Enhancing College ETOH Interventions with a Substance-Free Activity Supplement

描述(由申请者提供)：在800万美国大学生中，约45%的人经常酗酒，并面临健康和社会问题的高风险。大量饮酒的人较少参与学术、社区服务和大学生活的其他建设性方面。尽管短暂的动机干预(BMI)在减少大学生酗酒方面取得了成功，但许多学生对现有的BMI没有反应。这项转化研究将开发一种新的补充BMI，它基于一系列连贯的理论、实验室、流行病学和临床研究，这些研究表明，当无物质替代活动的强化增加时，物质使用的减少是最有可能的。现有的酒精BMI侧重于通过激励反馈和治疗技术、关于酒精影响的信息和饮酒适度建议来减少饮酒。拟议的体重指数增加将通过增加对不含物质的学术、志愿者和娱乐活动的参与来促进减少饮酒的目标。无物质活动补充课程(SFAS)是一个单一的课程，遵循标准的BMI课程，包括对学术/职业目标的讨论，对时间分配模式的反馈，以及关于符合学生兴趣的可用无物质活动的个性化信息。这项研究的第一阶段将包括基于焦点小组的手动开发和修改，一个小型开放试验(N=15)，以及参与者和专家反馈。第二阶段将包括一项随机的两组(BMI+SFAS与BMI+Relation Control)试点试验，对象为70名报告最近酗酒的一年级学生(50%是女性，40%是少数)。结果将包括干预后1个月和1学期饮酒和无物质活动的变化。试点试验将提供有关SFAS在大学饮酒者中的可行性和可接受性的信息，以及SFAS在减少饮酒和增加参与无物质活动方面的效果的初步数据。 与公共健康相关：在800万美国大学生中，大约45%的人酗酒，面临着社会、学术和健康问题的风险。现有的干预措施对一些学生有效，但许多学生并没有减少饮酒。这项研究的目标是通过增加一个会议来改进这些干预措施，会议的重点是增加对学术和其他建设性替代酒精使用的参与。

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.