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

描述（由申请人提供）：本研究通过实施和评估低成本筛查和短暂干预（SBI），通过减少美国印第安人和阿拉斯加原住民（AIAN）部落学院和大学（TCU）学生的酒精使用和提高学业成绩，实现NIAAA的使命，以解决健康差异。大学生简短酒精筛查和干预（BASICS）是一项由威斯康星大学研究人员在本研究中首创和测试的SBI，代表了减少酒精使用的成本效益手段。还将测试一项大学层面的政策和系统变革干预措施，旨在：(1)制定减少伤害的政策，支持从零容忍酒精政策转变；(2)整合行为健康资源，以使TCU高风险学生受益；(3)确保TCU SBI实施的保真度。BASICS已经减少了主流大学的酒精消费和后果，本提案将采用基于社区的参与性研究方法，提供BASICS的文化背景，并首次在AIAN TCU学生中测试这一干预措施。具体目标是调整、手动操作和实施一种文化背景版本的基本方法：(a)测试一种文化上适当的基本方法干预措施是否能通过显著降低危险或有害饮酒和与酒精有关的负面后果的指数来超越等候名单控制条件；(b)测试干预措施对显著改善技大学生的记忆和学习成绩的影响；(2)在大学层面实施系统层面的政策干预，从零容忍政策转向减少伤害政策，并提供整合服务的能力，以改善高危TCU学生的转诊和治疗，以测试环境方法是否会对SBI干预及其结果产生积极影响。本研究的主要假设是，正如TCU/AIHEC/UW合作伙伴关系所确定的那样，文化情境化的SBI适应将超过等待名单控制条件，减少有害或有害的饮酒和酒精相关的负面后果，并改善学术成果，在TCU中，政策干预的效果显著更大。

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.