Alcohol interventions for Mandated Students (Project AIMS)

描述(由申请者提供)：大学生饮酒仍然是学生和社区健康和福祉的一个重要问题。虽然对大学生的研究通常支持使用认知、行为和动机干预来减少饮酒量和后果，但对强制学生(因违反校园酒精政策而被推荐进行干预的学生)的研究继续产生喜忧参半的结果。由于强制要求的学生显然是大学校园中的责任管理、风险管理以及健康和安全问题，研究人员必须在最大化有限的校园资源的同时，确定具有证明有效性的支持干预措施。目前的提案将在大样本(N=300)强制大学生中比较酒精技能培训计划(ASTP)小组、大学生简短酒精筛查和干预(基础)反馈会议和酒精转移计划(ADP)照常治疗教育小组，并随机分配到干预和等待名单对照组。这项拟议研究的主要目的是调查针对强制学生的干预措施的有效性，同时考虑治疗延迟的影响以及可能的结果调解人和调节者。实际上，这项研究将为高等教育机构与强制要求的学生合作的决策提供参考。这项研究探索了时间有限且经济高效的替代方案，以最大限度地提高结果，同时减轻校园和社区资源的负担。此外，考察个别因素将通过确定哪些干预措施对哪些学生最有效来为制裁指导方针提供信息。这项建议还将为有前途的临床研究人员提供机会，通过伦理、方法学和临床培训和发展来加强她的科学家-从业者基础，同时追求博士学位。目前的项目与国家酒精滥用和酒精中毒研究所(NI/AA)的使命相关，因为它建议对高危人群进行严格的酒精治疗合作研究。此外，这项建议将包括在合作大学培训和实施NIAAA定义的一级干预措施，同时促进职业生涯早期酒精研究人员的专业发展、临床专业知识和传播技能。

DESCRIPTION (provided by applicant): Alcohol use by college students continues to be a significant concern for the health and well being of both Students and communities. While research with college students generally supports the use of cognitive behavioral and motivational interventions in reducing drinking quantities and consequences, research with mandated students (students referred for an intervention following violation of a campus alcohol policy) continues to produce mixed results. As mandated students are clearly a liability-management, risk- management, and health and safety concern on college campuses, it is imperative that researchers identify supported interventions with demonstrated effectiveness while maximizing limited campus resources. The current proposal will compare Alcohol Skills Training Program (ASTP) groups, Brief Alcohol Screening and Intervention for College Students (BASICS) feedback sessions, and Alcohol Diversion Program (ADP) treatment-as-usual education groups in a large sample (N = 300) of mandated college students randomly assigned into intervention and wait-list control groups. The primary aim of the proposed research is to investigate the effectiveness of interventions for mandated students while considering the impact of treatment delay and putative mediators and moderators of outcome. Practically, this research will inform decisions at higher education facilities working with mandated students. This research explores time-limited and cost-effective alternatives to maximize outcomes while reducing the burden on campus and community resources. Further, examining individual factors will inform sanctioning guidelines by identifying which interventions are most effective for which students. This proposal will also provide a promising clinical researcher the opportunity to strengthen her scientist-practitioner foundation through ethical, methodological, and clinical training and development while pursing a doctoral degree. The current project is relevant to the mission of the National Institute on Alcohol Abuse and Alcoholism (NI/\AA) as it proposes conducting rigorous collaborative research in alcohol treatment with a high-risk population. Further, this proposal will include training in and implementation of NIAAA-defined Tier 1 interventions at the collaborating university, while facilitating the professional development, clinical expertise, and dissemination skills of an early-career alcohol researcher.