Brief Alcohol Screening and Intervention for Community College Students (BASICCS)

 描述(申请人提供)：近1300万学生在社区大学就读，几乎占所有接受大专教育的年轻人的一半。青壮年(大约18-29岁)是饮酒风险最高的时期，也是相关后果的高发期。近50%的社区大学(CC)学生年龄在18-24岁之间(平均年龄为28岁)，在社区大学校园进行有效的酒精干预至关重要。尽管在四年制大学校园制定、实施和传播酒精干预措施方面取得了进展，但到目前为止，为满足CC学生的需求所做的工作很少。在许多方面，酒精使用的影响和后果可能会对CC学生产生更大的影响，这些学生往往同时承担多种角色(除了学生，44%的学生每周工作40多个小时，23%已婚，32%为父母[16%单亲])，他们可用的资源可能比四年制学校提供的资源少。在过去的二十年里，针对传统的四年制大学生饮酒，已经发展了简短的干预措施，其中最成功的包括提供准确的、非评判性的个性化动机反馈，例如针对大学生的简短酒精筛查和干预(Basics；Dimef et al.，1999)。BASICS是NIAAA(2002)的“第1级”干预，这是一种在大学生中证明有效的方法。到目前为止，尽管CC学生人数庞大且不断增长，但尚未对CC基础课程进行评估。然而，在开始对CC学生采取这种方法之前，必须考虑一些因素，因为大多数学生在社区大学环境中花费了大量时间从事社会角色，这可能会限制他们来校园进行非学术活动的能力(例如，面对面的干预)。因此，需要调整面对面的基础知识，以接触到CC学生，并保持在MI培训的促进者参与学生讨论个性化反馈时的明显效果，以及调整基础知识的规范比较部分，并将他们参与的多个角色结合起来。这一R34应用程序的目标是进行形成性研究，通过使用原型模型和说明、焦点小组、可用性测试和个人访谈，通过迭代的适应和开发过程来帮助CC学生适应基础知识，以开发新的教学方法(通过网络会议)，调整针对CC学生的规范性和后果相关内容，并通过短信提供保护性行为策略。在一项小规模的试点研究中(N=120)，我们将确定可接受性、可行性和初步效果大小，以确定未来R01应用的准备情况。

 DESCRIPTION (provided by applicant): Nearly 13 million students are enrolled in community colleges, representing almost half of all young adults attending post-secondary education. The period of young adulthood (roughly 18-29) corresponds with the highest risk for alcohol use and related consequences. With nearly 50% of community college (CC) students between the ages of 18-24 (average age 28), it is critical to have efficacious alcohol interventions on CC campuses. Despite the advances in intervention development, implementation, and dissemination of alcohol interventions on four-year college campuses, to date very little work has been done to address the needs of CC students. In many respects, the impact of alcohol use and consequences may have greater impact for CC students who often carry multiple roles (other than just student, 44% work 40+ hours/week, 23% are married, 32% are parents [16% single parent]) at one time and may have fewer resources available to them than those afforded at a 4-year institution. Over the last two decades, brief interventions have been developed to address traditional four-year college student drinking, with the most successful involving the provision of accurate, non- judgmental personalized motivational feedback in person, such as Brief Alcohol Screening and Intervention for College Students (BASICS; Dimeff et al., 1999). BASICS is a NIAAA (2002) "Tier 1" intervention, an approach with demonstrated effectiveness with college students. To date, evaluation of BASICS for CC has not been conducted, despite the large and growing population of CC students. However, there are considerations that must be made prior to embarking on such an approach with CC students, as most students spend significant time away from the community college setting engaged in social roles that may limit their ability to come to campus for non-academic activities (e.g., in-person interventions). Thus, adaptation of in-person BASICS is needed to reach CC students and maintain the efficacy evident when a MI-trained facilitator engages the student in discussion of the personalized feedback, as well as to adapt the normative comparison component of BASICS and incorporation of the multiple roles they are engaged in. The objective of this R34 application is to conduct formative research to assist with the adaptation of BASICS for use with CC students though an iterative process of adaptation and development through the use of prototype models and instructions, focus groups, usability testing, and individual interviews to develop a new delivery method (via web-conferencing), adapting normative and consequence-related content specific for CC students, and providing protective behavioral strategies via text-messages. In a small pilot study (N=120), we will establish acceptability, feasibility, and preliminary effect sizs to determine readiness for a future R01 application.