Evaluating the Efficacy of Alcohol Screening & Brief Intervention at a University

评估酒精筛查的功效

• 批准号: 8721263
• 负责人: Maria Dolores Cimini
• 金额: $ 15.77万
• 依托单位: STATE UNIVERSITY OF NEW YORK AT ALBANY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-25 至 2016-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8721263
• 关键词: Accident and Emergency department; Address; Alcohol abuse; Alcohol consumption; Alcoholic beverage heavy drinker; Alcohols; Brief Alcohol Screening and Intervention for College Students; Control Groups; Counseling; Educational Intervention; Effectiveness; Environment; Evaluation; Expectancy; Experimental Designs; Family history of; Feedback; Health; Healthcare; Individual; Internet; Intervention; K-Series Research Career Programs; Legal; Literature; Martens; Mediating; Mediator of activation protein; Medical; Mental Health; Mentors; Modeling; National Institute on Alcohol Abuse and Alcoholism; Online Systems; Outcome; Participant; Pattern; Performance; Population; Primary Health Care; Psychiatric Hospitals; Randomized Controlled Trials; Readiness; Relative (related person); Research; Research Support; Role; Sampling; Services; Target Populations; Testing; Time Study; Treatment Efficacy; Universities; Waiting Lists; Work; alcohol intervention; alcohol related consequences; alcohol related problem; alcohol screening and brief intervention; base; behavior change; brief alcohol screening; brief intervention; cost; cost effective; cost effectiveness; design; drinking; follow-up; graduate student; high risk; intervention program; patient oriented; primary care setting; protective behavior; public health relevance; randomized trial; reduced alcohol use; research study; screening and brief intervention; social; undergraduate student; university student

DESCRIPTION (provided by applicant): The broad, long-term objective of the current research is to reduce alcohol use and related negative health, social, and legal consequences in a high-risk population of college students seeking health care at a university- based medical and mental health setting, through implementation and evaluation of effective, low-cost individual Screening and Brief Intervention (SBI) strategies. SBI strategies, particularly the Brief Alcohol Screening and Intervention for College Students (BASICS) model (Dimeff, Baer, Kivlahan, & Marlatt, 1999), have been supported by research to be an efficient and cost-effective means of reducing alcohol abuse (Baer, Kivlahan, Blume, McKnight, & Marlatt, 2001; Borsari & Carey, 2000; Larimer et al. 2001; Marlatt et al., 1998) and alcohol-related consequences (Baer et al., 2001; Marlatt et al., 1998) among college students. Further, we are beginning to better examine and understand the mechanisms that can result in behavior change using brief interventions (Carey, Carey, Maisto, and Henson, 2006; Carey, Henson, Carey, and Maisto, 2007). A significant limitation of the research on motivational-based SBI programs, including BASICS and other intervention formats, is that they have generally been conducted outside of naturalistic settings in which college students typically receive health-related services, such as campus-based health centers and counseling centers. Several studies have confirmed the effectiveness of SBI programs in both primary care settings (e.g., Fleming, Brown, & Brown, 2004; Reiff-Hekking, Ockene, Hurley, & Reed, 2005) and emergency rooms (e.g., Longabaugh et al., 2001; Monti et al., 1999), but this work has not exclusively sampled college students. The current research is designed to address these gaps in the literature by examining the efficacy and cost- effectiveness of the delivery of SBI in a variety of intervention formats in reducing alcohol use and related negative consequences in a target population of undergraduate and graduate students seeking services at university-based primary medical and mental health care settings. Specifically, the NIAAA Tier I Screening and Brief Intervention for College Students (BASICS) model (Dimeff at al., 1999), a commercially-available Web- based educational intervention for high-risk alcohol use (e-Chug), the administration of Web-delivered personalized drinking feedback (PDF)-only (Dimeff, et al., 1999), and an assessment-only (wait-list control condition), will be examined in regard to their short-term and longer-term efficacy. Second, the proposed research is designed to examine the role of mediators and moderators of intervention efficacy, both within and across treatment conditions. Third, this current research will examine patterns of and changes in participant academic performance and retention within the university environment during the course of this project. The specific aims of this research will be accomplished in the context of a longitudinal randomized trial study using a between-group design to assess the short-term and longer-term efficacy of BASICS, e-Chug, and personalized drinking feedback-only in reducing alcohol use and associated negative consequences. Specific emphasis will be placed on the evaluation of mediators and moderators on treatment efficacy, in an effort to better clarify the roles of these factors on short-term and long-term intervention outcomes. Additionally, the proposed project will evaluate patterns of and changes in participant academic performance and retention within the university environment across time for study participants.

描述(由申请人提供)：当前研究的广泛、长期目标是通过实施和评估有效、低成本的个人筛查和短暂干预(SBI)策略，减少在大学医疗和心理健康环境中寻求医疗保健的大学生高危人群中的酒精使用和相关的负面健康、社会和法律后果。履行机构的战略，特别是针对大学生的简短酒精筛查和干预(BASICS)模式(Dimef，Baer，Kivlahan，&Marlatt，1999)得到了研究的支持，研究表明，这是一种有效且具有成本效益的减少酒精滥用的方法(Baer，Kivlahan，Blume，McKnight，&Marlatt，2001；Borsari&Carey，2000；Larimer et al.2001年；Marlatt等人，1998)和与酒精有关的后果(Baer等人，2001；Marlatt等人，1998)。此外，我们开始更好地检验和理解使用简短干预措施导致行为改变的机制(Carey，Carey，Maisto和Henson，2006；Carey，Henson，Carey和Maisto，2007)。基于动机的SBI项目研究的一个显著局限性是，它们通常在自然主义的环境之外进行，在这些环境中，大学生通常会接受与健康相关的服务，如校园健康中心和咨询中心。有几项研究证实了在初级保健环境(例如，Fleming，Brown和Brown，2004；Reiff-Hekking，Ockene，Hurley和Reed，2005)和急诊室(例如，Longabaugh等人，2001；Monti等人，1999)中履行机构计划的有效性，但这项工作并没有专门对大学生进行抽样。目前的研究旨在解决文献中的这些差距，方法是检查在各种干预形式下实施SBI在减少本科生和研究生目标人群在大学初级医疗和精神卫生保健环境中寻求服务的酒精使用和相关负面后果方面的有效性和成本效益。具体地说，NIAAA针对大学生的第一级筛查和简短干预模式(DIMEF等人，1999年)、针对高风险酒精使用的商业基于网络的教育干预(e-Chug)、仅通过网络提供的个性化饮酒反馈(PDF)的管理(DIMEF等人，1999年)以及仅评估(等待名单控制条件)，将就其短期和长期效果进行审查。其次，拟议的研究旨在检查干预效果的调解者和调节者在治疗条件内和跨治疗条件下的作用。第三，本研究将考察在本项目的过程中，参与者在大学环境中的学业成绩和留存的模式和变化。这项研究的具体目标将在一项纵向随机试验研究的背景下实现，该研究采用组间设计，以评估BASIC、e-Chug和个性化饮酒反馈的短期和长期效果-仅在减少酒精使用和相关的负面后果方面。将特别重视调解人和调解人对治疗效果的评价，以努力更好地澄清这些因素对短期和长期干预结果的作用。此外，拟议的项目将评估研究参与者在大学环境中不同时间的学习成绩和留存情况的模式和变化。