BRIEF INTERVENTIONS FOR BINGE DRINKING COLLEGE STUDENTS

这项研究的长期目标是降低与大学生酗酒相关的风险。大约40%的大学生是酗酒者，定义为在过去两周内，男性在一次饮酒中至少喝5杯或更多(女性为4杯或更多)。酗酒与各种与学术、社会和健康相关的问题有关。初步研究结果支持使用简短的动机干预(BMI)来减少酗酒及其负面后果。大学生使用的BMI通常由最初的评估环节和随后的个性化反馈环节组成。后者包括带有规范比较的个性化反馈(PF)，以及以客户为中心的激励风格提供的降低风险提示的酒精教育(AE)。这项建议描述了两项相关的研究，旨在评估BMI对酗酒大学生的疗效。所有的BMI都将通过与饮酒和危险性行为共同发生相关的反馈来增强，每项研究都将确定在“基本”BMI中增加决策平衡(DB)练习是否会改善结果。在L的研究中，将从普通大学生中招募411名酗酒者。参与者将被随机分配到仅限评估的条件、基本BMI(PF和AE)或增强BMI(PF、AB和DB)。所有参与者将在干预后1、6和12个月提供有关饮酒和相关问题的数据。在第二项研究中，将从一家校园药物滥用机构推荐的学生中招募411名酗酒者。在这项研究中，所有参与者都将接受干预；他们将被随机分配到AE、基本BMI(PF和AB)或增强型BMI(PF、AB和DB)。分析将确定(A)BMI对饮酒行为和酒精相关后果的影响，(B)DB运动的增量效用，以及(C)假设的变化机制(例如，规范感知和决策平衡的变化)的中介作用。研究结果将有助于确定BMI在减少大学生酗酒和相关问题方面的有效性，以及BMI对因酒精相关违规行为而引起校园当局注意的学生的普适性。

The long-term goal of this research is to reduce the risks associated with binge drinking among college students. Approximately 40% of college students are binge drinkers, defined as consuming 5 or more drinks at a single occasion for men (4 or more drinks for women) at least once in the last 2 weeks. Binge drinking is associated with a variety of academic, social, and health-related problems. Preliminary findings support the use of brief, motivational interventions (BMIs) to reduce binge drinking and its' negative consequences. BMIs used with college students often consist of an initial assessment session followed by an individualized feedback session. The latter includes personalized feedback (PF) with normative comparisons, and alcohol education (AE) with tips for reducing risk, delivered in a client-centered, motivational style. This proposal describes two related studies designed to evaluate the efficacy of BMIs with binge drinking college students. All BMIs will be enhanced with feedback related to the co-occurrence of drinking and risky sexual behavior, and each study will determine whether adding a decisional balance (DB) exercise to the "basic" BMI enhances outcomes. In Study l, 411 binge drinkers will be recruited from the general population of college students. Participants will be randomly assigned to an assessment only condition, a basic BMI (PF and AE), or an enhanced BMI (PF, AB and DB). All participants will provide data regarding drinking and related problems at 1, 6, and 12 months post-intervention. In Study 2, 411 binge drinkers will be recruited from among the students referred to a campus substance abuse agency. In this study, all participants will receive an intervention; they will be randomly assigned to AE, basic BMI (PF and AB), or enhanced BMI (PF, AB and DB). Analyses will determine (a) the effects of BMIs on drinking behavior and alcohol-related consequences, (b)the incremental utility of the DB exercise, and (c) the mediational role of hypothesized mechanisms of change (e.g., changes in norm perception and decisional balance). Findings will help to establish the efficacy of BMIs for reducing binge drinking and related problems in college students, and the generalizability of BMIs to students who have come to the attention of campus authorities because of alcohol-related infractions.