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

项目摘要 大学生中危险的酒精使用和相关行为会导致显著的不良后果（例如， 伤害、死亡）。例如，每年估计有1，519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，必须在整个大学解决 校园。NIAAA优先确定了以减少大学饮酒为重点的干预措施， 这些努力已经产生了一些基于证据的战略（EBSs），这些战略最近在《 大学酒精干预矩阵（CollegeAIM; NIAAA，2015 a; 2019）。CollegeAIM包括一份证据清单- 根据方法组织的基于酒精的减少策略（例如，个人或环境）、成本和 功效大学可以使用CollegeAIM来确定在校园内实施的EBS，以打击危险饮酒。 尽管NIAAA优先级和CollegeAIM工具和现有EBS的可用性，以解决风险 饮酒，相对较少的是知道通过和实施EBSs的大学饮酒 在大学校园的利益相关者（参与EBS实施的个人）中， 范围CollegeAIM用于确定要实施的EBS。拟议的项目将评估使用 CollegeAIM在全州范围内为大学生饮酒选择EBS的有效性 物质使用联盟，长期目标是支持大学使用CollegeAIM， 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： 混合方法设计，以评估利益相关者对CollegeAIM工具的使用和观点， 和促进者使用CollegeAIM为他们的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作为 这是一个在大学校园里识别EBSs的工具。拟议项目的结果也将有助于 开发组织决策支持程序，旨在与CollegeAIM一起使用， 解决大学饮酒问题，这将在后续的R 01提案中进行评估。拟议的项目和培训 这个K 08指导临床科学家研究职业发展奖将设在大学 密苏里州是一个理想的环境，因为它拥有完善的培训计划和跨领域的专家组， 酒精研究候选人将由Kenneth Sher博士和Kristin Hawley博士指导， 一个合作者团队，他们将通过成瘾方面的专门培训来支持候选人的进步 和实施科学。候选人将获得混合方法设计和分析的经验 方法和酒精预防研究必要的建立候选人作为一个独立的 准备在未来R系列中扩展当前研究结果和倡议的研究者 建议和良好的定位，以形成一个实施科学研究计划的成瘾。

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.