Text Messaging as a Novel Alcohol Intervention for Community College Students

描述（由申请人提供）：社区大学学生大量饮酒是一个严重的问题，使学生容易受到社会和健康损害，身体或性侵犯，意外伤害和死亡。然而，尽管这些学生占全国大学生总数的近40%，但研究和治疗社区大学生的努力有限。社区大学的学生在种族、年龄、社会经济地位、生活状况和就业状况上都是多样化的。因此，成功的干预措施必须具有足够的灵活性，以适用于各种不同的个人特征和需求。不幸的是，有证据表明，这一群体的需求尚未得到满足；社区大学的学生比四年制大学的学生更频繁地在酒精的影响下开车，而且由于在校园里呆的时间更少，在他们的大学里很少有机会进行面对面的干预。这项研究计划的长期目标是解决社区大学人口在治疗酗酒方面的差距。作为实现这一目标的第一步，这个R21应用程序将开发一种针对社区大学生需求的干预措施，并使用绝大多数社区大学生已经使用的移动通信平台。采用这种方法，干预将是可移动的，无论用户在哪里都可以访问，并且能够根据个人特征进行定制。我们将首先向焦点小组（4组，每组8名重度饮酒的社区大学生）展示初步干预设计，并从主要举报人（咨询委员会）那里获得反馈。我们将使用这些小组的反馈来完成设计并开发一个工作原型。然后，我们将在重度饮酒的社区大学生（N=10）中进行为期六周的干预试验，以测试原型干预的可用性和可接受性。参与者将在项目结束时接受采访，以提供反馈并评估他们对系统的体验，内容专家将使用半结构化访谈再次评估原型。最后，我们将在酗酒的社区大学生（N=40）中进行为期六周的改良干预试验。这些参与者将被随机分配到干预计划或标准干预（打印自助）与接触控制。评估将在治疗结束时进行，并在3个月和6个月随访。这些数据将用于指导一项全面临床试验的规划，以测试干预措施在减少社区大学生有害饮酒方面的功效和成本效益。

DESCRIPTION (provided by applicant): Heavy alcohol use among community college students is a serious problem, leaving students vulnerable to social and health impairment, physical or sexual assault, unintentional injuries, and death. However, there have been limited efforts to research and treat community college students, despite these students comprising nearly 40% of all college students nationwide. Community college students are diverse in ethnicity, age, socioeconomic status, living situation, and employment status. Thus, successful interventions must be sufficiently flexible to apply across a diverse array of individual characteristics and needs. Unfortunately, there is evidence of great unmet need among this group; community college students drive under the influence of alcohol more frequently than students at four-year colleges, and due to lesser time spent on campus, are less available for in-person interventions coordinated at their college. The long-term objective of this research program is to address a gap in the treatment of heavy alcohol use by the community college population. As a first step toward achieving that goal, this R21 application will develop an intervention that is tailored to the needs of community college students and which uses mobile communications platforms that are already used by the vast majority of this population. Taking this approach, the intervention will be mobile, accessible wherever the user is located, and able to be tailored to individual characteristics. We will begin by presenting out initial intervention design to focus groups (4 groups of 8 heavy drinking community college students) and obtaining feedback from key informants (advisory board). We will use feedback from these groups to finalize the design and develop a working prototype. We will then pilot the intervention among heavy drinking community college students (N=10) for six weeks to test the usability and acceptability of the prototype intervention. Participants will be interviewed at the end of the program to provide feedback and evaluate their experience with the system, and content experts will again evaluate the prototype using semi-structured interviews. Finally, we will pilot the modified intervention with heaving drinking community college students (N=40) for six weeks. These participants will be randomly assigned to either the intervention program or a standard intervention (print self-help) with a contact-control. Assessments will be conducted at end-of- treatment, and at 3 and 6 months follow up. These data will be used to guide the planning of a full-scale clinical trial to test the efficacy and cost-effectiveness of the intervenion in reducing hazardous drinking among community college students.