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，大学生运动员重度饮酒，无烟烟草使用和使用性能增强物质的风险增加。尽管最近的研究强调了运动员量身定制的干预措施的必要性，但考虑到他们独特的使用模式和动机，在大学生运动员中预防药物使用方面没有基于证据的选择。这种空白使大学几乎没有易于使用，有效和经济的选择，以满足学生运动员的需求和他们的管理组织设定的最低药物教育要求。所提出的研究的广泛目标是使用创新的多阶段优化策略（MOST;柯林斯等人，2005年，2007年），以制定一个高效的互联网提供的程序（myPlaybook），以防止物质使用的大学生运动员。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的五个核心课程将经历两轮随机实验和有针对性的修订。在第二轮结束时，新优化的myPlaybook版本将在大规模随机对照试验（RCT）中进行组装和评估。myPlaybook的这个“测试”版本将与基于互联网的大学酒精干预进行比较，该干预对普通大学生具有证明的有效性（College Alc; Bersamin等人，2007; Paschall & Antin，2008; Paschall等人，2006年）。这种方法将使我们能够1）开发一种干预措施，这种干预措施对物质使用结果产生了相当大的影响，2）证明需要专门针对大学生运动员的干预措施。拟议的研究将是社会变革管理计划方法的首批示范之一，用于建立和评估行为干预措施，大大增强公共卫生影响。 公共卫生相关性：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。通过展示一种创新的方法来制定和修改行为干预措施，重点是实现统计意义和优化公共卫生影响，从而为预防科学做出贡献。

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.