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Impact of a University Alcohol Policy Change on Bystander Responses to Alcohol-Related Medical Emergencies 大学酒精政策变化对旁观者对酒精相关医疗紧急事件反应的影响
IF 0.8 Q4 Medicine Pub Date : 2018-12-01 DOI: 10.1177/0047237919880949
A. Haas, Nicholas C Welter
Two studies evaluated the implementation of a stricter campus underage drinking policy on service utilization and bystander helping behaviors for alcohol-related medical emergencies. A program evaluation (Study 1) examined campus emergency medical service logs assessing changes in call volume and service utilization, finding a 30% reduction in call volume postpolicy change. Study 2 provided a qualitative data summarizing campus first responder (N = 35) accounts of off-duty alcohol-related emergency calls. Off-duty calls increased postpolicy change and thematic analyses indicated they were (a) motivated by fear of campus sanctions, (b) often yielded delays or failures to contact campus emergency staff, and (c) resulted from student misunderstandings of policy implications for bystander helpers. Findings highlight potential challenges in executing environmental strategies to reduce college drinking.
两项研究评估了更严格的校园未成年人饮酒政策在酒精相关医疗紧急情况下的服务利用和旁观者帮助行为的实施情况。一项项目评估(研究1)检查了校园紧急医疗服务日志,评估了呼叫量和服务利用率的变化,发现政策变化后呼叫量减少了30%。研究2提供了一个定性数据,总结了校园第一反应者(N = 35)下班后与酒精有关的紧急电话。下班电话增加了政策后的变化,主题分析表明,这些电话(a)是出于对校园制裁的恐惧,(b)经常导致延误或未能联系校园应急人员,(c)是由于学生对政策对旁观者助手的影响误解。研究结果突出了在执行减少大学饮酒的环境战略方面的潜在挑战。
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引用次数: 0
Media and Education Effect on Impaired Driving Associated With Alcohol Service. 媒体和教育对酒后驾驶的影响
IF 0.8 Q4 Medicine Pub Date : 2018-12-01 Epub Date: 2019-07-03 DOI: 10.1177/0047237919859658
Michael D George, Ashley Bodiford, Caroline Humphries, Kristy A Stoneburner, Harold D Holder
This study tested a three-component community prevention intervention with alcohol businesses to reduce alcohol overservice and to reduce drinking and driving crashes using a longitudinal design. The intervention involved a responsible beverage serving practices toolkit, a series of on-site visits from law enforcement, and a supporting media campaign. The effort achieved a reduction in the monthly percentage of drivers arrested for driving under the influence who cited the alcohol-licensed establishments as the place of last drink, and the number of establishments mentioned 2+ times as well as a decline in alcohol-involved crashes in the 12-month postintervention period. Results supported a conclusion that the intensive intervention media can achieve a reduction in the frequency with which drinking drivers utilized bars and restaurants and overall impaired driving-related crashes.
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引用次数: 3
Protective Behavioral Strategies and Hazardous Drinking Among College Students: The Moderating Role of Psychological Distress. 大学生保护行为策略与危险饮酒:心理困扰的调节作用。
IF 0.8 Q4 Medicine Pub Date : 2018-03-01 Epub Date: 2018-09-24 DOI: 10.1177/0047237918800505
Hallie R Jordan, Margo C Villarosa-Hurlocker, Asia L Ashley, Michael B Madson
There is increasing evidence that mental health problems may attenuate the relationship between protective behavioral strategies (PBS) and alcohol outcomes. However, psychological distress may also affect these relationships. Further, it appears that different types of PBS have differential relationships with alcohol outcomes. The current study examined the degree to which psychological distress moderated the associations PBS subtypes had with hazardous drinking and alcohol-related negative consequences. Participants were 632 traditional-age undergraduate students (M = 20.04, standard deviation = 1.48) who had consumed alcohol within the past 30 days and completed online self-report measures designed to assess PBS use, level of psychological distress, hazardous drinking patterns, and alcohol-related negative consequences. Serious harm reduction PBS were associated with less hazardous drinking and less alcohol-related negative consequences, and these associations were strengthened for those experiencing greater psychological distress. Controlled consumption PBS were associated with less hazardous drinking, but this association was not moderated by psychological distress. These findings highlight the potential benefit of teaching serious harm reduction PBS to college students experiencing elevated levels of psychological distress.
