Social Norms & Skills Training: Motivating Campus Change

社会规范

• 批准号: 10672719
• 负责人: MARY E. LARIMER
• 金额: $ 38.88万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-15 至 2023-07-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10672719
• 关键词: Accidents; Address; Alcohol consumption; Alcohols; Algorithms; Anxiety; Attention; Behavior; Calendar; Cause of Death; Characteristics; Clinical; Cognitive; Communities; Community Outreach; Data; Data Analyses; Demographic Survey; Ensure; Event; Feedback; Gender; Gender Identity; Guidelines; Homicide; Individual; Intervention; Interview; Mental Depression; Methods; Modification; National Institute on Alcohol Abuse and Alcoholism; Outcome; Parents; Participant; Persons; Population; Prevention trial; Randomized; Research; Sampling; Social Environment; Student recruitment; Students; Suicide; Surveys; Testing; Text; Text Messaging; Trauma; Treatment Efficacy; Work; Writing; alcohol consequences; alcohol response; alcohol risk; base; college; comorbidity; design; drinking; efficacy evaluation; experience; follow-up; gender diversity; gender expression; health disparity; high risk drinking; improved; online community; perceived discrimination; post intervention; preventive intervention; programs; prototype; recruit; reduced alcohol use; response; secondary analysis; sexual identity; skills; skills training; social norm; social skills; university student; young adult

This supplement in response to the ADVANCE NOSI seeks to extend our parent RCT designed to reduce alcohol use and related consequences among college students through evaluating sequential vs simultaneous presentation of personalized feedback intervention (PFI) modules, with or without text message boosters to address 5 high-risk drinking events (HRDE). The parent RCT sample (N=1000) includes significant diversity, but was not designed to address unique health disparities related to alcohol use and response to preventive interventions among students with minoritized sexual or gender identities (SGM). SGM YA are at risk for alcohol-related health disparities and understudied in prevention trials. The current supplement seeks to increase inclusion of SGM students in our prevention trial to elucidate factors impacting efficacy of the parent PFI for SGM students and enhance relevance, generalizability, and fit of our PFI materials for SGM students. We will utilize mixed methods and existing and new data to determine what adaptations of existing PFI materials may be needed to address unique needs of SGM students, informed by our prior experiences and guidelines for intervention adaptation. We will then replicate aspects of the parent RCT with a new sample of SGM students, addressing both shared (spring break) and tailored (Pride events) HRDE to enable comparison of adapted to standard PFI and potential extensions to SGM-specific HRDE. Supplemental aims include: 1) Expand assessment of key variables to better characterize and understand experiences of SGM students in the parent RCT sample. We will add broader assessment of sexual and gender diversity (e.g., identity, attraction, behavior, gender expression) for existing participants in our RCT as well as expand assessment of alcohol norm salience and HRDE to better capture experiences relevant to SGM students. 2) Conduct secondary analyses of moderators of PFI efficacy for SGM students. Using existing data, analyses will focus on individual and contextual moderators of PFI efficacy for SGM students in the parent RCT, with particular attention to aspects of comorbidity, social context, and personal characteristics related to SGM identity. 3) Collect new quantitative and qualitative data to further explore and address adaptation to enhance PFI for SGM students. We will utilize online and community outreach strategies to recruit 300 SGM students for a survey of demographics, alcohol use/consequences, perceived norms, other socio-cognitive and contextual influences, and HRDE. A purposive sample of existing and newly recruited SGM (N~25) will complete rapid prototyping interviews (RPI) to inform any necessary adaptations of PFI components. 4) Extend the parent RCT to further evaluate efficacy of PFI for SGM students. Drawing from the Aim 3 survey sample, we will recruit and randomly assign SGD students to the sequential + text condition (n=150) or the AOC condition (n=100), and will test booster messages for spring break (overlapping) and Pride (unique) HRDE. Analyses will address intervention efficacy for SGM students, and compare adapted to unadapted PFI.

本补充旨在响应 ADVANCE NOSI，旨在扩展我们的母体 RCT，旨在减少 通过评估连续与同时进行的大学生饮酒情况及相关后果 个性化反馈干预（PFI）模块的呈现，有或没有短信助推器 解决 5 种高风险饮酒事件 (HRDE)。原始 RCT 样本 (N=1000) 包含显着的多样性， 但其目的并不是为了解决与饮酒和预防性措施相关的独特健康差异 对具有少数性或性别认同的学生进行干预（SGM）。 SGM YA面临以下风险： 与酒精相关的健康差异在预防试验中并未得到充分研究。目前的补充旨在 增加 SGM 学生参与我们的预防试验，以阐明影响家长功效的因素 为 SGM 学生提供 PFI，并增强我们的 PFI 材料对 SGM 学生的相关性、普遍性和适应性。 我们将利用混合方法以及现有和新的数据来确定现有 PFI 的适应性 根据我们之前的经验和经验，可能需要材料来满足 SGM 学生的独特需求 干预适应指南。然后，我们将使用新样本复制父 RCT 的各个方面 SGM学生，讨论共享（春假）和定制（骄傲活动）HRDE以进行比较 适应标准 PFI 和 SGM 特定 HRDE 的潜在扩展。补充目标包括：1) 扩大对关键变量的评估，以更好地描述和理解 SGM 学生的经历 父 RCT 样本。我们将增加对性和性别多样性的更广泛的评估（例如，身份、 吸引力、行为、性别表达）为我们的随机对照试验中的现有参与者以及扩大对 酒精标准显着性和 HRDE，以更好地捕捉与 SGM 学生相关的经历。 2) 行为 对 SGM 学生 PFI 功效调节因素的二次分析。利用现有数据，分析将重点关注 在家长随机对照试验中，对 SGM 学生 PFI 功效的个体和情境调节因素进行了研究，特别是 关注与 SGM 身份相关的合并症、社会背景和个人特征等方面。 3） 收集新的定量和定性数据，以进一步探索和解决适应问题，以增强 PFI SGM学生。我们将利用网上和社区外展策略招募 300 名 SGM 学生， 对人口统计、饮酒/后果、感知规范、其他社会认知和背景的调查 影响和HRDE。现有和新招募的 SGM（N~25）的目的样本将快速完成 原型访谈 (RPI)，以告知 PFI 组件的任何必要调整。 4）扩展父级 随机对照试验进一步评估 PFI 对 SGM 学生的功效。根据 Aim 3 调查样本，我们将 招募 SGD 学生并将其随机分配到顺序 + 文本条件 (n=150) 或 AOC 条件 (n=100)，并将测试春假（重叠）和骄傲（独特）HRDE 的助推器消息。分析将 讨论 SGM 学生的干预效果，并比较适应的 PFI 和未适应的 PFI。

项目成果

A scoping review of brief alcohol interventions across young adult subpopulations.

对年轻人亚群的简短酒精干预措施的范围审查。

• 发表时间: 2022-09
• 作者: Cronce, Jessica M;Marchetti, Mary A;Jones, Matthew B;Ehlinger, Peter P
• 通讯作者: Ehlinger, Peter P

Thirty years of BASICS: Dissemination and implementation progress and challenges.

三十年的基础：传播和实施进展与挑战。

• 发表时间: 2022-09
• 作者: Larimer, Mary E;Kilmer, Jason R;Cronce, Jessica M;Hultgren, Brittney A;Gilson, Michael S;Lee, Christine M
• 通讯作者: Lee, Christine M