Adapting Interventions for College Student Drinkers

描述（由申请人提供）：大学生饮酒者大致可分为两类：寻求刺激的社交饮酒者和情绪应对型饮酒者。第二种人虽然人数较少，但经历了更多的心理困难，并且可能有更大的酒精慢性风险。本研究的目的是开发、手工操作和试点测试已建立的大学生简短酒精筛查和干预（BASICS）的改编版本（DBT-BASICS），以整合来自辩证行为疗法（DBT）的技能。为了准备2期临床试验，我们将根据Rounsaville， Carroll, & Onken（2001）对治疗开发的建议（即，包括手动开发和治疗试点在内的两部分研究）开发DBT-BASICS。因此，我们的项目分为两个研究；研究1将是人工开发，研究2将进行试点研究。通过心理学人类受试者池招募大学生，并以大规模测试的形式完成筛选问卷（研究1和研究2分别为N=795和N=4800）。酗酒和酗酒应对阳性的学生将参加研究1并接受DBTBASICS （N=50）或研究2，并被随机分配到DBT-BASICS， BASICS或注意力控制条件（ACC） （N=300）。根据之前的研究，预计约9%的筛选样本将符合研究标准，其中70%将同意参与研究。在这70%中，估计有多达20%将因人员流失而流失。通过筛选研究1的795名学生和研究2的4800名学生，我们将有足够的受试者分别产生所需的40名和240名参与者。随访评估将在4周和3个月时进行。

DESCRIPTION (provided by applicant): College student drinkers have been suggested to fall into two broadly defined categories: sensation-seeking social drinkers, and emotion-coping drinkers. The second group, though smaller, experiences more psychological difficulties and may carry greater risk of alcohol chronicity. The aims of the proposed research are to develop, manualize, and pilot-test an adapted version (DBT-BASICS) of the established Brief Alcohol Screening and Intervention for College Students (BASICS) to integrate skills derived from Dialectical Behavioral Therapy (DBT). In preparation for a Phase 2 clinical trial, we will develop DBT-BASICS in accordance with Rounsaville, Carroll, & Onken's (2001) suggestions for treatment development (i.e., a two part study including manual development and a treatment piloting). Accordingly, our project has been divided into two studies; Study 1 will be Manual Development and in Study 2 we will conduct the Pilot-Study. College students will be recruited through the Psychology Human Subject Pool and will complete a screening questionnaire in a mass testing format (N=795 and N=4800 for Studies 1 and 2 respectively). Students positive for heavy drinking and drinking to cope will participate in Study 1 and receive DBTBASICS (N=50) or, Study 2 and be randomly assigned to DBT-BASICS, BASICS, or Attention Control Condition (ACC) (N=300). Based on previous research, it is expected that approximately 9% of the screening sample will meet study criteria and, of those, 70% will consent to study participation. Of the 70%, it is estimated that up to 20% will be lost due to attrition. By screening 795 students for Study 1 and 4800 for Study 2, we will have enough subjects to yield the desired 40 and 240 respective participants. Follow-up assessments will occur at 4 weeks and 3 months. The current project aims meet the strategic planning goals of the National Institute of Alcohol Abuse and Alcoholism (NIAAA) by developing a brief behavioral intervention and targeting risky drinking among college students. The award would also aid in developing a promising clinical researcher in the areas of ethical, methodological, and clinical research needed to address our growing need for cost-effective, mental health prevention and treatment.