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

描述(由申请人提供)：这项研究履行了NIAAA的使命，通过实施和评估低成本筛查和短暂干预(SBI)，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)高危人群的学习成绩，从而解决健康差距问题。针对大学生的简短酒精筛查和干预(BASICS)是由威斯康星州大学的调查人员在这项研究中首创和测试的，它代表了一种降低酒精使用的成本效益手段。还将测试大学层面的政策和系统变化干预措施，旨在：(1)制定支持从零容忍酒精政策转向的减少伤害政策，(2)整合行为健康资源，造福于TCU高危学生，以及(3)确保TCU SBI实施的保真度。基础知识减少了主流大学的酒精消费和后果，这项提议将使用基于社区的参与性研究方法，提供基础知识的文化背景，并首次在AIAN TCU学生中测试这一干预措施。具体目标是适应、手册和实施文化背景版的基础知识：(A)测试文化上适当的基础知识干预是否会通过显著降低危险或有害饮酒和与酒精相关的负面后果的指数而超过等待名单控制条件；(B)测试干预措施在显著提高TCU学生的保留率和学习成绩方面的效果；以及，(2)实施系统一级的政策干预，从零容忍转变为大学一级的减少伤害政策，并提供能力，以整合服务，改善TCU高危学生的转诊和治疗，以测试环境办法是否将对履行机构的干预措施及其结果产生积极影响。这项研究的主要假设是，TCU/AIHEC/UW伙伴关系确定的履行机构在文化背景方面的适应将在减少危险或有害饮酒和与酒精相关的负面后果方面超过等待名单控制条件，并改善学业成绩，在政策干预下对TCU的影响要大得多。

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.