Study to Prevent Alcohol-Related Consequences II

描述（由申请人提供）：预防酒精相关后果研究（SPARC I）是niaaa资助的一项为期五年的随机试验，旨在测试一项综合干预措施，该干预措施采用社区组织方法在大学校园内外实施环境战略。SPARC的最终目标是减少大学生的高风险饮酒和与酒精有关的后果。干预措施得以实施（并持续至今），学校经历了评估、联盟建设和战略规划的阶段；目前的工作重点是行动和可持续性。SPARC研究小组为干预学校的工作提供密集的基础设施和支持。已使用多种数据收集协议来评估干预实施的过程和干预的影响。初步分析表明，干预措施对大学生中与酒精有关的问题的几个指标开始显示出显著效果。根据现行的R01， SPARC的干预措施将实施三年。虽然迄今为止的结果表明SPARC方法极有前途，但需要更多的时间来有效地完成SPARC概念模型中的各个阶段，并实现和评估其全部影响。当前申请的具体目的是(1)将干预措施的实施延长两年，(2)评估干预过程及其对大学生高危饮酒和酒精相关后果的影响。公共卫生意义：大学生高危饮酒现象普遍存在，对学生、高校和社会造成了严重的负面影响。以环境方法解决这一问题的有效性的证据将对政策和实践产生重大影响。

DESCRIPTION (provided by applicant): The Study to Prevent Alcohol-Related Consequences (SPARC I) is a five-year NIAAA-funded randomized trial testing a comprehensive intervention using a community organizing approach to implement environmental strategies in and around college campuses. The ultimate goal of SPARC is to reduce high- risk drinking and alcohol-related consequences among college students. The intervention was implemented (and continues to date), with schools moving through the stages of assessment, coalition building, and strategic planning; current work focuses on action and sustainability. The SPARC study team provides intensive infrastructure and support for the efforts of the intervention schools. Multiple data collection protocols have been used to assess the process of intervention implementation and the impact of the intervention. Preliminary analyses indicate that the intervention is beginning to show significant effects on several indicators of alcohol-related problems among college students. Under the current R01, the SPARC intervention is being implemented for a three-year period. While results to date indicate excellent promise for the SPARC approach, more time is needed to effectively work through the stages in the SPARC conceptual model and to realize and assess its full impact. The specific aims of the current application are to (1) extend the implementation of the intervention for two additional years, and (2) evaluate the process of the intervention as well as its impact on high-risk drinking and alcohol-related consequences among college students. Public Health Significance: High-risk drinking by college students is pervasive and results in serious negative consequences for students, colleges and universities, and society. Evidence of the efficacy of an environmental approach to the problem would have a substantial impact on policy and practice.