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

评估酒精筛查的功效

基本信息

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
项目类别：
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

项目摘要

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，长期目标是通过在大学的医学和心理健康环境中寻求医疗保健的高风险大学生，通过实施和评估有效的，低估的个人筛查和简短干预（SBI）策略，从而减少饮酒和相关的负面健康，社会和法律后果。 SBI策略，特别是对大学生的简短饮酒和干预措施（基础）模型（Dimeff，Baer，Kivlahan和Marlatt，1999年），已得到研究的支持，是一种有效且具有成本效益的方法来减少酒精滥用的方法Marlatt等，1998）和与酒精有关的后果（Baer等，2001； Marlatt等，1998）在大学生中。此外，我们开始更好地检查和理解可以使用短暂干预措施（Carey，Carey，Maisto和Henson，2006年； Carey，Henson，Carey和Maisto，2007年）导致行为改变的机制。基于动机的SBI计划（包括基础知识和其他干预格式）的研究的一个重要局限性是，它们通常是在自然主义环境之外进行的，在自然主义环境中，大学生通常会接受与健康相关的服务，例如基于校园的医疗中心和咨询中心。几项研究已经证实了SBI计划在初级保健环境中的有效性（例如Fleming，Brown，＆Brown，2004； Reiff-Hekking，Ockene，Hurley和Reed，2005年）和急诊室（例如，Longabaugh等，2001; Monti等，2001; Monti等，1999），但这项工作尚未在这所大学的学生中。当前的研究旨在通过检查SBI在各种干预格式中提供的功效和成本效益来解决文献中的这些差距，以减少饮酒的饮酒方式以及在大学本科生和研究生中寻求服务的目标人群中与大学基于大学基于大学的初级医疗和精神卫生保健环境中寻求服务的负面影响。具体而言，NIAAA层I筛查和对大学生的简短干预（基础）模型（Dimeff，Al。，1999年），一种基于商业可用的基于网络的教育干预措施（E-CHUG）（E-CHUG），网络传播的个性化饮酒反馈（pdf）wake（dimeff）wake（dimeff）wake and Intery（extiment extly and Intery（Et and extly eT），以及[1999年]，以及[1999年，and and and and and。关于它们的短期和长期疗效。其次，拟议的研究旨在研究跨治疗条件内和跨处理条件的介体和主持人的作用。第三，这项当前的研究将研究该项目过程中参与者学术绩效和保留在大学环境中的模式和变化。这项研究的具体目的将在使用组间设计的纵向随机试验研究中实现，以评估基础，电子期和饮酒反馈的短期和长期疗效，仅用于减少酒精使用和相关的负面后果。将对调解人和主持人在治疗效率上的评估中的特定重视，以便更好地阐明这些因素在短期和长期干预结果中的作用。此外，拟议的项目将评估参与者在大学环境中参与者的学术绩效和保留的模式的变化。