Clinical trial NCT03001024: WayToServe Español: Online Responsible Beverage Service Training for Spanish-Speaking Servers
Official title: WayToServe Español: A Culturally-Appropriate Online Responsible Beverage Service Training for Spanish-Speaking Servers
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Alcoholic Intoxication
Lead sponsor: Klein Buendel, Inc.
Sponsor class: INDUSTRY
Collaborators: name: University of Texas, El Paso
First posted: 2016-12-22
Enrollment: 79
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: Responsible Beverage Service Training (RBS) has been shown to be effective and recent research by this research team has shown that online RBS training (WayToServe®) was more effective, particularly over time, than usual and customary (UC) RBS training by live trainers. However, one growing segment of alcohol servers and sellers has been neglected in RBS training efforts: Hispanic primarily Spanish-speaking servers in predominantly Spanish-speaking premises. This project will develop and test the first online RBS training for predominantly Spanish-speaking servers, WayToServe Español, which is culturally and linguistically appropriate and will fill a gap in evidence-based alcohol prevention interventions for this underserved population.

Detailed description: Among the measures against drunk driving available to policy makers and prevention practitioners, Responsible Beverage Service (RBS) training has shown promise. In these programs, alcohol servers are educated in a number of techniques, including correct identification checking, recognizing signs of intoxication in patrons, and managing patrons via drink counting techniques to safely keep them under Driving While Intoxicated blood alcohol limits. Recent reviews of RBS programs have found evidence for effectiveness. However, the diffusion of RBS training and practices has been limited: 18 U.S. states require some form of RBS training, another 18 incentivize training in some way, and the other 14 states have no RBS regulations at all. As a result, while RBS training may be widely available, it is not widely adopted. An overlooked limitation of all RBS training in the U.S., and a limit to its dissemination, is that it is only offered in English and from a mainstream U.S. culture point of view. Proposed here is the development and testing of a Spanish-language version of an evidence-based online RBS training program (WayToServe®) that will be culturally tailored to Hispanic cultural values, experiences, and circumstances: WayToServe Español. The systematic development of WayToServe Español will meet the training needs of an underserved and growing population segment of alcohol servers and sellers - Hispanics who are predominant speakers of Spanish and who often work in premises with many predominantly Spanish-speaking patrons. The proposed Direct-to-Phase II research will be accomplished in two phases. The first phase will entail the iterative and systematic development of WayToServe Español via Spanish-language focus groups and usability testing. The second phase will involve the evaluation of WayToServe Español in Spanish-dominant premises in New Mexico and West Texas via a randomized efficacy trial that randomly assigns premises to either receive WayToServe Español training or Usual and Customary (UC) RBS training. A variety of alcohol service refusal rates will be the primary outcome variable, measured using a pseudo-intoxicated Pseudo-Patron (PP) buyer assessment protocol. Premises will be assessed at baseline, post-training, and 9-month follow up intervals. Should WayToServe Español prove effective, commercialization plans include efforts similar to those for WayToServe® (English), now available in four states (New Mexico, Texas, California, Washington, and under review for approval in Oregon) and having trained nearly 29,000 alcohol servers and sellers. Overall, the project will bolster efforts to diffuse an effective RBS training to underserved Spanish-speaking alcohol servers and sellers, benefitting both them directly and the communities in which they live. WayToServe Español will be the first culturally- and linguistically-appropriate evidence-based RBS training available online in the U.S. for this underserved population.

Eligibility criteria: Inclusion Criteria:

* Speak Spanish Primarily or bilingual in Spanish and English
* Serve alcohol in a Spanish-dominant premise in New Mexico or West Texas
* Age 18 or older

Exclusion Criteria:

* Have a family member who is participating in the project
* Speak English primarily

Primary outcomes:
measure: Alcohol Service Refusal
timeFrame: 9 Months
Secondary outcomes:
measure: Effect Moderator - Physical Layout/Decor of the Establishment
timeFrame: 9 Months
measure: Effect Moderator - Approximate Number of Servers On Duty
timeFrame: 9 Months
measure: Effect Moderator - Approximate number of patrons
timeFrame: 9 Months
measure: Effect Moderator - Gender of Server Who Interacts with PP buyer
timeFrame: 9 Months
measure: Effect Moderator - Approximate Age of Server Who Interacts with PP Buyer
timeFrame: 9 Months
measure: Effect Moderator - Server and PP buyer Interaction - Duration
timeFrame: 9 Months
measure: Effect Moderator - Server and PP Buyer Interaction - Server Comments
timeFrame: 9 Months
measure: Effect Moderator - Server and PP Buyer Interaction - Server Interference
timeFrame: 9 Months
measure: Effect Moderator - Onsite or Off-site Premise
timeFrame: 9 Months
measure: Effect Moderator - New Mexico or Texas
timeFrame: 9 Months
Other outcomes:
Locations:
city: Golden
country: United States
facility: Klein Buendel, Inc.
state: Colorado
city: El Paso
country: United States
facility: University of Texas, El Paso
state: Texas
Study officials:
affiliation: Klein Buendel, Inc.
name: Gill Woodall, PhD
role: PRINCIPAL_INVESTIGATOR
References: