A PROACTIVE INDIVIDUALIZED PROGRAM FOR COLLEGE DRINKERS

针对大学饮酒者的主动个性化计划

• 批准号: 6509309
• 负责人: ROBERT G LAFORGE
• 金额: $ 32.83万
• 依托单位: UNIVERSITY OF RHODE ISLAND
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-01 至 2004-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6509309
• 关键词: alcoholic beverage consumption; alcoholism /alcohol abuse education; alcoholism /alcohol abuse prevention; artificial intelligence; behavior modification; behavioral /social science research tag; clinical research; computer assisted instruction; computer assisted patient care; high risk behavior /lifestyle; human subject; questionnaires; self care; substance abuse related behavior; university student; young adult human (21-34)

This proposed research will conduct a randomized trials to test an innovative and interactive and proactive secondary prevention program for college students to reduce high risk alcohol behaviors and minimize alcohol related problems. High volume episodic or "binge" drinking is a major problem on most college campuses. But most students do not perceive their high risk alcohol behaviors as problematic, and few are prepared to change those behaviors. Effective interventions are needed that can impact on an entire population of students at risk for alcohol problems. Such interventions should be theory based and capable of being delivered at a low cost to large segments of the at-risk population. The proposed study is an evaluation of the efficacy of a computerized expert system intervention designed to reduce alcohol problem behaviors, and is based on the conceptual framework of the Transtheoretical Model. Over the past decade researchers at the University of Rhode Island (URI) have developed and tested self-help prevention interventions using expert system technology that provides individualized feedback on some of the most powerful variables known to influence behavior change. These interactive interventions are matched to an individual's stage of motivational readiness to change, and have demonstrated unprecedented impacts in a series of large scale clinical trials of smoking cessation and other health behaviors. This study focuses on students during a high risk transition period-the freshman and sophomore years, and will target drinkers and second year URI students will be assessed by telephone to determine eligibility. 1,420 subjects are expected to participate. A three group randomized controlled design will a brief intervention condition that provides three report expert system feedback reports with two control conditions; a minimal assessment post-test only control and an assessment only condition. All groups will be assessed at 12, 18 and 24 months. In addition, the intervention and the assessment only control will be assessed at baseline, 3 and 6 months. Multiple measures of drinking rates, alcohol behaviors, and alcohol-related problems will be the primary outcomes for the efficacy evaluation. This project is designed to be rapidly disseminable so that results may be used in public health efforts to decrease the incidence of, and problems associated with, high risk drinking among college students.

这项拟议的研究将进行一项随机试验，以测试针对大学生的创新、互动和主动的二级预防计划，以减少高风险酒精行为并尽量减少与酒精相关的问题。大量的间歇性或“狂饮”饮酒是大多数大学校园的一个主要问题。但大多数学生并不认为他们的高风险饮酒行为有问题，而且很少有人准备改变这些行为。需要采取有效的干预措施来影响所有有酒精问题风险的学生群体。此类干预措施应以理论为基础，并能够以低成本向大部分高危人群提供。拟议的研究是对旨在减少酒精问题行为的计算机专家系统干预效果的评估，并且基于跨理论模型的概念框架。在过去的十年中，罗德岛大学 (URI) 的研究人员使用专家系统技术开发并测试了自助预防干预措施，该技术针对已知影响行为改变的一些最强大的变量提供个性化反馈。这些互动干预措施与个人改变动机的准备阶段相匹配，并在一系列戒烟和其他健康行为的大规模临床试验中显示出前所未有的影响。这项研究的重点是处于高风险过渡期（一年级和二年级）的学生，并将针对饮酒者，二年级的 URI 学生将通过电话进行评估以确定其资格。预计有 1,420 名受试者参加。三组随机对照设计将一个简短的干预条件，提供三个报告专家系统反馈报告和两个控制条件；仅测试后最低评估控制和仅评估条件。所有组均将在 12、18 和 24 个月时接受评估。此外，干预措施和仅评估对照将在基线、3 个月和 6 个月时进行评估。饮酒率、饮酒行为和酒精相关问题的多种衡量标准将是功效评估的主要结果。该项目旨在快速传播，以便将结果用于公共卫生工作，以减少大学生高风险饮酒的发生率和相关问题。