Implementing Web-Based SBI for Marijuana Use in College Student Health Centers

描述(申请人提供)：大麻的使用对大学生的健康和福祉是一个重大的风险。吸食大麻的学生经历各种后果的可能性增加，这些后果影响他们的学习成绩、身体健康和人际关系。尽管有有效的干预措施，但很少有学生认为自己的大麻使用存在问题，更不用说寻求治疗来减少使用大麻了。卫生技术的发展极大地扩大了让学生参与筛查和提供干预措施的潜在方法范围。特别是，现已开发了基于网络的方法，这些方法提供了一个筛选机会，并以易于利用和保密的方式向学生提供关于其大麻使用情况的个性化反馈。这些方法在理论上都有很好的基础，现在许多大学都可以使用。然而，关于它们的有效性或最佳传播策略的实证研究很少。拟议的R34可行性/试点项目旨在提供关于高度利用的、基于网络的筛查和简短干预方法的效力的初步数据，以减少向大学卫生中心提出的学生的大麻使用和后果。学生健康服务代表着一种机会主义的背景，以筛查和向大部分人口提供短暂的大麻使用干预。该项目的主要目标是：1)确定实施计算机化筛查和基于网络的干预方法的可行性，以解决这一环境中学生使用大麻的问题；2)进行试点试验，以估计这种方法在减少大麻使用和后果方面的效果。大学卫生保健诊所的本科生将被邀请参加一项关于健康行为的研究。那些通过筛查被确认为当前大麻使用者的人将被随机分配到接受广泛使用的基于网络的干预计划[e-Toke]或控制条件。将在三个月和六个月后检查这种干预措施对吸食大麻天数和与大麻相关的后果的影响。这项工作的结果将为大规模随机对照试验提供基础，以检验这种方法在减少接受大学卫生保健服务的学生中使用大麻的效果和相关后果。 公共卫生相关性：这项研究旨在提高旨在减少大学生使用大麻并将与大麻相关的危害降至最低的筛查和简短干预方法的有效性和有效性。

DESCRIPTION (provided by applicant): Marijuana use is a significant risk to health and well-being for university students. Students who use marijuana have an increased likelihood of experiencing a variety of consequences that impact their academic performance, physical health, and relationships. Despite the availability of efficacious interventions, few students identify their marijuana use as problematic let alone seek treatment to reduce their use. Developments in health technology have greatly expanded the potential range of methods to engage students in screening and deliver interventions. In particular, web-based approaches have now been developed which provide an opportunity to screen and deliver personalized feedback to students about their marijuana use in an easily utilized and confidential manner. These approaches are theoretically well grounded and are now available at many universities. However, there has been little empirical research on their efficacy or on optimal strategies for dissemination. The proposed R34 feasibility/pilot project seeks to provide preliminary data on the efficacy of a highly utilized, web-based screening and brief intervention approach for reducing marijuana use and consequences among students presenting to a university health center. Student health services represent an opportunistic context to screen and deliver brief intervention for marijuana use to large segments of the population. The primary goals of this project are to: 1) determine the feasibility of implementing a computerized screening and web-based intervention approach to address marijuana use among students in this setting, and 2) conduct a pilot trial to estimate the effect size of this approach for reducing marijuana use and consequences. Undergraduate students who present to a university health care clinic will be invited to participate in a study of health behaviors. Those identified as current marijuana users through screening will be randomly assigned to receive a widely used web-based intervention program [e-Toke] or a control condition. The effect of this intervention on days of marijuana use and marijuana-related consequences will be examined at three and six months. Results of this work will provide the basis for a large scale randomized controlled trial to examine the efficacy of this approach for reducing marijuana use and related consequences among students attending university health care services. PUBLIC HEALTH RELEVANCE: This research seeks to improve the efficacy and effectiveness of screening and brief intervention approaches designed to reduce marijuana use and minimize marijuana-related harm among university students.