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以初级保健为基础的短期干预方案的有效性。感兴趣的结果包括：a)高风险饮酒；b)伤害、事故和其他健康影响；c)高风险性行为；d)不受欢迎的性行为；e)暴力；f)与学生办公室主任、大学警察和其他法律机构的联系；g)保健利用活动；以及学习成绩的提高。 背景：哈佛大学公共卫生学院酒精研究中心(Weschler，2002)在2001年对全国大学进行的一项调查发现，44%的大学生报告在过去两周内至少连续喝了五杯或五杯以上的酒精饮料。家长、大学校友、大学领导和其他人越来越关注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，但这种方法还没有在初级保健学院卫生中心进行测试。 方法：学生将被要求在威斯康星州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的酒精调查问卷。被录取为全日制学生的男性和女性如果被筛查出高风险饮酒，将被一名研究人员邀请参加健康访谈。符合资格标准的学生将被随机分配到“常规护理”控制组或“短期干预组”。干预将由初级保健提供者进行，并使用脚本工作簿。干预将包括两次15-20分钟的提供者访问和两次5-10分钟的跟踪电话。所有受试者将在6个月、12个月、18个月和24个月时通过电话联系，以评估感兴趣的结果的变化。其他数据来源包括与朋友的确凿采访、大学记录、当地医院记录和州法律记录。能力分析表明，试验的每一组都有500名学生有足够的能力来检测不同组之间的差异。 意义：拟议中的试验将显著增加我们对如何减少大学生饮酒和与酒精相关的伤害的理解。一项积极的试验将对美国的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.