Motivational Interventions for Exercise in Hazardous Drinking College Students

描述(由申请人提供)：大学生的酒精问题发生率很高，国家酒精滥用和酒精中毒研究所针对这一年龄段的人群开展了一系列旨在减少酒精使用的干预措施(NIAAA，2002)。物质使用，包括大量饮酒，往往以牺牲其他不含物质的活动为代价。这个第一阶段的治疗开发项目将研究推广一种特定物质--无运动--作为对危险饮酒的干预。锻炼对身心健康有很多好处，数据表明，经常锻炼的学生不太可能酗酒。70名久坐不动的大学生将被随机分为两种情况：(1)两次50分钟的动机增强疗法(MET)，专注于每隔一个月增加锻炼，外加8周的锻炼收缩；(2)两次50分钟的MET，专注于增加锻炼，外加8周的应急管理(CM)，以坚持特定的锻炼活动。MET是一种以客户为中心的指导性方法，通过探索和解决矛盾心理来增强改变的内在动机，而CM是一种行为治疗，为个人提供有形的强化，如对完成特定目标行为的奖励。所有参与者将每周与治疗师短暂会面一次，以审查前一周的锻炼合同，并完成下一周的锻炼合同。那些参加CM干预的人还将在前一周获得任何因经过验证的运动(例如，计步器读数、校园健身房的出勤记录)而获得的增援。对所有参与者的评估将在基线、2个月(治疗后)和6个月(随访)进行，主要结果衡量标准是体力活动和锻炼的客观和主观指数，以及自我报告的饮酒情况。次要结果包括与健康相关的身体健康(例如，身体成分、心血管耐力和肌肉力量的测试)。我们假设，与MET干预组相比，MET+CM干预组将显示出更多的体育活动、锻炼、身体健康和减少酒精使用。这一阶段1治疗发展研究的结果将指导未来研究与运动相关的动机干预作为减少大学生危险饮酒的方法。 与公共健康相关：美国国家酒精滥用和酒精中毒研究所已经将大学生中的危险饮酒确定为一个重要的关注和研究重点，因为它在许多大学校园里非常普遍，而且它与许多不良后果有关。研究表明，让大学生参与与饮酒无关的活动可以减少饮酒。这项试点研究将寻求通过让久坐不动的危险饮酒大学生参加锻炼计划来减少酒精使用量。锻炼对心理和身体健康都有很多好处。运动被认为是为了减少危险饮酒，因为它是一种应对机制。

DESCRIPTION (provided by applicant): College students have high rates of alcohol problems, and the National Institute on Alcohol Abuse and Alcoholism has targeted this age group for a number of intervention initiatives designed to reduce alcohol use (NIAAA, 2002). Substance use, including heavy drinking, often occurs at the expense of other, substance-free, activities. This Stage 1 therapy development project will examine the promotion of one specific substance-free activity - exercise - as an intervention for hazardous drinking. Exercise has numerous physical and mental health benefits, and data suggest that students who engage in exercise regularly are less likely to drink heavily. Seventy hazardous drinking (AUDIT scores > 8) college students who are sedentary will be randomized to one of two conditions: (1) two 50-minute sessions of motivational enhancement therapy (MET) focused on increasing exercise spaced one month apart plus 8 weeks of exercise contracting, or (2) two 50-minute sessions of MET focused on increasing exercise plus 8 weeks of contingency management (CM) for adhering to specific exercise activities. MET is a client-centered, directive method of enhancing intrinsic motivation to change by exploring and resolving ambivalence, and CM is a behavioral treatment that offers individuals tangible reinforcement such as prizes for completion of specific target behaviors. All participants will meet briefly with a therapist once per week to review the prior week's exercise contract and complete an exercise contract for the upcoming week. Those in the CM intervention will also receive any reinforcement earned for verified exercise (e.g., pedometer readings, attendance records from campus gym) in the prior week. Assessments of all participants will take place at baseline, 2-months (post-treatment), and 6-months (follow-up) with primary outcome measures being objective and subjective indices of physical activity and exercise, and self-reported alcohol use. Secondary outcomes include health-related physical fitness (e.g., tests of body composition, cardiovascular endurance, and muscle strength). We hypothesize that the MET+CM intervention will show increased levels of physical activity, exercise, physical fitness, and reductions in alcohol use in comparison to the MET intervention. Results from this Stage 1 therapy development study will guide future investigations of exercise-related motivational interventions as a method for reducing hazardous drinking in college students. PUBLIC HEALTH RELEVANCE: The National Institute of Alcohol Abuse and Alcoholism has identified hazardous drinking in college students as a significant concern and a research priority due to its significant prevalence on many college campuses and its association with many adverse consequences. Research suggests that engaging college students in activities unrelated to drinking decreases alcohol use. This pilot study will seek to decrease alcohol use by engaging sedentary hazardous drinking college students in an exercise program. Exercise has numerous mental and physical health benefits. Exercise is hypothesized to reduce hazardous drinking due to its function as a coping mechanism.