Primary care alcohol intervention in college students

描述（由申请人提供）：目标：在大学生样本中测试基于初级保健的简短干预方案的有效性。相关成果包括减少以下方面：a）高危饮酒; B）伤害、事故和其他健康影响; c）高危性活动; d）不想要的性经历; e）暴力; f）与学生办公室主任、大学警察和其他法律的机构接触; g）利用保健的事件;以及提高学习成绩。 背景资料：哈佛大学公共卫生学院酒精研究中心（Weschler，2002年）在2001年进行的一项全国性大学调查发现，44%的大学生报告在过去两周内至少有一次连续饮用五杯或更多的酒精饮料。家长、大学校友、大学领导和其他人越来越担心大学校园里年轻人的安全以及酒精对学术环境的不利影响。虽然已经在许多人群和环境中进行了简短的干预研究，但这种方法尚未在初级保健大学健康中心进行过测试。 方法：学生们将被要求在威斯康星州的五个学生健康中心的初级保健提供者的例行访问中完成一份嵌入式酒精问卷。被录取为全日制学生的男性和女性，如果筛查结果为高危饮酒阳性，将被邀请参加研究人员的健康访谈。符合资格标准的学生将被随机分配到“常规护理”对照组或“简短干预组”。干预将由初级保健提供者进行，并利用脚本工作簿。干预将包括两次15-20分钟的提供者访问和两次5-10分钟的随访电话。将在6、12、18和24个月时通过电话联系所有受试者，以评估关注结局的变化。其他数据来源包括与朋友的确证性访谈、大学记录、当地医院记录和州法律的记录。功效分析表明，每个试验组中的500名学生将有足够的功效来检测组间的差异。 重要性：这项拟议中的试验将大大增加我们对如何减少大学生饮酒和酒精相关危害的理解。积极的试验将对美国4000所学院和大学产生重要影响。

DESCRIPTION (provided by applicant): Goal: Test the efficacy of a primary care-based brief intervention protocol in a sample of college students. Outcomes of interest include reductions in a) high-risk drinking; b) injuries, accidents and other health effects; c) high-risk sexual activity; d) unwanted sexual experiences; e) violence; f) contacts with dean of students office, university police and other legal agencies; and g) health care utilization events; as well as improved academic performance. Background: A 2001 national survey of colleges conducted by the Center for Alcohol Studies at the Harvard School of Public Health (Weschler, 2002) found that 44% of college students reported consuming five or more alcoholic drinks in a row at least once in the previous two weeks. Parents, college alumni, university leaders and others are increasingly concerned about the safety of young people on college campuses and the adverse effects of alcohol on the academic environment. While brief intervention studies have been conducted in many populations and settings, this method has not been tested in primary care college health centers. Method: Students will be asked to complete an embedded alcohol questionnaire at routine visits to a primary care provider at five student health centers in Wisconsin. Men and women who are enrolled as full time students who screen positive for high-risk drinking will be invited to participate in a health interview by a researcher. Students who meet eligibility criteria will be randomized to a "usual care" control group or a "brief intervention group". An intervention will be conducted by a primary care provider and utilizing a scripted workbook. Intervention will consist of two 15-20 minute provider visits and two 5-10 minute follow up phone calls. All subjects will be contacted at 6, 12, 18 and 24 months by telephone to assess changes in outcomes of interest. Additional sources of data include corroborative interview with a friend, university records, local hospital records and state legal records. Power analysis suggests 500 students in each arm of the trial will have sufficient power to detect a difference between groups. Significance: The proposed trial will significantly increase our understanding of how to reduce alcohol use and alcohol-related harm among college students. A positive trial would have important implications for the 4000 colleges and universities in the United States.