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

描述（由申请人提供）：本研究履行了NIAAA的使命，通过实施和评估低成本筛查和简短干预（SBI），减少饮酒和改善美国印第安人和阿拉斯加原住民（AIAN）部落学院和大学（TCU）学生高风险人群的学业成绩，以解决健康差距。简短的酒精筛查和干预大学生（BASICS），一个SBI开创和测试的UW研究人员在这项研究中，代表了一个具有成本效益的手段，以减少酒精的使用。还将测试大学一级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的转变，（2）整合行为健康资源，为高危TCU学生的利益，以及（3）确保TCU SBI实施的保真度。BASICS减少了主流大学的酒精消费和后果，这项建议将使用基于社区的前瞻性研究方法，提供BASICS的文化背景，并首次在AIAN TCU学生中测试这种干预措施。具体目标是调整、手册化和实施一个文化背景化的BASICS版本：（a）测试一个文化上适当的BASICS干预措施是否会通过显著降低危险或有害饮酒和与酒精有关的负面后果指数而超越等待名单控制条件;（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）在大学一级实施从零容忍到减少伤害政策的系统级政策干预，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。这项研究的主要假设是，一个文化语境适应SBI，如TCU/AIHEC/UW伙伴关系所确定的，将超过一个等待名单控制条件，减少危险或有害的饮酒和酒精相关的负面后果，提高学术成果，与TCU的政策干预的效果显着更大。

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.