Group-based Intervention for Alcohol, Drugs and Aggression among Club Patrons

针对俱乐部顾客酗酒、吸毒和攻击行为的团体干预

• 批准号: 8695192
• 负责人: Brenda A Miller
• 金额: $ 71.41万
• 依托单位: PACIFIC INSTITUTE FOR RES AND EVALUATION
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-15 至 2019-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8695192
• 关键词: Address; Adoption; Adult; Aggressive behavior; Alcohol consumption; Algorithms; Automobile Driving; Awareness; Behavior; Behavior Control; Biological; Control Groups; Dancing; Data; Data Collection; Drug usage; Electronics; Enrollment; Environment; Event; Goals; Individual; Intercept; Intervention; Learning; Left; Link; Liquid substance; Location; Measurement; Measures; Methods; Music; Oral; Participant; Patient Self-Report; Pharmaceutical Preparations; Population; Public Health; Randomized; Research; Risk; Risk Behaviors; Safety; Sampling; Schools; Services; Surveys; Tablet Computer; Technology; Testing; Time; Treatment Efficacy; Wireless Technology; Work; alcohol intervention; base; breath alcohol measurement; brief intervention; college; cost; design; drinking; early awareness; experience; group intervention; high risk; high risk behavior; interest; member; mobile application; outreach; public health relevance; satisfaction; screening; skills; social group; therapy design; tool; young adult

DESCRIPTION (provided by applicant): This study will focus on high risk behaviors (excessive alcohol use, drug use, physical and/or sexual aggression, and unsafe exit behaviors-e.g., drinking and driving, riding with a drinking driver) of young adults who patronize clubs. These risk behaviors are prevalent in clubs and drinking establishments (see Significance). Our goals are twofold: (1) to develop a screener that accurately assesses a group's level of risk for one specific night of club attendance and based upon this assessment, (2) to provide naturally occurring social groups with the necessary skills to identify vulnerability to these high risk behaviors and to provide them with tools to protect their members against those risks by being prepared to implement the 3 O's: (a) Outreach-approach fellow group members who are at risk, (b) Options-to suggest alternatives that would increase safety and (c) Out-to increase awareness of when it is time to leave. This brief, interactive intervention will be delivered by small tablet computers that utilize mobile application technology and cellular wireless service. This will facilitate later adoption in the real world, in a way to provide a low cost delivery and n a manner that will engage the young adult population. Specific Aim I is designed to test and reduce the number of screening questions necessary to develop a risk algorithm (for our high risk behaviors) for social groups and to test the feasibility of immediate onsite compilation of individual results into a group risk algorithm. A data collection method is used that intercepts participants as they enter and exit a location and links these data, while maintaining anonymity. For Specific Aim 1 a total of 300 groups (n=720 participants) will be given a short survey and biological measures of alcohol and drug use will be collected, while maintaining anonymity for the participants. The survey data will be linked for the group. With Specific Aim II, the brief, group-based intervention is designed and the feasibility tested. With a new sample of 300 groups, randomly assigned to intervention and control conditions, both entrance and exit data collection will include survey data, oral fluid samples (for drug analyses), and breath tests (for alcohol). These data will be compared for the intervention and control groups to determine if the intervention was successful in helping groups to assess their vulnerability for high risk situation inside the club, whether they implemented more actions based upon the skills they learned, and whether the intervention group had fewer high risk behaviors than the control group.

描述(申请人提供)：这项研究将侧重于光顾俱乐部的年轻人的高危行为(过度饮酒、吸毒、身体和/或性侵犯，以及不安全的退出行为--例如，酒后驾驶、与饮酒司机一起骑车)。这些危险行为在俱乐部和饮酒场所很普遍(见重大意义)。我们的目标有两个：(1)开发一个筛选器，准确地评估一个群体在一个特定的俱乐部参加夜晚的风险水平，并基于这个评估，(2)为自然产生的社会群体提供必要的技能，以识别这些高风险行为的脆弱性，并通过准备实施3个O，为他们提供工具，以保护他们的成员免受这些风险：(A)外联-接近处于风险中的其他群体成员，(B)选项-建议替代方案，以增加安全性和(C)-提高对何时该离开的认识。这一简短的互动干预将由利用移动应用程序技术和蜂窝无线服务的小型平板电脑提供。这将有助于以后在现实世界中采用，以一种低成本的方式提供，并以一种将吸引年轻成年人的方式。具体目标I旨在测试和减少为社会群体开发风险算法(针对我们的高风险行为)所需的筛查问题数量，并测试将个人结果立即现场汇编成群体风险算法的可行性。使用一种数据收集方法，在参与者进入和离开位置时拦截他们，并链接这些数据，同时保持匿名性。为实现具体目标1，将对总共300个小组(n=720名参与者)进行一次简短调查，并收集酒精和药物使用的生物学指标，同时保持参与者的匿名性。将链接该组的调查数据。针对特定的目标II，设计了基于团体的简明干预方案，并对其可行性进行了检验。通过随机分配到干预和控制条件下的300组新样本，进入和离开数据收集将包括调查数据、口腔液体样本(用于药物分析)和呼气测试(用于酒精)。这些数据将为干预组和对照组进行比较，以确定干预是否成功地帮助小组评估他们在俱乐部内高危情况下的脆弱性，他们是否根据所学的技能采取了更多行动，以及干预组的高危行为是否比对照组少。