Goal: Test the efficacy of a primary care-based brief intervention protocol in a sample of college students. Outcomes of interest include reductions in a) high-risk drinking; b) injuries, accidents and other health effects; c) high-risk sexual activity; d) unwanted sexual experiences; e) violence; f) contacts with dean of students office, university police and other legal agencies; and g) health care utilization events; as well as improved academic performance. Background: A 2001 national survey of colleges conducted by the Center for Alcohol Studies at the Harvard School of Public Health (Weschler, 2002) found that 44% of college students reported consuming five or more alcoholic drinks in a row at least once in the previous two weeks. Parents, college alumni, university leaders and others are increasingly concerned about the safety of young people on college campuses and the adverse effects of alcohol on the academic environment. While brief intervention studies have been conducted in many populations and settings, this method has not been tested in primary care college health centers. Method: Students will be asked to complete an embedded alcohol questionnaire at routine visits to a primary care provider at five student health centers in Wisconsin. Men and women who are enrolled as full time students who screen positive for high-risk drinking will be invited to participate in a health interview by a researcher. Students who meet eligibility criteria will be randomized to a """"""""usual care"""""""" control group or a """"""""brief intervention group"""""""". An intervention will be conducted by a primary care provider and utilizing a scripted workbook. Intervention will consist of two 15-20 minute provider visits and two 5-10 minute follow up phone calls. All subjects will be contacted at 6, 12, 18 and 24 months by telephone to assess changes in outcomes of interest. Additional sources of data include corroborative interview with a friend, university records, local hospital records and state legal records. Power analysis suggests 500 students in each arm of the trial will have sufficient power to detect a difference between groups. Significance: The proposed trial will significantly increase our understanding of how to reduce alcohol use and alcohol-related harm among college students. A positive trial would have important implications for the 4000 colleges and universities in the United States.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA014685-04
Application #
7239627
Study Section
Special Emphasis Panel (ZAA1-FF (20))
Program Officer
Arroyo, Judith A
Project Start
2004-05-01
Project End
2009-04-30
Budget Start
2007-05-01
Budget End
2008-04-30
Support Year
4
Fiscal Year
2007
Total Cost
$415,572
Indirect Cost
Name
University of Wisconsin Madison
Department
Family Medicine
Type
Schools of Medicine
DUNS #
161202122
City
Madison
State
WI
Country
United States
Zip Code
53715
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Mundt, Marlon P; Zakletskaia, Larissa I (2012) Prevention for college students who suffer alcohol-induced blackouts could deter high-cost emergency department visits. Health Aff (Millwood) 31:863-70
Mackenzie, Sara; Wiegel, Jennifer R; Mundt, Marlon et al. (2011) Depression and suicide ideation among students accessing campus health care. Am J Orthopsychiatry 81:101-7
Zakletskaia, Larissa; Wilson, Ellen; Fleming, Michael Francis (2011) Alcohol use in students seeking primary care treatment at university health services. J Am Coll Health 59:217-23
Halperin, Abigail C; Smith, Stevens S; Heiligenstein, Eric et al. (2010) Cigarette smoking and associated health risks among students at five universities. Nicotine Tob Res 12:96-104
Fleming, Michael F; Balousek, Stacey L; Grossberg, Paul M et al. (2010) Brief physician advice for heavy drinking college students: a randomized controlled trial in college health clinics. J Stud Alcohol Drugs 71:23-31
Grossberg, Paul; Halperin, Abigail; Mackenzie, Sara et al. (2010) Inside the physician's black bag: critical ingredients of brief alcohol interventions. Subst Abus 31:240-50
Certain, Heather E; Harahan, Brian J; Saewyc, Elizabeth M et al. (2009) Condom use in heavy drinking college students: the importance of always using condoms. J Am Coll Health 58:187-94
Saewyc, Elizabeth M; Brown, David; Plane, MaryBeth et al. (2009) Gender differences in violence exposure among university students attending campus health clinics in the United States and Canada. J Adolesc Health 45:587-94
Zakletskaia, Larissa I; Mundt, Marlon P; Balousek, Stacey L et al. (2009) Alcohol-impaired driving behavior and sensation-seeking disposition in a college population receiving routine care at campus health services centers. Accid Anal Prev 41:380-6

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