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评估综合行为与环境管理大学干预措施(IBEM-U)对减少哥伦比亚大学生酒精消费和重度饮酒的效果:一项随机对照试验方案

Evaluating effects of IBEM-U on decreasing alcohol consumption and heavy episodic drinking among university students in Colombia: Protocol for a randomized control trial.

作者信息

Mejía-Trujillo Juliana, Pérez-Gómez Augusto, de Vries Hein, Mercken Liesbeth

机构信息

Department of Health Promotion, Maastricht University, the Netherlands.

Corporación Nuevos Rumbos, Bogotá, Colombia.

出版信息

Contemp Clin Trials Commun. 2023 Jan 23;32:101075. doi: 10.1016/j.conctc.2023.101075. eCollection 2023 Apr.

Abstract

BACKGROUND

Alcohol misuse is a serious problem among university students in Colombia as well as in other Latin American countries. Studies show consistently that this population presents the highest rates of alcohol use. Despite such a situation, there is a lack of preventive programs for university students in this region of the world. The purpose of this paper is to present the protocol to evaluate a preventive strategy called IBEM-U, based on Motivational Interviewing and the I-Change Model.

METHOD

This protocol shows how the evaluation of the effectiveness of the IBEM-U program will be carried out. A randomized control trial with a within-subjects design with one follow-up at six months after the post-test will be implemented. The comparison group will receive an alternative program similar in length but focusing on another issue. Around 1000 participants over 18 years of age, from at least six different universities around the country, will be recruited.

RESULTS

It is expected that the program will be effective in reducing past month alcohol consumption up to 15% in the experimental group as the main outcome. Secondary and tertiary outcomes include decreasing heavy episodic drinking and increasing knowledge, awareness, risk perception, attitude, self-efficacy, intention, and action planning, regarding heavy episodic drinking.

CONCLUSION

IBEM-U can be considered a highly appropriate approach for reducing alcohol misuse among university students. The main reasons for these results are the self-imposed goals based on long-term purposes, that could be seriously affected by the ingestion of high amounts of alcohol.

摘要

背景

在哥伦比亚以及其他拉丁美洲国家,大学生酗酒是一个严重问题。研究一致表明,这一群体的酒精使用率最高。尽管如此,世界上这个地区针对大学生的预防项目却很缺乏。本文的目的是介绍一项评估名为IBEM-U的预防策略的方案,该策略基于动机性访谈和I-Change模型。

方法

本方案展示了将如何对IBEM-U项目的有效性进行评估。将实施一项随机对照试验,采用受试者内设计,在测试后六个月进行一次随访。对照组将接受一个时长相似但侧重于另一个问题的替代项目。将招募来自该国至少六所不同大学的1000多名18岁以上的参与者。

结果

预计该项目作为主要成果,将使实验组过去一个月的酒精消费量有效减少15%。次要和第三成果包括减少大量饮酒,并增加关于大量饮酒的知识、意识、风险认知、态度、自我效能、意图和行动计划。

结论

IBEM-U可被视为减少大学生酗酒的一种非常合适的方法。取得这些结果的主要原因是基于长期目标的自我设定目标,而大量饮酒可能会严重影响这些目标。

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