Motivational Inverviewing as a Mechanism of Change in a Brief Alcohol Interventio

描述(申请人提供)：酒精使用障碍影响数以百万计的美国人，并与许多身体、精神和社会健康问题有关。预防酒精滥用的发展对于减少这种公共健康威胁是必要的。随着接受高等教育的人口比例的增加，大学校园已经成为制定与饮酒有关的预防计划的理想场所。面对面、简短的激励干预已被确定为减少酒精使用和相关危害的有效策略之一。然而，人们对与这些干预措施相关的变化机制知之甚少。这项拟议的研究项目旨在通过已建立的有效方法--大学生简短酒精筛查和干预计划(Basics；Dimef，et al.，1999)--确定这些改变的机制。这项研究的广泛和长期目标是改善大学校园中短暂的酒精干预的交付。使用动机访谈(ML)作为一种交付方式，已被认为是这些干预措施在减少大学生有害饮酒有效性中的一个重要因素(Walters&Baer，2005)。此外，在提供这些干预措施方面，同行提供者正在成为一种充足且具有成本效益的资源(Larmer&Cronce，正在出版中)。目前的研究将采用以前建立的编码方法，以确定与同行提供者使用激励性面谈风格有关的变化因素。目前的项目旨在通过确定如何改进实施和扩大已经建立的有效的大学生酒精干预措施的覆盖范围，来实现国家酒精滥用和酒精中毒研究所的使命声明和战略规划目标。该奖项还将有助于对一位有前途的新研究人员进行伦理、方法和临床培训和开发，以满足对具有成本效益的酒精预防和治疗服务研究日益增长的需求。

DESCRIPTION (provided by applicant): Alcohol use disorders affect millions of Americans and are associated with many physical, mental, and societal health problems. Prevention of the development of alcohol abuse is necessary to reduce this public health threat. With the increase in the proportion of the population attending post-secondary education, college campuses have become an ideal site to institute prevention programs related to the consumption of alcohol. In-person, brief motivational interventions have been identified as one such efficacious strategy in reducing alcohol use and related harms. However, little is known about the mechanisms of change related to these interventions. The proposed research project is aimed at identifying these mechanisms of change in an established efficacious approach, the Brief Alcohol Screening and Intervention for College Students (BASICS; Dimeff, et al., 1999) program. The broad, long-term objective of this study is to improve the delivery of brief.alcohol interventions on college campuses. The use of motivational interviewing (Ml) as a delivery style has been proposed as an essential element in the efficacy of these interventions in reducing harmful drinking among college students (Walters & Baer, 2005). In addition, peer providers are emerging as a plentiful and cost-effective resource in the delivery of these interventions (Larimer & Cronce, in press). The current study will employ previously established coding methodologies to identify the elements of change related to the use of a motivational interviewing style by peer providers. The current project aims to meet the mission statement and strategic planning goals of the National Institute of Alcohol Abuse and Alcoholism by identifying ways to improve the delivery and broaden the reach of already established efficacious, alcohol interventions with college students. The award would also aid in the ethical, methodological, and clinical training and development of a promising new researcher to address the growing need for cost-effective alcohol prevention and treatment service research.