Brief Alcohol Intervention for School-to-Work Transitions

学校到工作过渡的短暂酒精干预

• 批准号: 7524727
• 负责人: SUZANNE M COLBY
• 金额: $ 60.64万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-20 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7524727
• 关键词: Accounting; Alcohol abuse; Alcohol consumption; Alcoholic beverage heavy drinker; Alcohols; Attention; Back; Binding; Cognitive Dissonance; Commit; Development; Education; Ensure; Experimental Designs; Gender; Goals; Health; Healthcare; Heavy Drinking; Individual Differences; Intention; Intervention; Knowledge; Left; Legal; Life; Literature; Measures; Mediation; Mediator of activation protein; Motivation; Outcome; Patient Self-Report; Performance at work; Population; Probability; Procedures; Process; Questionnaires; Randomized; Randomized Clinical Trials; Research; Research Priority; Schools; Self Efficacy; Services; Strategic Planning; Students; Testing; Time; TimeLine; Treatment Efficacy; Work; Workplace; alcohol consequences; alcohol intervention; alcohol related problem; base; behavior change; brief alcohol intervention; brief motivational intervention; college; depressive symptoms; design; drinking; drinking behavior; efficacy testing; emerging adult; experience; follow-up; graduate student; heavy drinking college student; help-seeking behavior; high risk; high school; indexing; intervention effect; meetings; motivational enhancement therapy; peer; post intervention; programs; reduced alcohol use; satisfaction; secondary outcome; social; twelfth grade; underage drinker; underage drinking; university student; young adult; Accounting; Alcohol abuse; Alcohol consumption; Alcoholic beverage heavy drinker; Alcohols; Attention; Back; Binding; Cognitive Dissonance; Commit; Development; Education; Ensure; Experimental Designs; Gender; Goals; Health; Healthcare; Heavy Drinking; Individual Differences; Intention; Intervention; Knowledge; Left; Legal; Life; Literature; Measures; Mediation; Mediator of activation protein; Motivation; Outcome; Patient Self-Report; Performance at work; Population; Probability; Procedures; Process; Questionnaires; Randomized; Randomized Clinical Trials; Research; Research Priority; Schools; Self Efficacy; Services; Strategic Planning; Students; Testing; Time; TimeLine; Treatment Efficacy; Work; Workplace; alcohol consequences; alcohol intervention; alcohol related problem; base; behavior change; brief alcohol intervention; brief motivational intervention; college; depressive symptoms; design; drinking; drinking behavior; efficacy testing; emerging adult; experience; follow-up; graduate student; heavy drinking college student; help-seeking behavior; high risk; high school; indexing; intervention effect; meetings; motivational enhancement therapy; peer; post intervention; programs; reduced alcohol use; satisfaction; secondary outcome; social; twelfth grade; underage drinker; underage drinking; university student; young adult

DESCRIPTION (provided by applicant): Significant effort has been committed to developing efficacious alcohol interventions for college students, while little attention has been paid to the needs of the majority of high school seniors who transition to work rather than a four-year college. The long-term objective of this research is to reduce heavy drinking and its consequences among this understudied population. In this 4-year R01 application, we propose to test the efficacy of a Brief Motivational Intervention (BMI) for reducing drinking and related negative consequences in 306 non-college-bound students graduating from traditional public high schools. BMI will be compared to an Alcohol Education (AE) comparison condition in the context of a randomized clinical trial. Outcomes will be evaluated at 6 weeks and 6 months post-intervention to evaluate short- and longer-term intervention effects. As secondary aims, we will also test the effects of BMI on the probability of subsequent help seeking, the use of drinking reduction strategies, the impact of drinking on work performance, the participation in and enjoyment of alcohol-related versus alcohol-free activities, and life satisfaction. This trial is also specifically designed to test a number of potential mediators that may explain how BMI exerts influence on drinking behavior, including BMI's effects on motivation to change drinking, discrepancy-related processes (e.g., actual-ideal drinking discrepancy; cognitive dissonance), self-efficacy, intention/commitment to behavior change, and perceived drinking norms. Finally, the proposed research will examine individual differences that may be related to BMI efficacy including gender, baseline levels of alcohol use and depressive symptoms, and peer drinking. This research fills a gap in the research literature by providing a test of BMI in an understudied population. In the context of this efficient design, we will also contribute to existing knowledge of BMI by testing its effects on previously unexplored secondary outcomes, and testing how and for whom it may influence drinking and related consequences. Project Narrative More than 1 in 3 non-college-bound young adults drink heavily during their senior year of high school. Left untreated, many will experience alcohol-related health, social, and legal problems, and some will develop more severe drinking problems, eventually requiring intensive treatment services. Brief motivational interventions (BMI) have been widely tested with heavy drinking college students and shown to reduce heavy drinking in that population. The proposed research would test the effects of BMI specifically in the under-studied and under-treated population of heavy drinking non-college young adults.

描述（由申请人提供）：已致力于为大学生开发有效的酒精干预措施，而对大多数过渡到工作而不是四年制大学的高中生的需求几乎没有关注。这项研究的长期目标是减少饮酒及其在这个研究的人群中的后果。在这项为期4年的R01应用程序中，我们建议测试短暂的动机干预（BMI）在减少饮酒和相关的负面后果的疗效中，从传统公立高中毕业。在随机临床试验的背景下，将将BMI与酒精教育（AE）比较条件进行比较。干预后6周零6个月将评估结果，以评估短期和长期干预效果。作为次要目标，我们还将测试BMI对随后寻求帮助的可能性，减少饮酒策略的使用，饮酒对工作绩效的影响，参与和享受与酒精相关的无酒精活动以及生活满意度。该试验还经过专门设计，用于测试许多潜在的介体，这些媒介可能解释了BMI对饮酒行为的影响，包括BMI对改变饮酒动机的影响，与差异相关的过程（例如，实际理想的饮酒差异；认知失调），自我效能感），自我效能感，对行为的意图/承诺改变行为改变和饮酒规范。最后，拟议的研究将检查可能与BMI功效有关的个体差异，包括性别，饮酒的基线水平和抑郁症状以及同伴饮酒。这项研究通过在研究研究的人群中提供BMI测试来填补研究文献的空白。在这种高效设计的背景下，我们还将通过测试其对以前未开发的次要结果的影响，并测试它如何以及为谁影响饮酒和相关后果来为现有的BMI知识做出贡献。在高中高中期间，项目叙述超过三分之一，在3个非大学结合的年轻人中大量饮酒。不受治疗的治疗，许多人会遇到与酒精有关的健康，社会和法律问题，有些人会出现更严重的饮酒问题，最终需要密集的治疗服务。简短的动机干预措施（BMI）已对大量饮酒的大学生进行了广泛的测试，并证明可以减少该人群中的大量饮酒。拟议的研究将对BMI的影响特别研究在未经饮用的非大学年轻人中未经研究的人群中的影响不足。