Peers as Family: Preventing Problem Drinking

描述（由申请人提供）：大学生中的酒精使用与不安全的性行为，暴力和学术问题有关。缺乏父母的监督和社会压力，饮酒可能使大学生特别容易滥用酒精。本科生可能对酒精教育特别敏感，因为他们还没有形成稳定的使用模式。该项目将利用重点小组的反馈和对学生的调查，将一种有效的减少艾滋病风险的模式，即信息-动机-行为技能模式，转化为减少酗酒风险的模式。转化研究将敏感的性别特定的酒精使用模式和问题，并导致一个通用的课程适合两种性别。在这一转化研究之后，将在一个示范项目中管理经修订的干预和评估工具。研究设计是一项分组随机对照试验（RCT），将IMB应用于1，080名居住在校园宿舍的学生（主要是新生）中的酒精风险降低。五个霍尔斯内的三十个翼（15名男性，15名女性）将被随机分配到对照条件（n=360名学生），单性别IMB条件（n=360名学生）或混合性别IMB条件。IMB将在秋季学期开始时包括3个2小时的研讨会。讲习班将包括小组讨论和活动，以及制定关于酒精的机翼政策声明。酒精使用的结果措施将在秋季和春季学期结束时通过学生在基于网络的调查自我报告获得。调查结果数据将补充警察（校园酒精违规），注册（学术问题）和居民生活（酒精相关的紧急健康事件）数据。控制人口统计学协变量的嵌套纵向分析将用于测试学年结果的条件比较。据推测，相对于对照条件，随着时间的推移，单性别IMB条件下的女性和混合性别IMB条件下的男性中的危险饮酒将较少。

DESCRIPTION (provided by applicant): Alcohol use among college students has been associated with unsafe sexual behavior, violence, and academic problems. Lack of parental monitoring and social pressure to drink may make undergraduates especially vulnerable to alcohol misuse. Undergraduate students may be particularly responsive to alcohol education given that they have not yet formed stable use patterns. This project will translate an effective AIDS risk reduction model, the Information-Motivation- Behavioral Skills model (IMB), to alcohol risk reduction using feedback from focus groups and a survey of students. Translational research will be sensitive to gender-specific alcohol use patterns and problems, and result in one generic curriculum suitable for both genders. Following this translational research, the revised intervention and evaluation tools will be administered in a demonstration project. The study design is a group randomized, controlled trial (RCT) of the IMB applied to alcohol risk reduction among 1,080, predominantly freshmen, students living in campus dormitories. Thirty wings (15 male, 15 female) within five residence halls will be randomized to a Control condition (n=360 students), Single-gender IMB condition (n=360 students), or a Mixed gender IMB condition. The IMB will consist of 3 2-hour workshops at the beginning of the fall semester. Workshops will include group discussions and activities, and the development of wing policy statements regarding alcohol. Alcohol use outcome measures will be obtained at the end of the fall and spring semesters by student self-report in web-based surveys. Survey outcome data will be supplemented with police (campus alcohol violations), registrar (academic problems), and Resident Life (alcohol-related emergency health events) data. Nested, longitudinal analysis controlling for demographic covariates will be used to test condition comparisons in outcomes over the academic year. It is hypothesized that risky drinking will be less among females in the Single gender IMB and males in the Mixed-gender IMB condition over time relative to the Control condition.