Community-Based Research Institute (CBRI), Florida International University, Miami, FL, USA.
Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, USA.
J Am Coll Health. 2024 Aug-Sep;72(6):1785-1795. doi: 10.1080/07448481.2022.2090258. Epub 2022 Jul 11.
Alcohol and other drug (AOD) use problems among college students continue to represent a public health epidemic. In 2019, historically high rates of binge-drinking and marijuana use were reported among college-age adults, and the detrimental effects of excessive AOD use in college, such as poorer academic performance, sexual assault, injury or overdoses, and a range of other negative consequences, have been well-documented. Thus, there is a continued need for effective implementation of evidence-based, cost-effective interventions aimed at reducing risks associated with collegiate AOD use. Guided Self Change (GSC) is a brief intervention involving motivational enhancement and cognitive-behavioral strategies and has demonstrated effectiveness in reducing AOD use problems. Its brevity, client-driven style, and concrete here-and-now focus are appealing to individuals struggling with mild to moderate AOD use problems. In order to successfully intervene with collegians with AOD use problems attending minority-serving institutions, GSC requires developmental and cultural tailoring. The current report describes the developmental and cultural tailoring of GSC for emerging adult Latinx collegians, as well as our consumer-driven addition of mindfulness content. Key components of our GSC program are documented through qualitative feedback, quantitative results, and case vignettes.
大学生的酒精和其他药物(AOD)使用问题继续构成公共卫生的一大难题。在 2019 年,大学生群体中出现了历史上最高的狂饮和大麻使用报告率,而且在大学中过度使用 AOD 会带来一系列负面影响,例如学业成绩下降、性侵犯、受伤或药物过量以及其他各种负面后果,这些已经得到了充分的证明。因此,需要继续有效地实施基于证据、具有成本效益的干预措施,以降低与大学生 AOD 使用相关的风险。自我引导改变(GSC)是一种简短的干预措施,涉及动机增强和认知行为策略,已被证明可有效减少 AOD 使用问题。它的简洁性、以客户为导向的风格以及具体的此时此地重点,吸引了那些正在与轻度到中度 AOD 使用问题作斗争的人。为了成功干预在少数族裔服务机构就读的大学生的 AOD 使用问题,GSC 需要进行发展和文化方面的调整。本报告描述了针对拉丁裔成年大学生的 GSC 的发展和文化调整,以及我们以消费者为导向增加的正念内容。通过定性反馈、定量结果和案例小插图记录了我们 GSC 计划的关键组成部分。