MOTIVATIONAL INTERVIEWS FOR MANDATED ETOH EDUCATION

相当大比例的年轻人酗酒，因此面临着各种问题的风险，如与酒精有关的机动车撞车、伤害以及行为和学习问题。这项研究的目的是调查有效减少大学生有害饮酒的方法，这些大学生已经被大学当局确认为发生了与酒精相关的事件。尽管在大学校园里，强制酒精教育或酒精违规行为的治疗无处不在，但此类干预的效果尚未得到研究。针对大学生危险饮酒的激励方法显示出了希望。因此，为那些被要求参加酒精咨询的人设计的基于动机的干预可能会被证明是有效的。通过增加一个强化疗程来加强干预可能会进一步提高疗效。此外，年轻人中酒精和性行为之间的普遍联系表明，将危险的性行为作为一个可以避免的酒精相关问题也可能是成功的。在这项拟议的随机试验中，将使用2(动机访谈与标准教育)×2(两周强化与不强化)析因设计，以确定MI和强化训练是否单独或联合有效地减少酒精相关后果和在酒精相关紧急情况或违规事件后强制进行酒精干预的大学生的酒精使用。标准教育条件将以大学的酒精教育标准为基础。在基线干预后3个月和12个月对受试者进行跟踪调查。主要结果变量包括饮酒、与酒精相关的伤害和后果，包括无保护的性行为。研究假设：1)接受MI的人群表现出最低水平的酗酒和酒精问题，而接受MI加助剂的人群表现出最大的效果；2)干预效果将受到酒精预期、变化阶段、行为戒酒策略的使用和寻求治疗的影响。这项研究将扩展之前的研究，评估MI在强制接受治疗的个人中的使用，包括加强治疗，并将重点扩大到包括与酒精相关的性风险行为。为从事有害饮酒的年轻人制定有效的干预措施，应能减少与酒精有关的问题和伤害在这一人群中的长期性。

A significant proportion of young adults drink heavily and consequently are at risk for a variety of problems such as alcohol-related motor vehicle crashes, injury, and behavioral and academic problems. The objective of this research is to investigate ways to effectively reduce harmful drinking in college students who have been identified by college authorities as having had an alcohol-related incident. Whereas mandated alcohol education or treatment for alcohol violations on college campuses is ubiquitous, the efficacy of such interventions has not been studied. Motivational approaches with hazardous drinking college students have shown promise. Thus, a motivation-based intervention designed for those who are required to attend alcohol counseling may prove efficacious. Intensifying the intervention by adding a booster session might further enhance efficacy. Additionally, the common association between alcohol and sexual activity among young adults suggests that including risky sexual behavior as an avoidable alcohol-related problem could be successful as well. In this proposed randomized trial, a 2 (Motivational Interview vs. Standard Education) X 2 (2-week booster vs. none) factorial design will be used to determine whether MI and a booster session separately, and in conjunction, are effective in reducing alcohol-related consequences and alcohol use in college students mandated to an alcohol intervention following an alcohol-related emergency or infraction. The Standard Education condition will be based on college standards for alcohol education. Subjects will be followed at 3 and 12 months after the baseline intervention. Primary outcome variables include alcohol consumption, and alcohol-related injuries and consequences including unprotected sexual behavior. It is hypothesized that: 1) groups receiving MI will show the lowest levels of heavy drinking and alcohol problems, with the groups receiving MI plus booster showing the greatest effect, and that 2) intervention effects will be mediated by alcohol expectancies, stage of change, use of behavioral alcohol-reduction strategies, and treatment seeking. This study will extend previous research by evaluating the use of MI with individuals who are mandated to treatment, by including a booster session, and by expanding the focus to include alcohol-related sexual risk behavior. The development of effective interventions for young adults who are engaging in harmful drinking should reduce the chronicity of alcohol-related problems and injuries in this population.