A Randomized Trial to Evaluate Project ARM

这项研究将评估酒精风险管理（ARM）计划的效果，这是一个为销售酒精商店的所有者和管理者提供的完善的四期培训计划（即，酒吧、餐馆）。这种一对一的培训计划旨在为管理人员提供必要的知识和技能，以制定负责任的，具体的酒精服务和促销政策。通过影响机构政策，ARM计划试图减少向明显醉酒的顾客非法销售酒精，并减少导致大量饮酒的酒精促销活动，这些活动与暴力和交通事故等公共卫生问题有关。该研究建议进行一项全面的随机试验，以评估ARM计划对以下方面的影响：（1）商店向明显醉酒的顾客出售酒精的倾向，（2）内部商店政策的实施（通过对所有者和经理的电话调查进行测量），以及（3）酒精相关问题的发生率（通过警察电话数据进行测量）。200个在售机构（即，酒吧，餐馆）将被随机分配到干预或控制条件（即，100/条件）。表现出明显醉酒迹象的行为者将试图在基线和ARM计划实施后的三个月和六个月在干预和控制网点购买酒精。控制网点将收到一个会议，较低强度版本的ARM程序（ARM快递）后，六个月的后续伪陶醉购买尝试。该研究的两个次要目标是评估ARM Express对影响机构政策和减少酒精相关问题的承诺，并评估参与和非参与网点之间的差异。

This study will evaluate effects of the Alcohol Risk Management (ARM) program, a well-developed, four-session training program for owners and managers of on-sale alcohol outlets (i.e., bars, restaurants). This on-one-one training program is designed to provide managers with the knowledge and skills necessary to develop responsible, outlet-specific alcohol service and promotional policies. By influencing establishment policy, the ARM program attempts to reduce illegal alcohol sales to obviously intoxicated patrons and decrease alcohol promotions that lead to heavy consumption of alcohol, which are related to public health problems such as violence and traffic crashes. The study proposes to conduct a full, randomized trial to evaluate effects of the ARM program on: (1) propensity of outlets to sell alcohol to obviously intoxicated patrons, (2) implementation of internal outlet policies (as measured through a telephone survey of owners and managers), and (3) rates of alcohol-related problems (as measured through police call data). Two hundred on-sale establishments (i.e., bars, restaurants) will be randomly assigned to intervention or control conditions (i.e., 100 per condition). Actors displaying obvious signs of intoxication will attempt to purchase alcohol in intervention and control outlets at baseline and three and six months after implementation of the ARM program. Control outlets will receive a one-session, less-intensive version of the ARM program (ARM Express) after the six-month follow-up of pseudo-intoxicated purchase attempts. Two secondary goals of the study are to assess the promise of ARM Express for influencing establishment policies and decreasing alcohol-related problems and to evaluate differences between participating and non-participating outlets.