Tailored Web Program to Reduce At-Risk College Drinking

很明显，非常需要有效的干预措施来预防/减少危险饮酒（ARD; 数量和频率，使一个人的健康处于危险之中）的未成年大学本科生。 目前在美国平均每天有三名大学生死于与酒精有关的汽车 车祸，而成千上万的人是与酒精有关的暴力和攻击的受害者，他们的健康受到威胁， 通过ARD的专业未来。本研究将实现以下目标。1)发展理论导向的 为预防/减少未成年人的ARD而进行的四次会议、基于网络的量身定制的简短动机干预 大学新生（即，18至20岁）。研究招募和随机分配 来自密歇根大学新生班的参与者要么接受定制的简短干预（TBI）， 仅网络调查（WSO）的情况将发生在一个学年的前两个月。参与者 两种情况都将被询问相同的基线、定制和随访问题，并将访问研究 网站上同样的次数，但只有TBI组将收到量身定制的干预会议。TBI 信息将根据每个TBI组成员的人口统计数据、ARD水平和行为变化量身定制 特征，以及制定干预信息所需的定制信息将被测量为 在四届会议期间，两组都将在6点，12点， 18个月。2)通过比较基于网络的TBI和 WSO组在基线、干预后6个月、12个月和18个月的ARD结局。最终样本量 计划是540。将测试干预措施的主要效果和与性别的相互作用。3)识别 参与者的基线ARD行为和态度：完成1、2、3和4项干预/对照 在网络上的会议;并完成6个月，12个月和18个月的随访。这项研究将检查预测因素 参与和辍学。如果有效的话，可以对拟议的干预措施进行廉价修改， * 对大量大学生和其他人群采取有效干预措施， 其他危害健康的行为。

Great need is evident for effective interventions to prevent/reduce at-risk drinking (ARD; combinations of quantity and frequency that place one's health at risk) among underage college undergraduate students. Currently in the United States an average of three college students die each day in alcohol-related car crashes, while thousands more are victims of alcohol-related violence and assault, and risk their health and professional futures through ARD. This study will address the following Aims. 1) Develop a theory-directed four-session, web-based tailored brief motivational intervention to prevent/reduce ARD among underage freshmen college students (i.e., aged 18 through 20 years). Recruitment and random assignment of study participants from the University of Michigan freshmen class to either a Tailored Brief Intervention (TBI) or web survey only (WSO) condition will occur in the first two months of one academic year. Participants in both conditions will be asked the same baseline, tailoring and follow-up questions and will visit the study website the same number of times, but only the TBI group will receive the tailored intervention sessions. TBI messages will be tailored on each TBI group member's demographics, ARD level, and behavior change characteristics, and tailoring information needed to formulate the intervention messages will be measured as needed during the four sessions. Both groups will be followed-up with a brief Web-based survey at six, 12, and 18 months. 2) evaluate the efficacy of the web-based TBI to reduce ARD by comparing the TBI and WSO groups on ARD outcomes at baseline, six, 12, and 18 months post intervention. The final sample size is planned to be 540. Intervention main effects and interactions with sex will be tested. 3) Identify the baseline ARD behaviors and attitudes of participants who: complete 1,2,3, and four intervention/control sessions on the Web; and complete the 6-, 12-, and 18-month follow-ups. The study will examine predictors of participation and dropout. If effective, the proposed intervention could be inexpensively modified to deliver effective interventions to large numbers of university students, members of other populations, and to target other health risk behaviors.