Cofrin Logan Center for Addiction Research and Treatment, University of Kansas, United States of America; Department of Psychology, University of Kansas, United States of America.
Cofrin Logan Center for Addiction Research and Treatment, University of Kansas, United States of America; Department of Psychology, University of Kansas, United States of America.
Contemp Clin Trials. 2020 Mar;90:105950. doi: 10.1016/j.cct.2020.105950. Epub 2020 Jan 23.
The transition from high school to college is a developmentally sensitive period that is high-risk for the escalation of alcohol use. Although risky drinking is a common problem among freshmen, engagement in treatment services is very low. College alcohol interventions target drinking directly at a time when students may be uninterested in changing their drinking. Approaches that indirectly target drinking may be particularly effective. Behavioral activation (BA) is an intervention that indirectly addresses mental health conditions by guiding individuals to engage in reinforcing activities that align with their values (Lejuez et al., 2001). A pilot study of a BA intervention administered in a semester-long freshman orientation course reported a significant decrease in drinking-related problems compared to students in standard orientation course (Reynolds et al., 2011).
The cluster-randomized trial will test the efficacy of BA administered in a semester-long (16 week) freshman orientation course, compared to a standard orientation course in 540 freshmen spread over 36 course sections (18 sections each). A 5-month post-treatment assessment will measure durability of effects.
The study will test a promising BA intervention that addresses factors limiting participation in other programs by targeting alcohol use indirectly and by integrating an intervention into college curriculum. This study represents a first step toward developing an intervention course that could be widely disseminated to address the persistent college drinking problem and its consequences.
NCT04038190.
从高中到大学的过渡是一个发展敏感的时期，是酒精使用升级的高风险时期。尽管风险饮酒是新生中常见的问题，但参与治疗服务的比例非常低。大学酒精干预直接针对学生可能对改变饮酒习惯不感兴趣的时候的饮酒行为。间接针对饮酒行为的方法可能特别有效。行为激活（BA）是一种干预措施，通过引导个人从事与他们的价值观一致的强化活动，间接地解决心理健康问题（Lejuez 等人，2001 年）。在一项为期一学期的新生入学课程中实施 BA 干预的试点研究报告称，与参加标准入学课程的学生相比，与饮酒相关的问题显著减少（Reynolds 等人，2011 年）。
这项集群随机试验将测试在一学期（16 周）新生入学课程中实施 BA 的效果，与 36 个课程单元（每个单元 18 个单元）中 540 名新生的标准入学课程进行比较。在治疗结束后 5 个月进行评估，以测量效果的持久性。
该研究将测试一种有前途的 BA 干预措施，该措施通过间接地针对饮酒行为，以及将干预措施纳入大学课程，来解决限制其他项目参与的因素。这项研究是朝着开发一种可以广泛传播的干预课程迈出的第一步，以解决持续存在的大学生饮酒问题及其后果。
NCT04038190。
