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

描述（由申请人提供）：海洋使用是一个重大风险的健康和福祉的大学生。使用大麻的学生更有可能经历各种后果，影响他们的学业成绩，身体健康和人际关系。尽管有有效的干预措施，很少有学生认为他们的大麻使用是有问题的，更不用说寻求治疗以减少他们的使用。卫生技术的发展大大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，现在已经开发出基于网络的方法，这些方法提供了一个机会，可以以易于使用和保密的方式筛选并向学生提供有关其大麻使用的个性化反馈。这些方法在理论上有很好的基础，现在在许多大学都可以使用。然而，很少有关于其功效或最佳传播战略的实证研究。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有效性的初步数据，以减少大学健康中心学生中大麻的使用和后果。学生健康服务代表了一个机会主义的背景下，筛选和提供简短的干预大麻使用的大部分人口。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，以解决学生在这种环境中使用大麻的问题，2）进行试点试验，以估计这种方法减少大麻使用的效果大小和后果。到大学保健诊所就诊的本科生将被邀请参加健康行为的研究。通过筛选确定为当前大麻使用者的人将被随机分配接受广泛使用的基于网络的干预计划[e-Toke]或控制条件。这种干预对大麻使用天数和大麻相关后果的影响将在三个月和六个月时进行检查。这项工作的结果将为一项大规模随机对照试验提供基础，以检查这种方法在参加大学医疗保健服务的学生中减少大麻使用和相关后果的有效性。 公共卫生相关性：这项研究旨在提高筛选和简短干预方法的功效和有效性，旨在减少大麻的使用，并尽量减少大学生中与大麻相关的伤害。

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.