A computer-based brief intervention for college drinkers

描述（由申请人提供）：该项目的目标是开发、评估和传播一套软件程序，为酗酒的大学生提供简短的干预措施：大学生饮酒者检查（CDCU）。CDCU将是Drinker's Check-up （DCU）的修订版，DCU是一个为老年人开发的Windows程序和网络应用程序。对课程进行修订是必要的，以使课程适合大学生群体。DCU干预包括综合评估、反馈和决策模块。这些项目将使用框架的共同要素进行有效的简短干预。我们还将修改Windows版本的后续程序（follow College Drinker's program， FCDCU），并将后续组件集成到web应用程序中，使其具有与CDCU /FCDCU Windows应用程序相同的特性和功能。目标人群是酗酒的大学生（男性每次饮酒5次或以上，女性每次饮酒4次或以上，前两周bac峰值达到80mg%）。第二阶段的目标包括：根据试点研究和专家小组的反馈修订Windows和web应用程序；最终原型机的试点测试；并对Windows版本进行随机临床试验（RCT），随访12个月，以评估其有效性。该随机对照试验将CDCU组与未接受治疗的对照组进行比较。这一项目对公众健康有重大影响。开发一套基于Internet和Windows的程序可以提高大学使用这些程序的能力，并增加它们在各种不同环境中使用的可能性。如果临床试验表明CDCU项目在减少酗酒方面是有效的，它可以以相对较低的成本被广泛推广。我们的定价结构（一次性收费）也将使这套程序相对于其竞争对手具有优势，并使其采用成本更低。大学正面临越来越大的压力，需要实施以证据为基础的干预方案，以减少学生群体中的酗酒和与酒精有关的问题（NIAAA， 2002年a，b）。与此同时，他们需要更便宜的替代方案，需要更少的员工努力和培训，但得到经验支持。CDCU如果有效，可以帮助满足这些需求。

DESCRIPTION (provided by applicant): The goals of this project are to develop, evaluate, and disseminate a suite of software programs that provide brief interventions for heavy drinking college students: The College Drinker's Check-up (CDCU). The CDCU will be a revision of the Drinker's Check-up (DCU), a Windows program and a web application developed for older adults. Revisions of the programs are necessary to tailor the programs to a college student population. The DCU intervention consists of integrated assessment, feedback and decision-making modules. The programs will use the FRAMES elements common to effective brief interventions. We will also revise the follow-up program for the Windows version (Follow-up College Drinker's Program, FCDCU) and integrate follow-up components into the web application so that it has the same features and functions as the CDCU /FCDCU Windows application. The target population is heavy drinking college students (5 or more drinks per occasion for males, 4 or more for females & peak BACs >80mg% in the previous 2 weeks). Phase II goals include: revisions of the Windows and web applications based on feedback from the pilot study and expert panel; pilot testing of the final prototypes; and a randomized clinical trial (RCT) of the Windows version with a 12 month follow-up to assess its effectiveness. The RCT will compare the CDCU to a no treatment control group. There are substantial public health implications from this project. Developing a suite of Internet and Windows based programs increases the ability of universities to use these programs and the likelihood they will be used in a variety of different settings. If the clinical trial shows that the CDCU program is effective in reducing heavy drinking, it could be widely disseminated at relatively low cost. Our pricing structure (a one time fee) also will put this suite of programs at an advantage relative to its competition and make it less costly to adopt. Colleges are experiencing increasing pressure to implement evidence-based intervention programs to reduce heavy drinking and alcohol-related problems in their student body (NIAAA, 2002a,b). At the same time they need alternatives that are less expensive, require less staff effort and training, yet are empirically supported. The CDCU, if effective, could help meet those needs.