Tribal Colleges and Universities Behavior Wellness Study (TCU-BeWell)

部落学院和大学行为健康研究 (TCU-BeWell)

基本信息

批准号：
9097482
负责人：
BONNIE M DURAN
金额：
$ 66.22万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-07-15 至 2018-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9097482
关键词：
Accidental Injury Address Adoption Affect Alaska Native Alcohol consumption Alcohols American Indians Behavior Brief Alcohol Screening and Intervention for College Students Caring Characteristics Communities Contracts Coordination and Collaboration Country Education Ensure Environment Environmental Impact Evaluation Foundations General Population Goals Harm Reduction Health Health Resources Homicide Individual Institutes Intervention Intervention Studies Investigation Mainstreaming Mediator of activation protein Methods Mission Modeling Outcome Performance Policies Population Prevention Principal Investigator Public Health Randomized Controlled Trials Recovery Research Research Personnel Resources Sampling Services Students Substance abuse problem Suicide System Testing Time Treatment Efficacy United States Universities Waiting Lists Washington Wood material alcohol consequences alcohol intervention alcohol related consequences behavioral health brief alcohol screening brief screening college community based participatory research cost cost effective drinking hazardous drinking health disparity high risk improved indexing innovation intervention effect programs public policy on alcohol racial diversity reduced alcohol use screening and brief intervention social therapy design treatment response tribal college university student

项目摘要

DESCRIPTION (provided by applicant): This research fulfills the NIAAA's mission to address health disparities by reducing alcohol use and improving academic outcomes in a high-risk population of American Indian and Alaska Native (AIAN) Tribal College and University (TCU) students through implementation and evaluation of a low cost screening and brief intervention (SBI). The Brief Alcohol Screening and Intervention for College Students (BASICS), an SBI pioneered and tested by UW investigators on this study, represents a cost effective means to reduce alcohol use. A college- level intervention for policy and systems change will also be tested aimed at: (1) instituting a harm reduction policy that supports a shift from zero tolerance alcohol policies, (2) integrating behavioral health resources for the benefit of high-risk TCU students, and, (3) ensuring TCU SBI implementation fidelity. BASICS has reduced alcohol consumption and consequences in mainstream colleges and this proposal would, using a Community- based Participatory Research approach, provide a cultural contextualization of BASICS and test this intervention for the first time in AIAN TCU students. The specific aims are to adapt, manualize and implement a culturally contextualized version of BASICS: (a) To test whether a culturally appropriate BASICS intervention will surpass a wait list control condition by significantly reducing indices of hazardous or harmful drinking and alcohol-related negative consequences; (b) To test the effect of the intervention in significantly improving retention and academic performance among TCU students; and, (2) Implement a system-level policy intervention moving from zero-tolerance to harm reduction policies at the college-level and providing capacity to integrate services for improved referral and treatment for high risk TCU students to test whether an environmental approach will positively impact the SBI intervention and its outcomes. This study's primary hypothesis is that a culturally contextualized adaptation of SBI, as identified by the TCU/AIHEC/UW partnership, will surpass a wait list control condition in reducing hazardous or harmful drinking and alcohol- related negative consequences and improve academic outcomes, with a significantly greater effect in TCU with the policy intervention.

描述（由申请人提供）：这项研究履行了 NIAAA 的使命，即通过减少饮酒和改善美国印第安人和阿拉斯加原住民 (AIAN) 部落学院和大学 (TCU) 学生高危人群的学业成绩来解决健康差异问题以及低成本筛查和简短干预（SBI）的评估。大学生简短酒精筛查和干预 (BASICS) 是一项 SBI，由威斯康辛大学研究人员在本研究中首创并测试，代表了一种减少酒精使用的经济有效的方法。还将测试大学级别的政策和系统变革干预措施，旨在：(1) 制定减少伤害政策，支持从零容忍酒精政策转变，(2) 整合行为健康资源，以造福高风险 TCU学生，以及 (3) 确保 TCU SBI 实施的保真度。 BASICS 减少了主流大学的酒精消费和后果，该提案将使用基于社区的参与性研究方法，提供 BASICS 的文化背景，并首次在 AIAN TCU 学生中测试这种干预措施。具体目标是调整、手册化和实施 BASICS 的文化背景版本： (a) 测试文化上适当的 BASICS 干预措施是否会通过显着减少危险或有害饮酒以及与酒精相关的负面后果指数来超越等候名单控制条件; (b) 测试干预措施对显着提高 TCU 学生的保留率和学业成绩的效果； (2) 在大学层面实施系统层面的政策干预，从零容忍政策转向减少伤害政策，并提供整合服务的能力，以改善高风险 TCU 学生的转诊和治疗，以测试环境方法是否会积极发挥作用影响 SBI 干预及其结果。本研究的主要假设是，如 TCU/AIHEC/UW 合作伙伴关系所确定的，SBI 的文化背景适应将超越候补名单控制条件，减少危险或有害饮酒和酒精相关的负面后果，并改善学业成果，政策干预对 TCU 的影响显着更大。