Alcohol Research Collabortive: Peer Programs

描述（由申请人提供）：当前研究的目的是减少大学生高危人群的酒精使用及其相关的负面健康、社会和法律后果。旨在对抗同伴和规范对酒精使用的影响的干预措施，结合预期挑战、风险降低和动机增强，已显示出对大学生群体有效的证据。对于不同实施策略的有效性，包括网络或自助期刊格式、团体或个人管理、强制出勤对有效性的影响，以及与已在校园广泛实施的现有商业教育干预措施相比，这些干预措施的有效性知之甚少。目前的研究旨在解决这些差距，以回应合作校园中高风险群体和个人的明确需求。该应用程序的具体目的是：1)与同伴提供的酒精技能培训（ASTP）组和无治疗对照组相比，试点测试基于选择杂志的干预措施在减少高风险新生酒精使用和后果方面的有效性；2)试点测试酒精教育在线教育干预在减少高风险新生酒精使用和后果方面的效果，并与仅通过网络提供的动机反馈和评估进行比较；3)测试试点研究支持的干预措施的长期效果，兄弟会和姐妹会的成员随机分配到同伴交付的个人BASICS，或试点研究支持的一种或多种替代干预措施；4)与试点1和试点2中确定的一个或多个比较干预措施相比，测试同伴提供的BASICS的有效性，要求学生通过校园批准程序参与，与志愿者进行比较；5)评估基线饮酒；

DESCRIPTION (provided by applicant): The objective of the current research is to reduce alcohol use and related negative health, social, and legal consequences in high-risk populations of college students. Interventions designed to counter peer and normative influences on alcohol use, in conjunction with expectancy challenge, risk-reduction, and motivational enhancement have shown evidence of efficacy of college populations. Less is known about the efficacy of different implementation strategies, including web- or self-help journal formats, group or individual administration, the impact of mandatory attendance on effectiveness, nor the efficacy of these interventions in comparison to existing commercially-available educational interventions which have been widely implemented on campuses. The current research is designed to address these gaps, in response to identified needs of high-risk groups and individuals on the partnered campus. The specific aims of the application are: 1) Pilot test the efficacy of the Choices journal-based intervention in comparison to peer-delivered alcohol skills-training (ASTP) group and no-treatment controls, in reducing alcohol use and consequences of high-risk freshmen; 2) Pilot test the efficacy of the Alcohol EDU web-based educational intervention in comparison to web-delivered motivational feedback and assessment-only, in reducing alcohol use and consequences of high-risk freshmen; 3) Test the longer-term efficacy of interventions supported in the pilot study, with members of fraternities and sororities randomized to peer-delivered individual BASICS, or one or more alternative interventions supported by the pilot studies; 4) Test the effectiveness of peer-delivered BASICS compared to one or more comparison interventions identified in pilots 1 & 2 with students mandated to participate through campus sanctioning processes compared to volunteers; 5) Evaluate baseline drinking, family history of alcohol problems, self-determination, readiness to change, and resistance to intervention as moderators of intervention efficacy; and 6) Evaluate descriptive norms, injunctive norms, alcohol outcome expectancies, and readiness to change as mediators of intervention efficacy.