Substance Use Risk Education (SURE) Project

Study Overview
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Brief Summary
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This project is designed to compare college drinking interventions on outcomes and cost-effectiveness. We plan to recruit 700 students with residence hall alcohol violations to participate in a randomized study to evaluate 3 brief interventions: in-person brief motivational intervention, Alcohol 101plus (an interactive CD-ROM program), and AlcoholEdu (a Web-based tutorial). Participants will be followed over 12 months to determine changes in alcohol consumption and related problems. We will also explore which participants might respond better to one intervention vs the others.

Detailed Description
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Many college students engage in heavy episodic drinking, a pattern that increases risks of undesired academic, social, health, and legal consequences. Fortunately, brief motivational interventions - when administered during face-to-face sessions by a trained counselor - can help students to reduce their heavy drinking and related consequences. However, use of such counselor-administered interventions on college campuses remains infrequent; instead, administrators rely on computerized brief interventions because they can be administered with fewer staff at lower cost. Two computer-administered interventions (AlcoholEdu and Alcohol 101 Plus) are used by more than 1,000 colleges and universities nationwide, even though these interventions have not been evaluated in controlled studies. Despite the magnitude of the college-drinking problem, no data have addressed the differential efficacy (or cost-effectiveness) of the computer-administered versus counselor-administered brief motivational interventions. Thus, the primary purpose of the proposed research is to address gaps in the scientific literature by evaluating outcomes of three types of brief motivational interventions: a theoretically-based and empirically-tested counselor-administered intervention and the two most popular computerized interventions. A secondary purpose of the proposed research is to identify predictors of outcomes, and moderators associated with differential intervention response. A tertiary purpose is to assess the cost-effectiveness of three types of brief motivational interventions. The proposed research will be a randomized controlled trial with four treatment conditions and four assessment occasions. We will recruit at-risk student drinkers who have been sanctioned to receive an alcohol education intervention because they violated a residence hall policy. These referred students will be randomized to one of the three interventions, or to a delayed intervention control; and assessed at baseline and again 1, 6, and 12 months later on key drinking and drinking consequences outcomes.

Official Title
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Brief Alcohol Interventions by Counselor vs Computer

Conditions
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Alcohol Abuse, Alcohol Drinking

Intervention / Treatment
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* Behavioral: Counselor-administered Brief Motivational Intervention (BMI)
* Behavioral: Alcohol 101 Plus (interactive CD-ROM)
* Behavioral: AlcoholEdu (Internet-based tutorial)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Freshman, sophomore, and junior college students Students sanctioned for an alcohol-related violation on campus Exclusion Criteria: Year in college: senior

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 25 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: 1<br>in-person brief motivational intervention | Behavioral: Counselor-administered Brief Motivational Intervention (BMI)<br>* Students participate in a randomized study to evaluate 3 brief interventions: in-person brief motivational intervention, Alcohol 101plus (an interactive CD-ROM program), and AlcoholEdu (a Web-based tutorial). Participants will be followed over 12 months to determine changes in alcohol consumption and related problems.<br>|
| Active Comparator: 2<br>Alcohol 101plus | Behavioral: Alcohol 101 Plus (interactive CD-ROM)<br>* Students participate in a randomized study to evaluate 3 brief interventions: in-person brief motivational intervention, Alcohol 101plus (an interactive CD-ROM program), and AlcoholEdu (a Web-based tutorial). Participants will be followed over 12 months to determine changes in alcohol consumption and related problems.<br>|
| Active Comparator: 3<br>AlcoholEdu (a Web-based tutorial). | Behavioral: AlcoholEdu (Internet-based tutorial)<br>* Students participate in a randomized study to evaluate 3 brief interventions: in-person brief motivational intervention, Alcohol 101plus (an interactive CD-ROM program), and AlcoholEdu (a Web-based tutorial). Participants will be followed over 12 months to determine changes in alcohol consumption and related problems.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| mean number of drinks per week |  | 12 months | 
| drinks per drinking day |  | 12 months | 
| frequency of heavy drinking episodes |  | 12 months | 
| peak blood alcohol concentration (BAC) |  | 12 months | 
| Rutgers Alcohol Problems Index (RAPI) score |  | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| readiness to change |  | 12 months | 
| decisional balance |  | 12 months | 
| client satisfaction |  | 12 months | 
| norms perception |  | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Alcohol Abuse, Alcohol Drinking, Intervention Studies, Computer-Assisted Instruction, College Students