Alcohol interventions for Mandated Students (Project AIMS)

描述（由申请人提供）：大学生饮酒仍然是学生和社区健康和福祉的一个重大问题。虽然针对大学生的研究普遍支持使用认知行为和动机干预措施来减少饮酒量和后果，但针对强制学生（在违反校园酒精政策后转介进行干预的学生）的研究继续产生不同的结果。由于强制学生显然是大学校园的责任管理、风险管理以及健康和安全问题，因此研究人员必须确定已证明有效的支持性干预措施，同时最大限度地利用有限的校园资源。目前的提案将在随机分配到干预组和候补名单对照组的大样本（N = 300）强制大学生中比较酒精技能培训计划（ASTP）组、大学生简短酒精筛查和干预（BASICS）反馈会议以及酒精转移计划（ADP）照常教育组。拟议研究的主要目的是调查对强制学生的干预措施的有效性，同时考虑治疗延迟的影响以及结果的假定中介因素和调节因素。实际上，这项研究将为高等教育机构与强制学生合作的决策提供信息。这项研究探索了有时限且具有成本效益的替代方案，以最大限度地提高结果，同时减轻校园和社区资源的负担。此外，检查个人因素将通过确定哪些干预措施对哪些学生最有效来为制裁指南提供信息。该提案还将为有前途的临床研究人员提供机会，在攻读博士学位的同时，通过伦理、方法和临床培训和发展来加强她的科学家实践者基础。当前的项目与国家酒精滥用和酒精中毒研究所 (NI/\AA) 的使命相关，因为它建议对高危人群的酒精治疗进行严格的合作研究。此外，该提案将包括在合作大学进行 NIAAA 定义的一级干预措施的培训和实施，同时促进早期职业酒精研究人员的专业发展、临床专业知识和传播技能。

DESCRIPTION (provided by applicant): Alcohol use by college students continues to be a significant concern for the health and well being of both Students and communities. While research with college students generally supports the use of cognitive behavioral and motivational interventions in reducing drinking quantities and consequences, research with mandated students (students referred for an intervention following violation of a campus alcohol policy) continues to produce mixed results. As mandated students are clearly a liability-management, risk- management, and health and safety concern on college campuses, it is imperative that researchers identify supported interventions with demonstrated effectiveness while maximizing limited campus resources. The current proposal will compare Alcohol Skills Training Program (ASTP) groups, Brief Alcohol Screening and Intervention for College Students (BASICS) feedback sessions, and Alcohol Diversion Program (ADP) treatment-as-usual education groups in a large sample (N = 300) of mandated college students randomly assigned into intervention and wait-list control groups. The primary aim of the proposed research is to investigate the effectiveness of interventions for mandated students while considering the impact of treatment delay and putative mediators and moderators of outcome. Practically, this research will inform decisions at higher education facilities working with mandated students. This research explores time-limited and cost-effective alternatives to maximize outcomes while reducing the burden on campus and community resources. Further, examining individual factors will inform sanctioning guidelines by identifying which interventions are most effective for which students. This proposal will also provide a promising clinical researcher the opportunity to strengthen her scientist-practitioner foundation through ethical, methodological, and clinical training and development while pursing a doctoral degree. The current project is relevant to the mission of the National Institute on Alcohol Abuse and Alcoholism (NI/\AA) as it proposes conducting rigorous collaborative research in alcohol treatment with a high-risk population. Further, this proposal will include training in and implementation of NIAAA-defined Tier 1 interventions at the collaborating university, while facilitating the professional development, clinical expertise, and dissemination skills of an early-career alcohol researcher.