Interactive Server Training for Fetal Alcohol Prevention

描述(由申请人提供)： 在西方世界，胎儿酒精综合症是导致发育障碍的首要可预防原因，但约20%的美国女性和其中40%的酗酒者在怀孕期间继续饮酒。到目前为止，预防工作采用了“普遍”方法，例如在酒精饮料容器和信息上贴上警告标签，或在产前保健环境中进行筛查。然而，高风险饮酒者往往在怀孕后期寻求产前护理，往往不被敷衍的警告标签说服，未能认识到或完全认识到产前接触酒精的严重和不可预测的风险。这类高危人群经常光顾的场所是公共饮酒场所。这一人群中有高比例的人有他们经常光顾的最喜欢的酒吧，将他们熟悉的调酒师和服务员定位为可信的、潜在有效的预防和早期干预代理，向他们的客户分发口头和书面信息并友好地鼓励他们。有时，一个明显怀孕的女人会点酒，这件事会让服务员感到不安，而且他们通常没有做好外交处理的准备。NIAAA以前支持的项目表明，酒精服务行业对这种培训有很高的兴趣和接受度。 这一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，并显著增加了知识和信心。在NIAAA支持的一个项目中，对酒精服务生和经理进行的现场培训将同样的内容纳入其中，在随后的“伪电子”测试中产生了很大的效果。第二阶段将按照许多测试对象的要求，在具有不同客户和客户反应的一系列饮酒环境中扩大视频模型样本，并将开发一个配套网站，提供更详细的医疗和法律信息，我们的许多测试对象也表示有兴趣。该网站将定期更新新的医学发现或立法和判例法的变化，并将为酒精治疗转介提供当地的治疗资源。该计划将在两个州的60个酒吧中进行评估，采用准实验、事前设计和对照，使用知识、态度、自我效能、报告和预期行为的调查测量，以及对怀孕伪装反应的观察行为。

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.