Brief Alcohol Interventions by Counselor vs Computer

辅导员与计算机的简短酒精干预

• 批准号: 7473278
• 负责人: KATE B CAREY
• 金额: $ 47.34万
• 依托单位: SYRACUSE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-26 至 2011-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7473278
• 关键词: Address; Administrator; Alcohols; Behavioral; Blood alcohol level measurement; Computers; Condition; Controlled Study; Cost Effectiveness Analysis; Data; Educational Intervention; Event; Frequencies; Future; Gender; Health; Heavy Drinking; Informal Social Control; Intervention; Legal; Literature; Marketing; Outcome; Participant; Patient Self-Report; Pattern; Policies; Policy Making; Prevention; Prevention intervention; Prevention program; Professional counselor; Psychosocial Factor; Purpose; Randomized; Randomized Controlled Trials; Readiness; Recruitment Activity; Relative (related person); Research; Research Personnel; Resistance; Risk; Social Change; Social Network; Students; Testing; Training; Universities; Week; alcohol abuse prevention; alcohol intervention; alcohol response; base; binge drinking; college; college drinking; computerized; cost; cost effectiveness; design; drinking; early /brief intervention /therapy; experience; high risk drinking; motivational intervention; programs; residence; response; social; university student

DESCRIPTION (provided by applicant): The long-term objective of this study is to reduce high-risk drinking and negative alcohol-related consequences in college students. The proposed research will evaluate outcomes, predictors and moderators of outcomes, and cost-effectiveness of three types of brief motivational interventions (BMIs): an empirically supported counselor-administered intervention and two computerized interventions (Alcohol 101 Plus and AlcoholEdu). Although these computer-administered BMIs are widely used and marketed, we lack controlled studies on behavioral outcomes for either of these prevention programs. Participants will be 700 at-risk student drinkers who have been sanctioned to receive an alcohol intervention because they violated residence hall alcohol policy. These referred students will be randomized to one of the three BMIs or to a delayed intervention control, and assessed at baseline and at 1, 6, and 12 months post-intervention. First, we will test hypotheses that (a) in the short-term, student drinkers who receive any of the interventions will reduce high-risk drinking and experience fewer negative consequences of drinking relative to students in the delayed intervention control condition; and (b) in the long-term, students who receive counselor-administered BMIs will reduce high-risk drinking and negative consequences to a greater extent than will students who receive either computer-administered BMI. Second, we will assess whether personal (e.g., gender, baseline drinking), motivational (e.g., readiness to change), and social influence (e.g., perceived norms, social network composition) variables will predict and/or moderate student response to the BMIs. Third, we will combine information on both the efficacy and the costs of all three interventions in a cost-effectiveness analysis. The results of the this study will provide guidance to university and college administrators who currently must make policy decisions without efficacy data regarding computer-administered BMIs, or information on the relative cost-effectiveness of BMIs administered by computer vs. by trained counselors.

描述(申请人提供)：这项研究的长期目标是减少大学生中高风险饮酒和消极酒精相关的后果。这项拟议的研究将评估三种类型的简短动机干预(BMI)的结果、结果的预测和调节因素以及成本效益：经验支持的顾问管理干预和两种计算机干预(酒精101 Plus和酒精教育)。尽管这些计算机管理的BMI被广泛使用和销售，但我们缺乏对这两个预防计划的行为结果的对照研究。参与者将是700名高危学生饮酒者，他们因违反宿舍酒精政策而被批准接受酒精干预。这些被推荐的学生将被随机分配到三个BMI中的一个或延迟干预对照组，并在基线以及干预后1、6和12个月进行评估。首先，我们将检验这样的假设：(A)在短期内，接受任何干预的学生饮酒者将减少高风险饮酒，与延迟干预控制条件下的学生相比，饮酒的负面后果更少；(B)从长期来看，接受辅导员管理的BMI的学生将比接受计算机管理的BMI的学生更大程度地减少高风险饮酒和负面后果。其次，我们将评估个人(例如性别、基线饮酒)、动机(例如是否愿意改变)和社会影响(例如感知规范、社会网络构成)变量是否会预测和/或缓和学生对BMI的反应。第三，我们将在成本效益分析中结合关于所有三种干预措施的疗效和成本的信息。这项研究的结果将为大学和学院管理人员提供指导，目前他们必须在没有关于计算机管理的BMI的有效性数据或关于计算机管理的BMI与由训练有素的顾问管理的BMI的相对成本效益的信息的情况下做出政策决策。