Situational High-Risk Behavior and Health: A Brief Motivational Intervention

描述(由申请者提供)：特定事件导致大学生中健康危险行为的增加，包括酗酒和危险的性行为。然而，这两种行为在人内的共存以及动机和结果之间的交叉行为关联并没有被干预计划很好地解决。在有限的时间和特定事件期间促进健康需要创新的干预策略，这些策略基于对特定背景的动机、意图和结果的个性化反馈。解决大学生饮酒和性行为之间的相关风险可能对年轻人的健康具有特别的相关性。因此，这项建议寻求资金来开发和测试一种简短的基于网络的激励性干预措施，利用个性化反馈来减少大学生中的高危行为和负面后果。在第一年，将开发一个简短的激励性反馈干预措施，以减少酗酒、与酒精相关的高风险性行为和相关的负面后果。来自大学生焦点小组的定性反馈将用于改进内容和交付。在第二年，将进行随机对照试验。所有评估和干预交付都将在网上进行。使用日常行为和经历的时间线跟踪报告的即时事件后评估将用于测试该计划的效果。此外，为期六个月的随访将评估与酒精和性相关的长期后果(例如，酒精问题、意外怀孕)的潜在影响，以及保护性行为策略、饮酒和性行为的感知规范以及与朋友的约定的中介作用。这种干预有可能促进我们对酒精使用和相关行为的特定事件高峰的理解，并减轻青少年和年轻人中相关的负面后果(即酒精中毒、性传播疾病感染)。 公共卫生相关性：这项研究项目旨在通过开发和经验性测试一个简短的基于网络的干预计划来促进大学生的健康，该计划旨在减少高风险饮酒和性行为，这些行为已被记录为发生在情景高危时期。如果证明是有效的，该方案有可能减轻青少年危险行为(如酒精问题、性传播疾病、意外怀孕)的急性不良健康后果(如伤害、酒精中毒)和长期健康后果。

DESCRIPTION (provided by applicant): Specific events pose documented increases in health risk behaviors, including heavy alcohol use and risky sexual behavior, among college students. However, the co-occurrence of these two behaviors within-persons and the cross-behavior associations between motivations and consequences are not well addressed by intervention programs. Promoting health during time-limited and event-specific periods requires innovative intervention strategies that are based on personalized feedback of context-specific motivations, intentions, and consequences. Addressing the associated risks between college student alcohol and sexual behaviors may have particular relevance for young adult health. Therefore, this proposal seeks funds to develop and test a brief motivational web-based intervention that utilizes personalized feedback to reduce high risk behaviors and negative consequences among college students. During Year 1, a brief motivational feedback intervention will be developed to reduce heavy alcohol use, alcohol-related risky sex, and associated negative consequences. Qualitative feedback from college student focus groups will be used to refine content and delivery. In Year 2, a randomized control trial will be conducted. All assessments and intervention delivery will be on-line. An immediate post-event assessment using timeline follow-back reports of daily behavior and experiences will be used to test the efficacy of the program. In addition, a six-month follow-up will assess potential effects on long-term alcohol- and sex-related consequences (e.g., alcohol problems, unwanted pregnancy) and the mediating role of protective behavioral strategies, perceived norms for drinking and sex, and pacts with friends. This intervention has the potential to advance our understanding of event-specific peaks in alcohol use and related behaviors and to mitigate associated negative consequences (i.e., alcohol poisoning, STD contraction) among adolescents and young adults. PUBLIC HEALTH RELEVANCE: This research project is designed to promote health among college students by developing and empirically testing a brief web-based intervention program, designed to reduce the high-risk alcohol use and sexual behaviors that have been documented as occurring during situational high risk periods. If found efficacious, the program has the potential to mitigate both the acute the negative health consequences (e.g., injury, alcohol poisoning) and the long-term health consequences of young adult risk behaviors (e.g., alcohol problems, STDs, unwanted pregnancy).