BRIEF INTERVENTIONS FOR BINGE DRINKING COLLEGE STUDENTS

这项研究的长期目标是降低大学生酗酒的风险。大约40%的大学生是狂饮者，定义为在过去的两周内至少有一次男性在一个场合喝5杯或更多的酒（女性喝4杯或更多的酒）。酗酒与各种学术，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。用于大学生的BMI通常包括初始评估会议，然后是个性化反馈会议。后者包括具有规范性比较的个性化反馈（PF），以及具有降低风险提示的酒精教育（AE），以客户为中心，以激励的方式提供。该提案描述了两个相关的研究，旨在评估BMI与狂饮大学生的疗效。所有的BMI都将通过与饮酒和危险性行为同时发生相关的反馈来增强，每项研究都将确定在“基本”BMI中添加决策平衡（DB）练习是否会增强结果。在研究1中，411名酗酒者将从大学生的一般人群中招募。受试者将被随机分配至仅评估条件、基础BMI（PF和AE）或增强BMI（PF、AB和DB）。所有参与者将在干预后1个月、6个月和12个月提供有关饮酒和相关问题的数据。在研究2中，411名酗酒者将被招募的学生转介到校园物质滥用机构。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，基础BMI（PF和AB）或增强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练习的增量效用，以及（c）假设的变化机制的中介作用（例如，规范感知和决策平衡的变化）。研究结果将有助于建立BMI指数的有效性，减少酗酒和相关问题的大学生，和BMI指数的普遍性，谁来的注意，因为酒精相关的违规行为的学生校园当局。

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.