Peers as Family: Preventing Problem Drinking

描述(由申请人提供)：大学生饮酒与不安全的性行为、暴力和学业问题有关。缺乏父母的监督和饮酒的社会压力可能会使本科生特别容易酗酒。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。该项目将利用焦点小组的反馈和对学生的调查，将有效的艾滋病风险降低模型--信息-动机-行为技能模型(IMB)转化为减少酒精风险。翻译研究将对特定性别的酒精使用模式和问题敏感，并产生一个适用于两性的通用课程。在这项转化性研究之后，将在一个示范项目中实施经修订的干预和评估工具。这项研究设计是一组随机对照试验(RCT)，研究了IMB在1080名住在校园宿舍的学生(主要是新生)中降低酒精风险的应用。五个宿舍内的30名学生(15名男性，15名女性)将被随机分为对照组(n=360名学生)、单一性别IMB条件(n=360名学生)或混合性别IMB条件(n=360名学生)。秋季学期开始时，IMB将由3个2小时的工作坊组成。研讨会将包括小组讨论和活动，以及制定关于酒精的翼政策声明。在秋季和春季学期结束时，通过学生在基于网络的调查中进行自我报告，将获得酒精使用结果的衡量标准。调查结果数据将补充警察(校园酒精违规行为)、注册员(学业问题)和居民生活(与酒精有关的紧急健康事件)数据。控制人口统计协变量的嵌套纵向分析将被用来测试学年结果中的条件比较。假设随着时间的推移，单一性别IMB中的女性和混合性别IMB中的男性的危险饮酒风险将比对照条件下的低。

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.