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引用次数: 9
Vaping in Context: Links Among E-cigarette Use, Social Status, and Peer Influence for College Students 语境中的Vaping:大学生电子烟使用、社会地位和同伴影响之间的联系
IF 0.8 Q4 Medicine Pub Date : 2018-03-01 DOI: 10.1177/0047237918807706
Lacey N. Wallace, Michael J. Roche
In this study, we examined how the number of friends and leadership among peers related to e-cigarette use and beliefs about the social consequences of use among college students. Data were collected via web survey from 175 university students in 2016. Regression techniques were used to analyze responses. Neither number of friends nor role in a peer group was associated with e-cigarette use. Having more friends who used e-cigarettes was positively associated with being offered an e-cigarette, likelihood of accepting a future offer, and e-cigarette use. Perceived social impact was positively related to frequency of use and likelihood of accepting an offered e-cigarette. Those using e-cigarettes more frequently and those with friends using e-cigarettes perceived e-cigarette use as having a positive social effect.
在这项研究中,我们调查了大学生中朋友的数量和同龄人中的领导力与电子烟的使用以及对使用电子烟的社会后果的看法之间的关系。2016年,通过网络调查收集了175名大学生的数据。回归技术用于分析响应。朋友的数量和在同伴群体中的角色都与电子烟的使用无关。拥有更多使用电子烟的朋友与被提供电子烟、接受未来提议的可能性和电子烟使用呈正相关。感知到的社会影响与使用电子烟的频率和接受提供的电子烟的可能性呈正相关。那些经常使用电子烟的人和那些有朋友使用电子烟的人认为电子烟的使用具有积极的社会影响。
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引用次数: 22
Protective Behavioral Strategies and Alcohol Use Outcomes Among College Students: The Moderating Effects of Negative Affect 大学生保护行为策略与饮酒结果:负面情绪的调节作用
IF 0.8 Q4 Medicine Pub Date : 2018-03-01 DOI: 10.1177/0047237918807890
Jessica Samuolis, A. Loser, A. Tyrrell
The current study examined negative affect as a moderator of the relationships between protective behavioral strategies (PBS) used to reduce alcohol-related risk and alcohol use outcomes. Data were obtained from 267 college students using a web-based survey. The use of PBS (i.e., setting a limit on number of drinks, alternating drinks with water, avoiding drinking games) was associated with alcohol use and negative alcohol-related consequences. Negative affect symptoms moderated these relationships such that these relationships were stronger for those students who reported a greater number of negative affect symptoms. The findings indicate that the use of PBS by college students who consume alcohol are more protective for those with poorer mental health.
目前的研究将负面影响作为用于降低酒精相关风险的保护性行为策略(PBS)与酒精使用结果之间关系的调节因素。数据是通过网络调查从267名大学生中获得的。PBS的使用(即设定饮料数量限制、交替饮水、避免饮酒游戏)与饮酒和负面的酒精相关后果有关。负面情绪症状调节了这些关系,因此对于那些报告了大量负面情绪症状的学生来说,这些关系更牢固。研究结果表明,饮酒的大学生使用PBS对心理健康状况较差的人更有保护作用。
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引用次数: 2
Medical Marijuana Laws and Marijuana Use Among U.S. Adolescents: Evidence From Michigan Youth Risk Behavior Surveillance Data. 医用大麻法律与美国青少年大麻使用:来自密歇根州青少年风险行为监测数据的证据。
IF 0.8 Q4 Medicine Pub Date : 2018-03-01 Epub Date: 2018-10-09 DOI: 10.1177/0047237918803361
Xinguang Chen, Bin Yu, Bonita Stanton, Robert L Cook, Ding-Geng Din Chen, Chukwuemeka Okafor
Research findings are inconsistent regarding a positive association between the passage of state medical marijuana laws (MML) and the adolescent access and the use of marijuana. We utilized a novel analytical approach to examine this issue with multiyear data from the 1997–2013 Youth Risk Behavior Surveillance System of the State of Michigan. After controlling for the historically declining trend in marijuana use prior to the passages of MML in Michigan, we found that marijuana use among adolescents had increased subsequent to the passage of state MML. The study findings suggest the need for considering the increased risk of marijuana use in adolescents, as more states have implemented laws permitting marijuana use.
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引用次数: 6
Personality, Self-Esteem, and Perceived Stress in Communal Residences Supporting Recovery. 支持康复的公共住宅的人格、自尊和感知压力。
IF 0.8 Q4 Medicine Pub Date : 2017-09-01 Epub Date: 2018-09-10 DOI: 10.1177/0047237918800018
Angela Reilly, Edward B Stevens, Leonard A Jason

