Enhancing College ETOH Interventions with a Substance-Free Activity Supplement

描述（由申请人提供）：在800万美国大学生中，大约有45%的人经常酗酒，他们有很高的健康和社会问题风险。酗酒者较少参与学术、社区服务和大学生活的其他建设性方面。虽然短期动机干预（bmi）在减少大学生酒精滥用方面取得了成功，但许多学生对现有的bmi没有反应。这项转化性研究将根据理论、实验室、流行病学和临床研究的一致成果，开发出一种新的bmi补充，这些研究表明，当无物质替代活动的强化增加时，物质使用的减少最有可能。现有的酒精体重指数侧重于通过动机反馈和治疗技术、有关酒精影响的信息和饮酒节制建议来减少饮酒。建议增加的BMI将通过增加对无物质学术、志愿者和娱乐活动的参与来促进减少饮酒的目标。无物质活动补充（SFAS）是继标准BMI会议之后的一个单独会议，包括学术/职业目标的讨论，时间分配模式的反馈，以及与学生兴趣一致的可用无物质活动的个性化信息。本研究的第一阶段将包括基于焦点小组的手工开发和修订，一个小型开放试验（N = 15），以及参与者和专家的反馈。第二阶段将包括一个随机的两组（BMI + SFAS vs. BMI +放松控制）试点试验，有70名最近大量饮酒的一年级学生（50%为女性，40%为少数民族）。结果将包括干预后1个月和1个学期的饮酒和无物质活动的变化。该试点试验将为大学生饮酒者提供SFAS的可行性和可接受性信息，以及SFAS在减少饮酒和增加无物质活动参与方面的功效的初步数据。

DESCRIPTION (provided by applicant): Approximately 45% of the 8 million U.S. college students are regular heavy drinkers and are at high risk for health and social problems. Heavy drinkers are less engaged in academics, community service, and other constructive aspects of college life. Although brief motivational interventions (BMIs) have demonstrated success in reducing college student alcohol abuse, many students do not respond to existing BMIs. This translational research will develop a novel supplement to BMIs that is based on a coherent body of theoretical, laboratory, epidemiological, and clinical research which suggests that reductions in substance use are most likely when there is an increase in reinforcement from substance-free alternative activities. Existing BMIs for alcohol focus on reducing drinking through motivational feedback and therapeutic techniques, information about the effects of alcohol, and drinking moderation advice. The proposed addition to BMI will facilitate the drinking reduction goal by increasing participation in substance-free academic, volunteer, and recreational activities. The Substance-Free Activity Supplement (SFAS) is a single session that follows the standard BMI session and includes a discussion of academic/career goals, feedback on time allocation patterns, and personalized information about available substance-free activities that are consistent with the student's interests. Stage 1 of this research will include manual development and revisions based on focus groups, a small open trial (N = 15), and participant and expert feedback. Stage 2 will include a randomized 2-group (BMI + SFAS vs. BMI + Relaxation Control) pilot trial with 70 first-year students (50% female, 40% minority) who report recent heavy drinking. Outcomes will include changes in drinking and substance-free activities 1-month and 1-semester post-intervention. The pilot trial will provide information on the feasibility and acceptability of the SFAS with college drinkers, and preliminary data on the efficacy of the SFAS in reducing drinking and increasing participation in substance-free activities. Public Health Relevance: Approximately 45% of the 8 million U.S. college students drink heavily and are at risk for social, academic, and health problems. Existing interventions are effective for some students, but many students do not reduce their drinking. The goal of this research is to improve these interventions by adding a session focused on increasing engagement in academics and other constructive alternatives to alcohol use.