Alcohol Research Collabortive: Peer Programs

描述(由申请人提供)：当前研究的目标是减少酒精使用以及相关的大学生高危人群的不良健康、社会和法律后果。旨在对抗同伴和规范对酒精使用的影响的干预措施，以及预期挑战、降低风险和增强动机，已经显示出大学生群体的有效性的证据。关于不同实施战略的效力，包括网上或自助期刊格式、团体或个人管理、强制性出席对效力的影响，以及这些干预措施与已在校园广泛实施的现有商业教育干预措施相比的效力，人们知之甚少。目前的研究旨在解决这些差距，以回应合作校园中高危群体和个人的确定需求。该应用程序的具体目的是：1)与同伴传授酒精技能培训(ASTP)组和不接受治疗的对照组相比，试点测试基于期刊的干预措施在减少酒精使用和高危新生后果方面的有效性；2)试点测试基于酒精教育网络的教育干预措施相对于仅通过网络提供的激励反馈和评估在减少酒精使用和高危新生后果方面的有效性；3)测试试点研究中支持的干预措施的长期有效性，将兄弟会和女生联谊会的成员随机分配到同伴提供的个人基本干预措施，或由试点研究支持的一个或多个替代干预措施；4)将试点1和2中确定的一个或多个比较干预措施与试点1和2中确定的一个或多个比较干预措施进行比较，以测试学生与志愿者相比的有效性；5)评估基线饮酒， 酒精问题家族史、自我决定力、改变意愿和对干预的抵抗力作为干预效果的调节因素；以及6)评估描述性规范、强制规范、酒精结果预期和改变意愿作为干预效果的调节因素。

DESCRIPTION (provided by applicant): The objective of the current research is to reduce alcohol use and related negative health, social, and legal consequences in high-risk populations of college students. Interventions designed to counter peer and normative influences on alcohol use, in conjunction with expectancy challenge, risk-reduction, and motivational enhancement have shown evidence of efficacy of college populations. Less is known about the efficacy of different implementation strategies, including web- or self-help journal formats, group or individual administration, the impact of mandatory attendance on effectiveness, nor the efficacy of these interventions in comparison to existing commercially-available educational interventions which have been widely implemented on campuses. The current research is designed to address these gaps, in response to identified needs of high-risk groups and individuals on the partnered campus. The specific aims of the application are: 1) Pilot test the efficacy of the Choices journal-based intervention in comparison to peer-delivered alcohol skills-training (ASTP) group and no-treatment controls, in reducing alcohol use and consequences of high-risk freshmen; 2) Pilot test the efficacy of the Alcohol EDU web-based educational intervention in comparison to web-delivered motivational feedback and assessment-only, in reducing alcohol use and consequences of high-risk freshmen; 3) Test the longer-term efficacy of interventions supported in the pilot study, with members of fraternities and sororities randomized to peer-delivered individual BASICS, or one or more alternative interventions supported by the pilot studies; 4) Test the effectiveness of peer-delivered BASICS compared to one or more comparison interventions identified in pilots 1 & 2 with students mandated to participate through campus sanctioning processes compared to volunteers; 5) Evaluate baseline drinking, family history of alcohol problems, self-determination, readiness to change, and resistance to intervention as moderators of intervention efficacy; and 6) Evaluate descriptive norms, injunctive norms, alcohol outcome expectancies, and readiness to change as mediators of intervention efficacy.