MOTIVATIONAL INTERVIEWS FOR MANDATED ETOH EDUCATION

很大一部分年轻人酗酒，因此面临各种问题的风险，如与酒精有关的机动车碰撞、伤害以及行为和学业问题。本研究的目的是调查如何有效地减少被大学当局确定为有酒精相关事件的大学生有害饮酒。尽管强制性的酒精教育或对大学校园酒精违规行为的治疗无处不在，但此类干预措施的效果尚未得到研究。激励方法对危险饮酒的大学生已经显示出了希望。因此，为那些需要参加酒精咨询的人设计的基于动机的干预可能被证明是有效的。通过增加辅助疗程来加强干预可能会进一步提高疗效。此外，年轻人中酒精和性行为之间的普遍联系表明，将危险的性行为作为可避免的酒精相关问题也可能是成功的。在这项随机试验中，将采用2（动机访谈vs.标准教育）x2（2周强化治疗vs.无强化治疗）因子设计，以确定心肌梗死和强化治疗是否单独或联合有效地减少酒精相关后果和酒精使用，这些大学生在酒精相关紧急情况或违规后被强制进行酒精干预。标准教育条件将以大学酒精教育标准为基础。受试者将在基线干预后的3个月和12个月进行随访。主要结局变量包括饮酒、酒精相关伤害和后果，包括无保护的性行为。假设：1)接受MI治疗的组重度饮酒和酒精问题水平最低，其中接受MI +助推器治疗的组效果最大；2)干预效果将由酒精预期、改变阶段、使用行为酒精减少策略和寻求治疗介导。本研究将通过评估在接受治疗的个体中使用MI来扩展先前的研究，包括一个强化会议，并将重点扩大到包括与酒精相关的性风险行为。为从事有害饮酒的年轻人制定有效的干预措施，应减少这一人群中与酒精有关的问题和伤害的慢性性。

A significant proportion of young adults drink heavily and consequently are at risk for a variety of problems such as alcohol-related motor vehicle crashes, injury, and behavioral and academic problems. The objective of this research is to investigate ways to effectively reduce harmful drinking in college students who have been identified by college authorities as having had an alcohol-related incident. Whereas mandated alcohol education or treatment for alcohol violations on college campuses is ubiquitous, the efficacy of such interventions has not been studied. Motivational approaches with hazardous drinking college students have shown promise. Thus, a motivation-based intervention designed for those who are required to attend alcohol counseling may prove efficacious. Intensifying the intervention by adding a booster session might further enhance efficacy. Additionally, the common association between alcohol and sexual activity among young adults suggests that including risky sexual behavior as an avoidable alcohol-related problem could be successful as well. In this proposed randomized trial, a 2 (Motivational Interview vs. Standard Education) X 2 (2-week booster vs. none) factorial design will be used to determine whether MI and a booster session separately, and in conjunction, are effective in reducing alcohol-related consequences and alcohol use in college students mandated to an alcohol intervention following an alcohol-related emergency or infraction. The Standard Education condition will be based on college standards for alcohol education. Subjects will be followed at 3 and 12 months after the baseline intervention. Primary outcome variables include alcohol consumption, and alcohol-related injuries and consequences including unprotected sexual behavior. It is hypothesized that: 1) groups receiving MI will show the lowest levels of heavy drinking and alcohol problems, with the groups receiving MI plus booster showing the greatest effect, and that 2) intervention effects will be mediated by alcohol expectancies, stage of change, use of behavioral alcohol-reduction strategies, and treatment seeking. This study will extend previous research by evaluating the use of MI with individuals who are mandated to treatment, by including a booster session, and by expanding the focus to include alcohol-related sexual risk behavior. The development of effective interventions for young adults who are engaging in harmful drinking should reduce the chronicity of alcohol-related problems and injuries in this population.