The current study examined the relationships between a personality metatrait (Stability consisting of conscientiousness, agreeableness, and neuroticism), self-esteem, and stress in an adult population of individuals with substance use disorders living in recovery homes. Adults ( N = 229) residing in 42 residential recovery settings were interviewed as part of the first wave of a longitudinal study in three sites. Standard error of the mean analysis found significant effects for several demographic variables on Stability, and Stability was significantly related both directly and indirectly to stress. These findings suggest that individual differences at entry may influence recovery home effects and may be important to developing more effective aftercare systems.

目前的研究调查了生活在康复院的成年物质使用障碍患者的人格元特征(由责任心、宜人性和神经质组成的稳定性)、自尊和压力之间的关系。作为在三个地点进行的纵向研究的第一波的一部分,对居住在42个住宅康复机构的成年人(N = 229)进行了访谈。均值分析的标准误差发现,几个人口统计学变量对稳定性有显著影响,稳定性与压力有直接和间接的显著关系。这些发现表明,入院时的个体差异可能会影响康复家庭效应,并可能对开发更有效的善后系统很重要。
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引用次数: 4
Attitudes and Practices Regarding Responsible Beverage Service: Focus Group Discussions With Bar and Restaurant Management and Staff. 关于负责任的饮料服务的态度和做法:与酒吧和餐厅管理人员和员工的焦点小组讨论。
IF 0.8 Q4 Medicine Pub Date : 2017-09-01 Epub Date: 2018-08-19 DOI: 10.1177/0047237918790550
Alexandra M Ecklund, Dawn M Nederhoff, Shanda L Hunt, Keith J Horvath, Toben F Nelson, Jennifer E Plum, Traci L Toomey

Staff and management of bars and restaurants are the key players in assuring responsible beverage service (RBS) and preventing the overservice of alcohol to intoxicated patrons. We conducted six focus group discussions ( N = 42) with management and staff from bars and restaurants about RBS. We compared findings from these current discussions to results of focus group discussions conducted in the 1990s. In comparison to the earlier focus group discussions, we found that many managers and staff members had experience with RBS training programs, establishments generally had written alcohol service policies, and managers and staff members perceived greater likelihood of facing consequences from law enforcement for serving underage youth. Managers and servers also expressed greater concern about overservice of alcohol but did not report greater concern about potential legal consequences for overservice of alcohol than participants from the 1990s focus groups. Results of this study can inform training and enforcement approaches to addressing overservice of alcohol.

酒吧和餐馆的员工和管理人员是确保负责任的饮料服务(RBS)和防止酒精过度服务给醉酒的顾客的关键角色。我们与酒吧和餐馆的管理层和员工就RBS进行了6次焦点小组讨论(N = 42)。我们将这些当前讨论的结果与20世纪90年代进行的焦点小组讨论的结果进行了比较。与早期的焦点小组讨论相比,我们发现许多管理人员和工作人员都有苏格兰皇家银行培训计划的经验,机构通常有书面的酒精服务政策,管理人员和工作人员认为,为未成年人提供服务更有可能面临执法后果。管理人员和服务员也对酒精服务过度表示了更大的关注,但与20世纪90年代焦点小组的参与者相比,他们对酒精服务过度的潜在法律后果没有更大的关注。这项研究的结果可以为解决酒精过度服务的培训和执法方法提供信息。
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引用次数: 5
Impact of Brief Intervention Workshops on Addiction Provider Knowledge, Skills, Negative Attitudes, and Interest in Implementing Evidence-Based Practices. 短期干预研讨会对成瘾提供者知识、技能、消极态度和实施循证实践的兴趣的影响。
IF 0.8 Q4 Medicine Pub Date : 2017-09-01 Epub Date: 2018-09-25 DOI: 10.1177/0047237918800985
Diana M Doumas, Susan Esp, Raissa Miller

