Group-based Intervention for Alcohol, Drugs and Aggression among Club Patrons

描述（由申请人提供）：本研究将重点关注高风险行为(过度饮酒，吸毒，身体和/或性侵犯，以及不安全的退出行为，例如：（酒后驾车，与酒后驾车的人一起开车）光顾俱乐部的年轻人。这些危险行为普遍存在于俱乐部和饮酒场所（见重要性）。我们的目标是双重的：(1)开发一个筛选器，准确地评估一个团体在一个特定的晚上参加俱乐部的风险水平，并基于此评估；(2)为自然发生的社会团体提供必要的技能，以识别这些高风险行为的脆弱性，并为他们提供工具，通过准备实施“30”来保护他们的成员免受这些风险。(a)外联-接触处于危险中的小组成员；(b)备选办法-建议可增加安全的备选办法；(c)外联-提高对何时离开的认识。这种简短的交互式干预将通过利用移动应用技术和蜂窝无线服务的小型平板电脑提供。这将促进以后在现实世界中的采用，以一种低成本交付的方式，并以一种吸引年轻人的方式。Specific Aim I旨在测试和减少为社会群体开发风险算法（针对我们的高风险行为）所需的筛选问题的数量，并测试将个人结果立即现场汇编为群体风险算法的可行性。使用一种数据收集方法，在参与者进入和退出某个位置时拦截他们，并链接这些数据，同时保持匿名性。对于具体目标1，将对总共300组（n=720名参与者）进行简短调查，并收集酒精和药物使用的生物学测量数据，同时对参与者保持匿名。调查数据将为小组链接。根据具体目标II，设计了简短的、基于群体的干预措施，并对其可行性进行了测试。在随机分配到干预和控制条件下的300组新样本中，入口和出口数据收集将包括调查数据、口腔液样本（用于药物分析）和呼气测试（用于酒精）。这些数据将在干预组和对照组中进行比较，以确定干预是否成功地帮助小组评估他们在俱乐部内高风险情况下的脆弱性，他们是否根据所学的技能实施了更多的行动，以及干预组是否比对照组有更少的高风险行为。

DESCRIPTION (provided by applicant): This study will focus on high risk behaviors (excessive alcohol use, drug use, physical and/or sexual aggression, and unsafe exit behaviors-e.g., drinking and driving, riding with a drinking driver) of young adults who patronize clubs. These risk behaviors are prevalent in clubs and drinking establishments (see Significance). Our goals are twofold: (1) to develop a screener that accurately assesses a group's level of risk for one specific night of club attendance and based upon this assessment, (2) to provide naturally occurring social groups with the necessary skills to identify vulnerability to these high risk behaviors and to provide them with tools to protect their members against those risks by being prepared to implement the 3 O's: (a) Outreach-approach fellow group members who are at risk, (b) Options-to suggest alternatives that would increase safety and (c) Out-to increase awareness of when it is time to leave. This brief, interactive intervention will be delivered by small tablet computers that utilize mobile application technology and cellular wireless service. This will facilitate later adoption in the real world, in a way to provide a low cost delivery and n a manner that will engage the young adult population. Specific Aim I is designed to test and reduce the number of screening questions necessary to develop a risk algorithm (for our high risk behaviors) for social groups and to test the feasibility of immediate onsite compilation of individual results into a group risk algorithm. A data collection method is used that intercepts participants as they enter and exit a location and links these data, while maintaining anonymity. For Specific Aim 1 a total of 300 groups (n=720 participants) will be given a short survey and biological measures of alcohol and drug use will be collected, while maintaining anonymity for the participants. The survey data will be linked for the group. With Specific Aim II, the brief, group-based intervention is designed and the feasibility tested. With a new sample of 300 groups, randomly assigned to intervention and control conditions, both entrance and exit data collection will include survey data, oral fluid samples (for drug analyses), and breath tests (for alcohol). These data will be compared for the intervention and control groups to determine if the intervention was successful in helping groups to assess their vulnerability for high risk situation inside the club, whether they implemented more actions based upon the skills they learned, and whether the intervention group had fewer high risk behaviors than the control group.