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使大学生特别容易滥用酒精。鉴于尚未形成稳定的饮酒模式，大学生可能对酒精教育特别敏感。该项目将利用焦点小组的反馈和对学生的调查，将有效的减少艾滋病风险模型，即信息-动机-行为技能模型转化为减少酒精风险模型。转化性研究将对性别不同的酒精使用模式和问题敏感，并产生一种适用于两性的通用课程。在这项转化研究之后，修订后的干预和评估工具将在一个示范项目中进行管理。研究设计是一组随机对照试验（RCT）的IMB应用于酒精风险降低1080名学生，主要是新生，住在校园宿舍。五栋宿舍楼内的30个侧翼（15个男生，15个女生）将被随机分配到对照条件（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。IMB将在秋季学期开始时由32个2小时的研讨会组成。讲习班将包括小组讨论和活动，以及制定有关酒精的政策声明。在秋季和春季学期结束时，将通过网络调查中的学生自我报告获得酒精使用结果测量。调查结果数据将辅以警察（校园酒精违规）、注册（学术问题）和居民生活（与酒精有关的紧急健康事件）数据。嵌套，纵向分析控制人口统计协变量将用于测试条件比较在整个学年的结果。假设随着时间的推移，相对于对照条件，单性别IMB条件下的女性和混合性别IMB条件下的男性的危险饮酒会减少。

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.