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，为大量饮酒的大学生提供简短的干预措施：大学饮酒者的检查（CDCU）。该CDCU将是一个修订的饮酒者的检查（DCU），一个Windows程序和网络应用程序开发的老年人。为了使方案适合大学生群体，有必要对方案进行修订。DCU的干预措施包括综合评估、反馈和决策模块。这些方案将使用有效的简短干预所共有的框架要素。我们还将修改Windows版本的后续程序（后续大学饮酒者计划，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。目标人群是大量饮酒的大学生（男性每次饮酒5杯或更多，女性每次饮酒4杯或更多，前2周BAC峰值> 80 mg %）。第二阶段的目标包括：根据试点研究和专家小组的反馈，对Windows和网络应用程序进行了修订;对最终原型进行了试点测试;对Windows版本进行了为期12个月的随机临床试验（RCT），以评估其有效性。RCT将比较CDCU与无治疗对照组。该项目对公共卫生有重大影响。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计划在减少大量饮酒方面是有效的，它可以以相对较低的成本广泛传播。我们的定价结构（一次性费用）也将使这套程序相对于竞争对手具有优势，并使其采用成本更低。各大学在实施循证干预方案以减少学生酗酒和酒精相关问题方面面临越来越大的压力（NIAAA，2002 a，B）。与此同时，他们需要更便宜的替代品，需要更少的工作人员努力和培训，但经验支持。社区发展协调股如果有效，将有助于满足这些需要。

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.