C.A.R.E.S.: A Mobile Health Program for Alcohol Risk Reduction for an Under-Served College Population

过量饮酒是美国第三大可预防的死亡原因， 18 - 29显示危险酒精使用率最高。社区学院为1200多万学生提供服务， 占美国大学生总数的45%。社区学院学生（CCS）显示， 使用类似于学生在传统的四年制住宿（FYR）学院，但CCS是在更高的风险， 大量饮酒的负面后果，包括身体和性攻击，致命伤害和驾驶 在影响下。尽管CCS的数量很大，风险也很高，但对年轻人的酒精干预措施 成年人几乎只关注FYR学院的学生。CCS与FYR学院的不同之处在于 多种方式; CCS更可能具有多个角色和职责（例如，就业），推动更多 (to/来自校园），与家人住在一起，并在校外社交，因此需要量身定制的干预方法 他们的生活环境。社区学院提供保健服务的可能性低于前南斯拉夫的共和国机构， 通常缺乏实施酒精干预所需的资源， 大学生，如在人的动机咨询。可以提供有效酒精的方法 使用灵活、可访问和针对其具体需求量身定制的方式向CCS提供减少危害信息 需要迫切需要。 这一建议的快速通道STTR（PAR-17 - 303）建立在我们成功的试点，我们开发了一个文本 信息（TxM）-提供酒精干预，并与CCS合作。在第一阶段，我们将开发 并反复测试智能手机应用程序（应用程序），将我们的TxM程序与其他功能结合起来， 学生在我们的试点试验中要求的功能（目标1.1）。在获得用户反馈（目标1.2）后，我们将 完整的iOS和Android语言编程（目标1.3）。确保大学酒精风险 教育系统（CARES）处于有利地位，进入社区大学市场，这是至关重要的， 证明有效性。因此，在II期研究中，我们将进行一项CARES的疗效试验（目标2.1）， 一个竞争性的酒精教育计划，这将是可行的，大多数社区大学采用，因此， 提供真实世界的数据比较，以支持我们在未来商业化方面的努力。我们也 寻求确定对哪些类型的人，关爱更有效/更不有效（目标2.2），并确定如何 可以改善（目标2.3）。 随着越来越多的州将社区大学免费提供给州居民， 服务业在未来几年可能会迅速增长。全国有1,400多所社区学院系统， 美国，这似乎是一个针对健康促进产品市场的合适时机， CARES应用程序

Excessive alcohol use is the third-leading preventable cause of death in the U.S. with young adults ages 18-29 showing the highest rates of hazardous alcohol use. Community colleges serve over 12 million students, comprising 45% of all U.S. college students. Community college students (CCS) show rates of heavy alcohol use similar to students at traditional four-year residential (FYR) colleges, but CCS are at higher risk for negative consequences of heavy drinking, including physical and sexual assault, fatal injuries, and driving under the influence. Despite the large number of CCS and their level of risk, alcohol interventions for young adults have focused almost exclusively on students at FYR colleges. CCS differ from those at FYR colleges in several ways; CCS are more likely to have multiple roles and responsibilities (e.g., employment), drive more (to/from campus), live with family, and socialize off campus, and thus require intervention approaches tailored to their life circumstances. Community colleges are less likely to offer health services than FYR institutions and typically lack resources needed to implement alcohol interventions that are recommended for traditional college students, such as in-person motivational counseling. Approaches that can deliver effective alcohol harm reduction messages to CCS using a modality that is flexible, accessible, and tailored to their specific needs are urgently needed. This proposed FastTrack STTR (PAR-17-303) builds on our successful pilot in which we developed a text message (TxM)-delivered alcohol intervention for, and in collaboration with CCS. In Phase I, we will develop and iteratively test a smartphone application (app) incorporating our TxM program with additional features and functionality requested by students in our pilot trial (Aim 1.1). After obtaining user feedback (Aim 1.2) we will complete programming in both iOS and Android languages (Aim 1.3). To ensure that the College Alcohol Risk Education System (CARES) is well positioned to get into the community college marketplace, it is critical to demonstrate efficacy. Therefore, in Phase II, we will conduct an efficacy trial (Aim 2.1) of CARES compared to a competing alcohol education program that would be feasible for most community colleges to adopt, thus providing a real-world comparison with data suitable to support our efforts in future commercialization. We also seek to identify the types of individuals for whom CARES is more/less effective (Aim 2.2), and identify how it might be improved (Aim 2.3). With an increasing number of states making community college free to state residents, demand for services is likely to increase rapidly in coming years. With over 1,400 community college systems across the U.S., this seems an opportune moment to be targeting this market for health promotion products such as the CARES app.