Drug and Alcohol Prevention for College Athletes

描述(由申请者提供)：与非运动员大学生相比，大学生运动员酗酒、使用无烟烟草和使用提高成绩物质的风险更高。尽管最近的研究强调了针对运动员量身定做的干预措施的必要性，但考虑到大学生运动员使用药物的独特模式和动机，目前还没有基于证据的选择来预防他们使用药物。这一空白使大学几乎没有易于使用、有效和经济的选择来满足学生运动员的需求，以及管理组织规定的最低药物教育要求。这项拟议研究的广泛目标是使用创新的多阶段优化策略(MOST；Collins等人，2005,2007)来开发一个高效的互联网传递计划(MyPlaybook)，用于预防大学生运动员中的物质使用。MOST方法是一种系统的方法，用于根据单个程序组件的性能做出关于程序开发和适应的决策。MyPlaybook的五个核心经验将经历两轮随机实验和有针对性的修改。在第二轮结束时，新优化的MyPlaybook版本将被组装并在大规模随机对照试验(RCT)中进行评估。MyPlaybook的这一“测试版”将与基于互联网的大学酒精干预进行比较，该干预在普通大学生中得到了证实的有效性(College Alc；Bersamin等人，2007；Paschall&Antin，2008；Paschall等人，2006)。这种方法将使我们能够1)开发一种针对物质使用结果的显著影响而优化的干预措施，以及2)展示专门针对大学生运动员的干预措施的必要性。这项拟议的研究将是建立和评估行为干预措施的MOST方法的首批示范之一，大大增强了对公共卫生的影响。 与公共健康相关：该项目有可能为美国46万多名大学生运动员的健康和安全做出贡献。将通过展示一种创新的方法来制定和修订行为干预措施，从而对预防科学作出贡献，这种方法的重点是实现统计意义和优化公共卫生影响。

DESCRIPTION (provided by applicant): College student-athletes are at increased risk of heavy alcohol use, smokeless tobacco use, and the use of performance enhancing substances as compared to non-athlete college students. Despite recent research underscoring the need for athlete-tailored interventions, there are no evidence-based options for the prevention of substance use among college student-athletes that take into account their unique patterns and motivations for use. This void leaves colleges with few easy-to-use, effective, and economical options for meeting the needs of their student-athletes and the minimum drug education requirements set by their governing organizations. The broad aim of the proposed study is to use the innovative Multiphase Optimization Strategy (MOST; Collins et al., 2005, 2007) to develop a highly effective Internet-delivered program (myPlaybook) for the prevention of substance use among college student-athletes. The MOST approach is a systematic method for making decisions about program development and adaptation that are based on the performance of individual program components. The five core lessons of myPlaybook will undergo two rounds of randomized experimentation and targeted revision. At the conclusion of the second round, the newly optimized version of myPlaybook will be assembled and evaluated in large-scale Randomized Controlled Trial (RCT). This "beta" version of myPlaybook will be compared to an Internet-based college alcohol intervention with proven effectiveness with general college students (College Alc; Bersamin et al., 2007; Paschall & Antin, 2008; Paschall et al., 2006). This approach will allow us to 1) develop an intervention that is optimized for considerable impact on substance use outcomes and 2) demonstrate the need for interventions specifically adapted for college student-athletes. The proposed research will be among the first demonstrations of the MOST approach for building and evaluating behavioral interventions with greatly enhanced public health impact. PUBLIC HEALTH RELEVANCE: This project has the potential to contribute to the health and safety of the more than 460,000 college student-athletes in the US. A contribution to the science of prevention will be made by demonstrating an innovative approach for the development and revision of behavioral interventions that focuses on achieving both statistical significance and optimizing public health impact.