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两阶段社交网络干预减少住宿学院中学生的酒精和其他药物使用:可行性试验方案。

A two-stage social network intervention for reducing alcohol and other drug use in residential colleges: Protocol for a feasibility trial.

机构信息

Lives Lived Well Group (LLW), School of Psychology, The University of Queensland, Australia; National Centre for Youth Substance Use Research (NCYSUR), The University of Queensland, Australia.

Lives Lived Well Group (LLW), School of Psychology, The University of Queensland, Australia.

出版信息

Contemp Clin Trials. 2022 Jul;118:106779. doi: 10.1016/j.cct.2022.106779. Epub 2022 Apr 28.

DOI:10.1016/j.cct.2022.106779
PMID:35491009
Abstract

BACKGROUND

In many countries, the rate of binge drinking and alcohol-related harms among students living in residential colleges exceeds that observed among young people in the general population. Peer influence plays a key role in driving alcohol and other drug (AOD) use in colleges. This highlights the potential role of peer influence AOD-interventions in college student-networks. This protocol paper outlines the design of a two-stage social network intervention (SNI) for reducing AOD-use in four Australian first-year residential college networks.

METHODS

In Stage 1, a peer-led workshop will provide education about AOD-use and harm-minimisation strategies to four first-year cohorts in the first week of semester one (N ~ 500). In Stage 2, a targeted SNI will be delivered to the largest co-educational, first-year cohort (N ~ 160), wherein heavy drinking 'Strategic Players' (influential students) will be identified and offered a brief, telephone-delivered motivational interviewing intervention for AOD-use (QuikFix). Participants will complete online surveys at baseline and 12-, 26-, and 52-weeks follow-up.

RESULTS

Recruitment occurred in February 2021 and is now closed. Results are expected to be submitted for publication in late 2022.

CONCLUSIONS

This protocol paper outlines the design of a feasibility trial exploring the impact of applied SNIs for reducing AOD-use and related consequences in residential college student networks. If effective, the two-stage SNI proposed could (i) reduce AOD-use and risk of harm across first-year student networks and (ii) provide an effective brief intervention (QuikFix) to high-risk drinkers who have greatest potential to spread the intervention effects to other risky drinkers in their network.

TRIAL REGISTRATION

Australian New Zealand Clinical Trials Registry (ACTRN12621000494831).

摘要

背景

在许多国家,居住在住宿学院的学生中暴饮和与酒精相关的伤害率高于一般人群中年轻人的水平。同伴影响在推动大学生饮酒和使用其他药物(AOD)方面起着关键作用。这突出了同伴影响 AOD 干预在大学生网络中的潜在作用。本方案文件概述了一项针对澳大利亚四个一年级住宿学院网络减少 AOD 使用的两阶段社交网络干预(SNI)的设计。

方法

在第 1 阶段,一个同伴主导的研讨会将在第一学期的第一周(N500)向四个一年级队列提供关于 AOD 使用和伤害最小化策略的教育。在第 2 阶段,将向最大的男女同校一年级队列(N160)实施有针对性的 SNI,其中将确定重度饮酒的“战略参与者”(有影响力的学生),并为他们提供简短的电话传递动机访谈干预 AOD 使用(QuikFix)。参与者将在基线和 12、26 和 52 周随访时完成在线调查。

结果

招募工作于 2021 年 2 月进行,现已结束。预计结果将于 2022 年底提交发表。

结论

本方案文件概述了一项可行性试验的设计,该试验旨在探索应用 SNI 减少住宿学院学生网络中 AOD 使用和相关后果的影响。如果有效,拟议的两阶段 SNI 可以:(i)降低整个一年级学生网络中的 AOD 使用和风险伤害;(ii)为高风险饮酒者提供有效的简短干预(QuikFix),他们最有可能将干预效果传播给网络中的其他高风险饮酒者。

试验注册

澳大利亚新西兰临床试验注册(ACTRN12621000494831)。

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