BRIEF INTERVENTIONS FOR BINGE DRINKING COLLEGE STUDENTS

针对酗酒大学生的简短干预措施

• 批准号: 6783265
• 负责人: KATE B CAREY
• 金额: $ 33.52万
• 依托单位: SYRACUSE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-26 至 2005-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6783265
• 关键词: alcoholism /alcohol abuse; alcoholism /alcohol abuse education; alcoholism /alcohol abuse therapy; behavior modification; behavioral /social science research tag; clinical research; education evaluation /planning; human subject; human therapy evaluation; longitudinal human study; motivation; substance abuse related behavior; university student

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.

这项研究的长期目标是降低大学生酗酒的风险。大约 40% 的大学生酗酒，即在过去两周内至少有一次男性一次喝 5 杯或更多饮料（女性为 4 杯或更多饮料）。酗酒与各种学术、社会和健康相关问题有关。初步研究结果支持使用简短的激励干预措施 (BMI) 来减少酗酒及其负面后果。与大学生一起使用的 BMI 通常包括初始评估课程和随后的个性化反馈课程。后者包括个性化反馈（PF）和规范比较，以及酒精教育（AE）和降低风险的提示，以客户为中心的激励方式提供。该提案描述了两项相关研究，旨在评估 BMI 对酗酒大学生的功效。所有 BMI 都将通过与饮酒和危险性行为同时发生相关的反馈得到增强，每项研究都将确定在“基本”BMI 中添加决策平衡 (DB) 练习是否可以提高结果。在研究 l 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评估条件、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。在研究 2 中，将从转介至校园药物滥用机构的学生中招募 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 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（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对于减少大学生酗酒和相关问题的有效性，以及BMI对于因酒精相关违规行为而引起校园当局注意的学生的普遍适用性。