Tribal Colleges and Universities Behavior Wellness Study (TCU-BeWell)

部落学院和大学行为健康研究 (TCU-BeWell)

基本信息

批准号：
9097482
负责人：
BONNIE M DURAN
金额：
$ 66.22万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-07-15 至 2018-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9097482
关键词：
Accidental Injury Address Adoption Affect Alaska Native Alcohol consumption Alcohols American Indians Behavior Brief Alcohol Screening and Intervention for College Students Caring Characteristics Communities Contracts Coordination and Collaboration Country Education Ensure Environment Environmental Impact Evaluation Foundations General Population Goals Harm Reduction Health Health Resources Homicide Individual Institutes Intervention Intervention Studies Investigation Mainstreaming Mediator of activation protein Methods Mission Modeling Outcome Performance Policies Population Prevention Principal Investigator Public Health Randomized Controlled Trials Recovery Research Research Personnel Resources Sampling Services Students Substance abuse problem Suicide System Testing Time Treatment Efficacy United States Universities Waiting Lists Washington Wood material alcohol consequences alcohol intervention alcohol related consequences behavioral health brief alcohol screening brief screening college community based participatory research cost cost effective drinking hazardous drinking health disparity high risk improved indexing innovation intervention effect programs public policy on alcohol racial diversity reduced alcohol use screening and brief intervention social therapy design treatment response tribal college university student

项目摘要

DESCRIPTION (provided by applicant): This research fulfills the NIAAA's mission to address health disparities by reducing alcohol use and improving academic outcomes in a high-risk population of American Indian and Alaska Native (AIAN) Tribal College and University (TCU) students through implementation and evaluation of a low cost screening and brief intervention (SBI). The Brief Alcohol Screening and Intervention for College Students (BASICS), an SBI pioneered and tested by UW investigators on this study, represents a cost effective means to reduce alcohol use. A college- level intervention for policy and systems change will also be tested aimed at: (1) instituting a harm reduction policy that supports a shift from zero tolerance alcohol policies, (2) integrating behavioral health resources for the benefit of high-risk TCU students, and, (3) ensuring TCU SBI implementation fidelity. BASICS has reduced alcohol consumption and consequences in mainstream colleges and this proposal would, using a Community- based Participatory Research approach, provide a cultural contextualization of BASICS and test this intervention for the first time in AIAN TCU students. The specific aims are to adapt, manualize and implement a culturally contextualized version of BASICS: (a) To test whether a culturally appropriate BASICS intervention will surpass a wait list control condition by significantly reducing indices of hazardous or harmful drinking and alcohol-related negative consequences; (b) To test the effect of the intervention in significantly improving retention and academic performance among TCU students; and, (2) Implement a system-level policy intervention moving from zero-tolerance to harm reduction policies at the college-level and providing capacity to integrate services for improved referral and treatment for high risk TCU students to test whether an environmental approach will positively impact the SBI intervention and its outcomes. This study's primary hypothesis is that a culturally contextualized adaptation of SBI, as identified by the TCU/AIHEC/UW partnership, will surpass a wait list control condition in reducing hazardous or harmful drinking and alcohol- related negative consequences and improve academic outcomes, with a significantly greater effect in TCU with the policy intervention.

描述（由申请人提供）：这项研究履行了NIAAA通过减少酒精使用并改善美洲印第安人和阿拉斯加原住民（Aian）部落学院和大学（TCU）学生的学术成果来解决健康差异的使命。大学生的简短酒精筛查和干预措施（基础）是一项由大学研究人员对本研究进行了率先测试和测试的SBI，这代表了减少饮酒的一种经济有效手段。对政策和系统变更的大学水平干预也将测试：（1）制定减少危害的政策，以支持从零容忍酒精政策转变，（2）将行为健康资源整合到高风险的TCU学生中，以及（3）确保TCU SBI SBI实施富裕程度。基础知识减少了主流大学的饮酒和后果，该提案将使用基于社区的参与研究方法，在AIAN TCU学生中首次提供基础知识的文化背景化，并首次对此进行测试。具体的目的是适应，手动化和实施文化上下文化的基础知识：（a）测试文化上适当的基本干预措施是否会通过大大减少危险或有害饮酒和与酒精相关的负面后果的指标来显着超越等待名单控制条件；（b）测试干预措施在显着改善TCU学生中的保留和学习成绩方面的影响；（2）实施系统级政策干预措施，从零容忍到损害大学级别的减少政策，并提供能力，以整合服务的能力，以改善高风险TCU学生的转诊和治疗，以测试环境方法是否会对SBI干预及其现象产生积极影响。这项研究的主要假设是，如TCU/AIHEC/UW合作伙伴关系所确定的SBI的文化背景化适应，将超过等待名单控制条件，在减少危险或有害饮酒和相关的负面后果并改善学术上的危险或有害的饮酒和学术意见，并在TCU中具有更大的影响。