This study evaluated the impact of Motivational Interviewing (MI) and Screening, Brief Intervention, and Referral to Treatment (SBIRT) workshops on posttraining knowledge, skills, negative attitudes, and interest in implementing evidence-based practices (EBPs). Participants ( N = 70) were primarily mental health counselor (41.4%), social workers (20.0%), substance abuse counselors (15.7%), school counselors (5.7%), and nursing professionals (4.3%) who selected the 1- or 2-day workshop for continuing education credit. Participants attended either a Basic MI training workshop (1 day) or a Basic MI training plus an advanced MI/SBIRT training workshop (2 days) to assess if exposure to two EBPs would improve training outcomes. Participants in both the 1-day and 2-day workshops reported posttraining increased perceived knowledge and skills, decreased negative attitudes toward EBPs, and increased interest in implementing EBPs from pretraining to posttraining. There were no differences between participants in the Basic MI or MI plus advanced MI/SBIRT training conditions. Implications for reducing the research-practice gap in EBPs are discussed.

本研究评估了动机性访谈(MI)和筛选、短暂干预和转诊治疗(SBIRT)研讨会对培训后知识、技能、消极态度和实施循证实践(ebp)的兴趣的影响。参与者(N = 70)主要为心理健康咨询师(41.4%)、社会工作者(20.0%)、药物滥用咨询师(15.7%)、学校咨询师(5.7%)和护理专业人员(4.3%),他们选择参加为期1- 2天的研讨会以获得继续教育学分。参与者参加基础MI培训工作坊(1天)或基础MI培训加高级MI/SBIRT培训工作坊(2天),以评估接触两个ebp是否会改善培训结果。在为期1天和2天的研讨会上,参与者都报告了培训后感知到的知识和技能增加,对ebp的负面态度减少,并且从培训前到培训后对实施ebp的兴趣增加。在基本MI或MI加高级MI/SBIRT训练条件下,参与者之间没有差异。讨论了减少ebp研究与实践差距的意义。
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引用次数: 2
Pour Convergence: College Students' Definitions and Free-Poured Volumes of Standard Alcohol Servings. 倒量趋同:大学生对标准酒精份量的定义和自由倒量。
IF 0.8 Q4 Medicine Pub Date : 2017-03-01 Epub Date: 2017-12-08 DOI: 10.1177/0047237917744329
Carolynn S Kohn, Nicole R Schultz, Katrina Bettencourt, Heather Dunn Carlton

We examined the correspondence between college students' ( N = 192, 71% women) definitions of free-pours and their free-poured volumes of beer, wine, and liquor. Participants' mean beer definitions and free-pours were positively correlated; participants' mean wine and liquor definitions were larger than their free-pours, which were fairly accurate. Contrary to what the aggregate mean values indicated, fewer than half of the participants accurately free-poured a standard volume of beer, wine, or liquor (37.4%, 35.1%, and 22.2%, respectively) or provided an accurate definition of beer (45.8%); similar to the aggregate data, few participants provided accurate definitions of standard serving of wine (12.2%) or liquor (12.8%) Instead, a majority of participants' definitions and free-pours were well over or under a standard serving. For all three types of alcohol, there was little correspondence between each individual participant's definitions and his or her free-poured volumes. These data suggest analyses of individual data points may provide information important for data collection, prevention, and intervention strategies.

我们检查了大学生(N = 192, 71%是女性)对免费倒酒的定义与他们免费倒啤酒、葡萄酒和白酒的量之间的对应关系。参与者的平均啤酒定义和免费啤酒正相关;参与者对葡萄酒和烈酒的平均定义大于他们的自由倒酒,这是相当准确的。与总体平均值相反,不到一半的参与者准确地免费倒了标准体积的啤酒、葡萄酒或白酒(分别为37.4%、35.1%和22.2%)或提供了啤酒的准确定义(45.8%);与总体数据类似,很少有参与者对葡萄酒(12.2%)或白酒(12.8%)的标准份量给出准确的定义,相反,大多数参与者的定义和免费倒酒量远远超过或低于标准份量。对于所有三种类型的酒精,每个参与者的定义和他或她的自由倒量之间几乎没有对应关系。这些数据表明,对单个数据点的分析可能为数据收集、预防和干预策略提供重要信息。
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引用次数: 2
期刊
JOURNAL OF DRUG EDUCATION
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