Drug and Alcohol Prevention for College Athletes

描述（由申请人提供）：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的物质的风险更高。尽管最近的研究强调了针对运动员的干预措施的必要性，但没有基于证据的选择来预防大学生运动员的药物使用，并考虑到他们独特的使用模式和动机。这一空白使得大学在满足学生运动员的需求和其管理组织设定的最低毒品教育要求方面，几乎没有易于使用、有效和经济的选择。本研究的主要目的是利用创新的多阶段优化策略（MOST; Collins et al., 2005, 2007）来开发一个高效的互联网交付项目（myPlaybook），以预防大学生运动员的药物使用。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有关程序开发和调整的决策。myPlaybook的五个核心课程将进行两轮随机实验和有针对性的修订。在第二轮结束时，将对myPlaybook的新优化版本进行组装，并进行大规模随机对照试验（RCT）评估。这个“测试版”的myPlaybook将与基于互联网的大学酒精干预进行比较，该干预已被证明对普通大学生有效（college Alc； Bersamin等人，2007;Paschall & Antin, 2008； Paschall等人，2006）。这种方法将使我们能够1)开发出一种对药物使用结果产生重大影响的干预措施，2)证明专门针对大学生运动员的干预措施的必要性。拟议的研究将是建立和评估大大增强公共卫生影响的行为干预措施的MOST方法的首批示范之一。

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.