Situational High-Risk Behavior and Health: A Brief Motivational Intervention

描述（由申请人提供）：具体事件造成记录增加健康风险行为，包括大量饮酒和危险的性行为，在大学生。然而，这两种行为的共同发生的人和动机和后果之间的交叉行为协会没有很好地解决干预方案。在有时间限制和特定事件期间促进健康需要创新的干预策略，这些策略基于特定背景动机，意图和后果的个性化反馈。解决大学生酒精和性行为之间的相关风险可能对年轻人的健康特别相关。因此，该提案寻求资金来开发和测试一种简短的基于网络的动机干预，该干预利用个性化反馈来减少大学生中的高风险行为和负面后果。在第一年，将制定一个简短的动机反馈干预措施，以减少大量饮酒，酒精相关的危险性行为，以及相关的负面后果。来自大学生焦点小组的定性反馈将用于改进内容和交付。在第2年，将进行随机对照试验。所有评估和干预措施都将在网上进行。将使用日常行为和经历的时间轴随访报告进行即时事件后评估，以测试该计划的有效性。此外，6个月的随访将评估对长期酒精和性相关后果的潜在影响（例如，酒精问题，意外怀孕）和保护性行为策略的中介作用，饮酒和性行为的认知规范，以及与朋友的约定。这种干预有可能促进我们对酒精使用和相关行为的特定事件峰值的理解，并减轻相关的负面后果（即，酒精中毒、性病感染）。 公共卫生相关性：该研究项目旨在通过开发和实证测试一个简短的基于网络的干预计划，以促进大学生的健康，该计划旨在减少高风险的酒精使用和性行为，这些行为已被记录为在情境高风险时期发生。如果发现有效，该计划有可能减轻急性和负面健康后果（例如，伤害，酒精中毒）和年轻人危险行为的长期健康后果（例如，酒精问题，性病，意外怀孕）。

DESCRIPTION (provided by applicant): Specific events pose documented increases in health risk behaviors, including heavy alcohol use and risky sexual behavior, among college students. However, the co-occurrence of these two behaviors within-persons and the cross-behavior associations between motivations and consequences are not well addressed by intervention programs. Promoting health during time-limited and event-specific periods requires innovative intervention strategies that are based on personalized feedback of context-specific motivations, intentions, and consequences. Addressing the associated risks between college student alcohol and sexual behaviors may have particular relevance for young adult health. Therefore, this proposal seeks funds to develop and test a brief motivational web-based intervention that utilizes personalized feedback to reduce high risk behaviors and negative consequences among college students. During Year 1, a brief motivational feedback intervention will be developed to reduce heavy alcohol use, alcohol-related risky sex, and associated negative consequences. Qualitative feedback from college student focus groups will be used to refine content and delivery. In Year 2, a randomized control trial will be conducted. All assessments and intervention delivery will be on-line. An immediate post-event assessment using timeline follow-back reports of daily behavior and experiences will be used to test the efficacy of the program. In addition, a six-month follow-up will assess potential effects on long-term alcohol- and sex-related consequences (e.g., alcohol problems, unwanted pregnancy) and the mediating role of protective behavioral strategies, perceived norms for drinking and sex, and pacts with friends. This intervention has the potential to advance our understanding of event-specific peaks in alcohol use and related behaviors and to mitigate associated negative consequences (i.e., alcohol poisoning, STD contraction) among adolescents and young adults. PUBLIC HEALTH RELEVANCE: This research project is designed to promote health among college students by developing and empirically testing a brief web-based intervention program, designed to reduce the high-risk alcohol use and sexual behaviors that have been documented as occurring during situational high risk periods. If found efficacious, the program has the potential to mitigate both the acute the negative health consequences (e.g., injury, alcohol poisoning) and the long-term health consequences of young adult risk behaviors (e.g., alcohol problems, STDs, unwanted pregnancy).