Brief Motivational Intervention for Alcohol Use and Sexual Behavior

描述(由申请人提供)：尽管大量饮酒和新兴成年人的危险性行为之间的双向影响已经得到承认，但很少有研究检查旨在同时针对高危事件的这两种行为的干预措施。目前的建议是：(A)确定春假高危事件期间饮酒和性行为的动机和共存；(B)开发简短的激励反馈干预-春假行为与健康(SBBH)，目的是减少春假期间大量饮酒和与酒精相关的危险性行为；(C)在大学生中进行随机对照试验，评估SBBH的效果。将制定关于春假期间饮酒和性行为的具体动机的措施，并将评估心理测量特性。将使用时间表跟踪程序来收集休息周期间的日常行为数据。使用多层次建模程序，将评估春假期间人与人之间(平均)和人内(每天)饮酒和性行为的协变性，以及参加春假旅行和参与干预计划的潜在缓和效果。随着人们更好地了解春假特定行为的动机，并制定和评估有效的计划，在旨在促进公共健康的基于动机的短暂干预中，饮酒和性行为可以适当地结合在一起的程度将变得更加清楚。春假的高危时期是这类干预的合适试验期，因为大学生的行为有时间限制的高峰期，以及与饮酒(例如，伤害、酒精中毒)和性行为(例如，性传播疾病、意外怀孕)相关的有害后果的可能性。

DESCRIPTION (provided by applicant): Despite acknowledgment of bidirectional influences between heavy alcohol use and risky sexual behavior among emerging adults, little research has examined interventions designed to address both behaviors simultaneously for high risk events. The current proposal is to (a) identify motivations for and co-occurrence of alcohol use and sexual behavior during the high risk event of Spring Break, (b) develop a brief motivational feedback intervention, Spring Break Behavior and Health (SBBH), with the goal of reducing heavy alcohol use and alcohol-related risky sex during Spring Break, and (c) evaluate the efficacy of the SBBH pre-Spring Break in a randomized control trial among college students. Measures regarding specific motivations for alcohol use and sexual behavior during Spring Break will be developed and psychometric properties will be evaluated. Timeline follow-back procedures will be used to collect daily behavioral data during the break week. Using multi-level modeling procedures, co-variation of alcohol use and sexual behavior between people (on average) and within-people (day to day) during Spring Break will be assessed, with potential moderating effects of going on a Spring Break trip and participating in the intervention program. As motivations for behaviors specific to Spring Break are better understood and efficacious programs are developed and evaluated, it will become clearer the degree to which alcohol use and sexual behavior can appropriately be targeted together in motivation-based brief interventions designed to promote public health. The high risk time of Spring Break is an appropriate trial period for this type of intervention due to the time-limited peaks in behaviors and potential for harmful consequences associated with alcohol use (e.g., injury, alcohol poisoning) and sexual behavior (e.g., STDs, unwanted pregnancy) among college students.