The College Alcohol Intervention Matrix (College AIM): Adoption and Implementation Across College Campuses

项目总结 大学生中危险的饮酒和相关行为会导致显著的不良后果(例如， 受伤、死亡)。例如，据估计，每年有1519名大学生死亡与酒精有关。 因此，这些行为构成了一个严重的公共卫生问题，必须在整个大学范围内加以解决 校园。NIAAA优先确定侧重于减少大学饮酒和 这些努力已经产生了一些基于证据的战略(EBS)，这些战略最近汇编在 大学酒精干预矩阵(CollegeAIM；NIAAA，2015A；2019)。CollegeAIM包括一份证据清单- 根据方法(例如，个人或环境)、成本和水平组织的酒精减少战略 功效。大学可以使用CollegeAIM来确定在校园内实施的EBSS，以打击危险饮酒。 尽管NIAAA确定了优先顺序，并提供了CollegeAIM工具和现有的EBSS来应对风险 饮酒，关于大学生饮酒采用和实施EBSS的情况相对较少 在大学校园的利益相关者(参与EBS实施的个人)之间，以及进一步到什么 扩展CollegeAIM用于识别要实施的EBSS。拟议的项目将对使用情况进行评估 CollegeAIM在全州大学生饮酒EBS选择中的有效性 物质使用联盟，其长期目标是支持大学使用CollegeAIM，因此， 最终，实施EBSS以减少危险饮酒。拟议的项目目标将通过以下方式实现 评估利益相关者对CollegeAIM工具的使用和观点的混合方法设计，确定障碍 和促进者使用CollegeAIM为其机构选择适当的干预措施，并确定机构 影响CollegeAIM使用的特征。这将是第一项广泛评估CollegeAIM为 用于识别大学校园中的EBS的工具。拟议项目的调查结果也将有助于 开发组织决策支持计划，旨在与CollegeAIM一起使用，以 解决大学饮酒问题，这将在后续的R01提案中进行评估。拟议的项目和培训 今年的K08临床科学家导师研究职业发展奖将设在加州大学 密苏里州，一个理想的环境，因为有完善的培训计划和跨 酒精研究。候选人将由肯尼思·谢尔博士和克里斯汀·霍利博士指导，并由一位出色的 合作者团队，将通过专门的成瘾培训来支持候选人的进步 和实施学。应聘者将获得混合方法设计和分析的经验 确定候选人为独立候选人所需的方法和酒精预防研究 将准备在未来的R系列中扩展当前研究的结果和倡议的调查员 建议，并处于有利地位，以形成一个实施的成瘾科学研究计划。

PROJECT SUMMARY Risky alcohol use and related behaviors among college students result in significant, adverse outcomes (e.g., injury, death). For example, an estimated 1,519 college student deaths each year are associated with alcohol. Accordingly, these behaviors constitute a serious public health concern that must be addressed across college campuses. NIAAA has prioritized the identification of interventions focused on reducing college drinking and these efforts have yielded a number of evidence-based strategies (EBSs), which were recently compiled in the College Alcohol Intervention Matrix (CollegeAIM; NIAAA, 2015a; 2019). CollegeAIM includes a list of evidence- based alcohol reduction strategies organized by approach (e.g., individual or environmental), cost, and level of efficacy. Colleges can use CollegeAIM to identify EBSs to implement on their campuses to combat risky drinking. Despite NIAAA prioritization and the availability of the CollegeAIM tool and existing EBSs to address risky drinking, relatively little is known about the adoption and implementation of EBSs for college drinking among stakeholders (individuals involved with EBS implementation) on college campuses, and further, to what extent CollegeAIM is used to identify EBSs for implementation. The proposed project will evaluate the use and effectiveness of CollegeAIM in the selection of EBSs for college student drinking across a statewide substance use coalition, with a long-term objective of supporting colleges’ use of CollegeAIM and thus, ultimately the implementation of EBSs to reduce risky drinking. The proposed project aims will be achieved with a mixed-methods design to assess stakeholders’ use and perspectives of the CollegeAIM tool, identify barriers and facilitators to using CollegeAIM to select appropriate interventions for their institutions, and identify institution characteristics that impact CollegeAIM use. This will be the first study to extensively evaluate CollegeAIM as a tool to identify EBSs on college campuses. The findings from the proposed project also will be instrumental in developing an organizational decision-support program, intended to be used in tandem with CollegeAIM to address college drinking, which will be evaluated in a follow-up R01 proposal. The proposed project and training of this K08 Mentored Clinical Scientist Research Career Development Award will be based at the University of Missouri, an ideal setting given the well-established training programs and group of experts across domains of alcohol research. The candidate will be mentored by Drs. Kenneth Sher and Kristin Hawley and an excellent team of collaborators who will support the candidate’s advancement through specialized training in addictions and implementation science. The candidate will gain the experience with mixed-methods design and analytic approaches and alcohol prevention research necessary to establish the candidate as an independent investigator who will be prepared to extend the findings and initiatives of the current study in future R-series proposals and well-positioned to form an implementation science research program in addictions.