Evaluation of a Hybrid In-person and Online Alcohol Service Training Program

描述(由申请人提供)：拟议的研究将评估酒精风险管理(ARM)计划的增强和扩展版本的效果，ARM计划是为酒店内酒类场所(即酒吧、餐馆)的经理提供的一个为期四节的负责任的饮料服务培训计划。ARM是一个一对一的培训计划，为管理人员提供制定负责任的、特定于机构的酒精服务政策所需的知识和技能。通过影响现有政策，ARM计划旨在减少对明显醉酒的顾客的非法酒类销售-最终降低暴力和交通事故等相关问题的发生率。在我们之前评估ARM的随机试验中，我们观察到培训后一个月向明显醉酒的顾客非法销售酒精的可能性降低，但效果在三个月内衰退。我们建议扩展和增强基于社会认知理论的培训计划，通过创建包括面对面培训和在线培训(e-ARM)的ARM混合版本来放大即时效果并保持效果。E-ARM将通过几种方式解决方案早期版本的局限性，包括让每个机构有更多的管理人员参加培训，包括持续的在线互动(例如，提示/提醒、与其他参与者的讨论板、新闻更新等)，以及一个在线服务器培训工具。我们将进行一项随机对照试验，以评估电子手臂对减少对明显醉酒的顾客的非法酒类销售和导致大量饮酒的危险行为的可能性的短期和长期影响。

DESCRIPTION (provided by applicant): The proposed study will evaluate effects of an enhanced and expanded version of the Alcohol Risk Management (ARM) program, a four-session responsible beverage service training program for managers of on-premise alcohol establishments (i.e., bars, restaurants). ARM is a one-on-one training program that provides managers with the knowledge and skills necessary to develop responsible, establishment-specific, alcohol service policies. By influencing establishment policies, the ARM program aims to reduce illegal alcohol sales to obviously intoxicated patrons-and ultimately, to lower rates of related problems such as violence and traffic crashes. In our previous randomized trial that evaluated ARM, we observed reductions in likelihood of illegal alcohol sales to obviously intoxicated patrons one month following the training, but the effects decayed within three months. We propose to expand and enhance the training program based using Social Cognitive Theory to magnify immediate effects and sustain the effects by creating a hybrid version of ARM that includes both in-person and online training (e-ARM). e-ARM will address limitations of the earlier version of the program in several ways, including by involving more managers per establishment in the training, including ongoing online interactions (e.g., tips/reminders, discussion boards with other participants, news updates, etc.), and an online server training tool. We will conduct a randomized, controlled trial to assess the short and long-term effects of e-ARM on likelihood of reducing illegal alcohol sales to obviously intoxicated patrons and risky practices that lead to heavy consumption of alcohol.