ALCOHOL SERVER EDUCATION AS A FAS PREVENTION METHOD

酒精服务教育作为预防 FAS 的方法

• 批准号: 6509064
• 负责人: JACK W DRESSER
• 金额: $ 49.13万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-24 至 2004-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6509064
• 关键词: alcoholic beverage consumption; alcoholism /alcohol abuse education; alcoholism /alcohol abuse prevention; behavioral /social science research tag; disease /disorder prevention /control; fetal alcohol syndrome; human subject; occupations; pregnancy

Fetal alcohol syndrome is by some estimates the leading cause of developmental disability in the Western world, and one which is entirely preventable. Efforts at prevention heretofore have been largely clinic-based, which fails to access many high-risk women in time to intervene effectively. This study will investigate the potential effectiveness of intervention in another venue perhaps more frequently visited by drinking gravidas than the prenatal clinic: the public drinking establishment. Much damage can be prevented by intervention in the second trimester, when pregnancy is ordinarily visible to others such as alcohol service personnel. This study has two principle goals. First, we will examine the effectiveness of alcohol server training legislation to prevent FAS, comparing two approaches and a control: state-mandated training in two states with varying degrees of formal emphasis on FAS, and one state with no formal server training system. Second, we will develop, provide, and evaluate the effectiveness of a supplementary server training program in FAS prevention under all three state systems. Dependent variables measuring implementation and effectiveness will include: FAS knowledge, attitudes, and establishment policies assessed by large sample mail surveys; knowledge, attitudes, and self-reported practices of servers assessed by interviews in subsamples of establishments; observed server adherence to responsible practices using pseudopatrons in subsamples of establishments; and records of self-referrals to community health resources by gravidas resulting from server interventions.

据一些人估计，胎儿酒精综合症是西方世界发育障碍的主要原因，而且是完全可以预防的。 迄今为止的预防工作主要是基于诊所，无法及时接触到许多高危妇女并进行有效干预。 这项研究将调查在另一个可能比产前诊所更常被孕妇饮酒的场所进行干预的潜在效果：公共饮酒场所。 通过在妊娠中期进行干预可以避免很多损害，因为此时其他人（例如酒精服务人员）通常可以看到怀孕。这项研究有两个主要目标。 首先，我们将检查酒精服务员培训立法预防 FAS 的有效性，比较两种方法和对照：在两个不同程度正式强调 FAS 的州进行国家强制培训，以及一个没有正式服务员培训系统的州。其次，我们将在所有三个州体系下开发、提供 FAS 预防补充服务器培训计划并评估其有效性。衡量实施和有效性的因变量将包括： 通过大样本邮件调查评估的 FAS 知识、态度和机构政策；通过对机构子样本的访谈评估服务器的知识、态度和自我报告的做法；在机构的子样本中使用伪顾客来观察服务器遵守负责任的做法；以及由于服务人员干预而导致孕妇自我转介至社区卫生资源的记录。