The Effects of Peer-Facilitated Alcohol Interventions

描述(申请人提供)：该项目的长期目标是减少“高风险”大学生中高风险饮酒和消极酒精相关的后果。具体地说，我们正在寻求资金，以应对最近我校本科生因高风险饮酒而被司法转介的数量和严重程度的惊人上升。为了解决这一关键问题，我们建议评估两种由同行领导的基于社会规范的酒精预防干预措施的有效性，以解决其高风险饮酒者的问题和挑战，该项目定义的高风险饮酒者是指因违反酒精政策而被转介到大学司法系统的学生。通过这个项目，我们希望(A)降低高风险饮酒率和相关的高风险行为，并增加我们的高风险饮酒者的保护行为，(B)比较两种针对高风险饮酒者的基于同伴的模式干预与仅接受教育的控制条件的有效性，(C)确定影响项目有效性的变量，以及(D)将有效的项目组成部分制度化，并向地方、州和国家层面的高等教育机构传播关于该项目有效组成部分的信息。拟议的项目计划将从中土伙伴援助计划开始运作，该计划是2000财年美国教育部酒精和其他药物预防模式计划赠款的获得者，也是2001年卫生与公众服务部物质滥用预防中心颁发的模范药物滥用预防计划奖的获得者。参与者将完成三项发明中的一项：同行剧院干预、基于团体动机访谈的干预或仅限教育的控制条件。将在基线、6个月和12个月的随访中收集数据，并将使用混合模型分析来评估纵向和组间对酒精消费和酒精相关问题等变量的影响。如果项目被发现是有效的，那么变量将被测试为项目有效性的潜在中介(例如，对社会规范的看法)或调节因素(例如，心理困扰程度)。

DESCRIPTION (provided by applicant): The long-term objective of this project is to reduce high-risk drinking and negative alcohol-related consequences among "high-risk" college students. Specifically, we are seeking funding to respond to a recent alarming rise in the number and severity of judicial referrals for high-risk drinking by undergraduate students at our university. To address this critical issue, we propose to assess the effectiveness of two peer-led social norms-based alcohol prevention interventions to address the issues and challenges of its high-risk drinkers, defined for this project as students who have been referred to the University's judicial system for alcohol policy violations. Through this project we hope to (a) reduce high-risk drinking rates and associated high-risk behaviors and increase protective behaviors in our high-risk drinkers, (b) compare the effectiveness of two peer-based model interventions for high-risk drinkers with an education-only control condition, (c) identify variables that mediate or moderate program effectiveness, and (d) institutionalize effective program components and disseminate information concerning the effective components of this project to Institutes of Higher Education at a local, state, and national level. The proposed project initiatives will operate from the Middle Earth Peer Assistance Program, a FY 2000 winner of a U. S. Department of Education Alcohol and Other Drug Prevention Model Program Grant and the recipient of a 2001 Exemplary Substance Abuse Prevention Program Award by the Center for Substance Abuse Prevention, Department of Health and Human Services. Participants will complete one of three inteventions: a Peer Theatre Intervention, a group Motivational-Interviewing based intervention, or an education-only control condition. Data will be collected at baseline, 6-month, and 12-month follow ups, and mixed model analyses will be used to assess for both longitudinal and between group effects on variables such as alcohol consumption and alcohol-related problems. If programs are found to be effective, then variables will be tested as potential mediators (e.g., perceptions of social norms) or moderators (e.g., level of psychological distress) of program effectiveness.