The Effects of Peer-Facilitated Alcohol Interventions

描述（由申请人提供）：该项目的长期目标是在“高风险”大学生中减少高风险饮酒和与酒精相关的负面后果。具体来说，我们正在寻求资金，以应对最近我们大学本科生因高风险饮酒而被司法转介的数量和严重性的惊人增长。为了解决这一关键问题，我们建议评估两种以同伴为主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，该项目定义为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)降低高风险饮酒者的高风险饮酒率和相关的高风险行为，并增加高风险饮酒者的保护行为，(b)比较两种基于同伴的模型干预对高风险饮酒者的有效性，只接受教育的控制条件，(c)确定调节或调节项目有效性的变量，(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有关该项目有效组成部分的信息。拟议的项目倡议将由中土同伴援助方案实施，该方案是2000财政年度美国教育部预防酒精和其他药物示范方案赠款的获得者，并获得卫生和人类服务部预防药物滥用中心颁发的2001年预防药物滥用示范方案奖。参与者将完成三种干预中的一种：同伴戏剧干预，基于团体动机访谈的干预，或仅教育控制条件。将在基线、6个月和12个月随访时收集数据，并使用混合模型分析来评估纵向和组间对酒精消耗和酒精相关问题等变量的影响。如果发现项目是有效的，那么将测试变量作为项目有效性的潜在中介（例如，对社会规范的感知）或调节因子（例如，心理困扰水平）。

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.