Interactive Server Training for Fetal Alcohol Prevention

描述（由申请人提供）： 胎儿酒精综合症是西方世界发育障碍的主要可预防原因，但大约20%的美国妇女和40%的重度饮酒者在怀孕期间继续饮酒。迄今为止，预防工作采用了“通用”方法，如酒精饮料容器上的警告标签和产前保健机构的信息或筛查。然而，高风险饮酒者往往在怀孕后期寻求产前护理，并且往往不被敷衍的警告标签所说服，未能认识到或充分认识到产前酒精暴露的严重和不可预测的风险。这一高危人群经常光顾的场所是公共饮酒场所。这一人群中有很高比例的人有他们经常光顾的最喜欢的酒吧，通过向客户分发口头和书面信息以及友好的鼓励，将他们熟悉的调酒师和服务员定位为可信的和潜在有效的预防和早期干预代理人。有时，一个明显怀孕的妇女点酒，这是一个令服务员不安的事件，他们通常没有准备好处理这件事。以前NIAAA支持的项目已经确定了酒精服务行业内对这种培训的高度兴趣和接受程度。 这个第二阶段计划将改进和扩大我们的第一阶段原型，为酒精服务器和管理人员提供全面的FASD预防培训，该培训受到测试对象的好评，并在知识和信心方面产生了显着的增长。在NIAAA支持的项目中，酒精服务器和经理的现场培训将相同的内容纳入其中，在随后的“伪巴”测试中产生了很大的效果。第二阶段将包括一个扩大的视频模型在一系列的酒精服务环境与不同的客户和客户的反应，要求许多测试对象，并将开发一个配套网站，提供更详细的医疗和法律的信息，我们的许多测试对象也表示感兴趣。该网站将定期更新新的医学发现或立法和判例法的变化，并将为酒精治疗转诊提供当地治疗资源。该计划将在两个州的60个酒吧进行评估，采用准实验，前后设计与控制，使用调查措施的知识，态度，自我效能感，报告和预期的行为，并观察到的行为，以应对怀孕出现pseudopatrons。

DESCRIPTION (provided by applicant): Fetal Alcohol Syndrome is the leading preventable cause of developmental disabilities in the Western world, but some 20 percent of American women and 40 percent of the heavy drinkers among them continue to consume alcohol during pregnancy. Efforts thus far at prevention have employed "universal" methods such as warning labels on alcoholic beverage containers and information or screening in prenatal health care settings. However, high-risk drinkers tend to seek prenatal care late in pregnancy and are often unpersuaded by perfunctory warning labels, failing to recognize or fully appreciate the serious and unpredictable risks of prenatal alcohol exposure. A venue frequently visited by this high-risk population is the public drinking establishment. A high percent of this population have favorite bars they visit regularly, positioning their familiar bartenders and servers to function as credible and potentially effective prevention and early intervention agents by distributing verbal and written information and friendly encouragement to their customers. On occasion a visibly pregnant woman orders alcohol, an event disturbing to servers and one with which they are usually unprepared to deal diplomatically. Previous NIAAA-supported projects have identified a high level of interest and receptivity to this training within the alcohol service industry. This Phase II program will improve and expand our Phase I prototype for comprehensive FASD prevention training for alcohol servers and managers, which has been well received by test subjects and has produced significant increases in knowledge and confidence. Live trainings of alcohol servers and managers incorporating this same content in a NIAAA-supported project have produced large effect sizes in subsequent "pseudopatron" tests. Phase II will include an enlarged sample of video models in a range of alcohol-serving environments with diverse customers and customer responses, as requested by many test subjects, and will develop a companion website providing the more detailed medical and legal information in which many of our test subjects also expressed interest. The Web site will be regularly updated with new medical findings or changes in legislation and case law, and will provide local treatment resources for alcohol treatment referrals. The program will be evaluated in 60 bars in two states, employing a quasi-experimental, pre-post design with controls, using survey measures of knowledge, attitudes, self-efficacy, and reported and anticipated behavior, and observed behavior in response to pregnant-appearing pseudopatrons.