器培训法的障碍或促进因素。这项研究将确定是否 全州范围内的授权足以减少与酒精有关的机动车事故，无论是“平常的， 习惯”的做法和培训将匹配高质量的在线RBS培训计划的功效， 改善饮酒行为。

ABSTRACT About 50% of DUI offenders report that the last place they drank an alcoholic beverage was at a local bar or restaurant, and higher rates of alcohol-related motor vehicle crashes and violence occur in communities with higher densities of licensed on-premises establishments such as bars and restaurants. Studies in various locations across the U.S. also consistently show high rates of alcohol service to pseudo-intoxicated patrons at bars. To address these continuing public health problems, California enacted the Responsible Beverage Service Training Act in 2017 to decrease the over-service of alcohol to intoxicated patrons at licensed on- premises establishments. Responsible Beverage Service (RBS) refers to the steps that servers of alcoholic beverages can take to reduce the chances that their patrons (or guests) become intoxicated, or failing that, to intervene so as to reduce the risk of subsequent harm to the patron or others. The primary mechanism to encourage responsible service has been some form of staff or manager training. Typically, such training includes the laws that govern serving behavior, the effects of alcohol on the body, recognizing signs of intoxication, and strategies for refusing service to someone who displays those signs. One might suppose that RBS training would be an effective prevention strategy, but evaluation results have been mixed. The California RBS Training Act mandates training for all alcohol servers beginning in 2021 giving us a rare opportunity to look more closely at how a statewide RBS training initiative might influence server behavior. The proposed research will include a replication of an evaluation of the mandatory statewide RBS training law implemented in Oregon, as well as a randomized trial in which an online RBS training program known to be effective will be used as a “benchmark” against which a comparison group of “usual and customary” practices will be measured for the efficacy of their training. The specific aims are: (1) To evaluate the impact of mandatory server training on alcohol-related motor vehicle crashes in California; and (2) To evaluate the efficacy of “usual and customary” training when compared to an online training known to be effective (WayToServe) on the likelihood of refusals to pseudo-patrons; (3) To conduct a state-wide survey of owners/managers of alcohol outlets that will help identify obstacles or facilitators of the new server training law. This study will determine whether the statewide mandate is sufficient to reduce alcohol-related motor vehicle crashes, whether “usual and customary” practices and training will match the efficacy of a high-quality online RBS training program in improving alcohol serving behavior.