Tia Mann James Madison University Julie Lyzinski, Tamarah Smith-Dyer University of Pennsylvania.
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Transcript of Tia Mann James Madison University Julie Lyzinski, Tamarah Smith-Dyer University of Pennsylvania.
THE ABCS OF ALLIANCES, BASICS,
AND COHORT BMI
Tia Mann
James Madison University
Julie Lyzinski, Tamarah Smith-Dyer
University of Pennsylvania
Objectives Describe the successful development a of
collaborative campus-wide BASICS program
Describe the value of a longitudinal assessment design for BASICS
Review the findings of a matched participant design to determine the impact of BASICS
Review the lessons learned from BASICS implementation and evaluation
Evolution of BASICS
University’s Counseling Center
University Health Center’s
Substance Abuse Prevention
BASICS Prevention Specialist
What are the selling points?
BASICS
Judicial Affairs
Residence Life
AthleticsFacult
y
General District Court
Self-referrals
Center for Assessment
and Research Studies
Implementation: Evaluation:
What we already had:
Microsoft Access assessment Campus survey system (Qualtrics)
Students’ email addresses
Access Assessment Daily Drinking Questionnaire (DDQ) Alcohol Use Disorders Identification Test
(AUDIT) Drug Abuse Screening Test (DAST) Rutgers Alcohol Problem Index (RAPI) Alcohol Perceived Risks Assessment Readiness/Confidence to Change Rulers Drinking Norms Rating Form Alcohol Temptations Decisional Balance
FEEDBACK
REPORT
1-month and 3-month Posttest Delivered through Qualtrics survey system
Included:
DDQ
AUDIT
DAST
RAPI
Alcohol Temptations
Readiness/Confidence to Change Rulers
Students matched through ID #
Approx. 10 minutes each to complete
$10 incentive to complete both 1and 3-month
SAMPLE
Evaluation Criteria Goal: Students will decrease their negative consequences associated with substance use. Objective 1a: Upon completion of BASICS, students will show at least a 2-point decrease in RAPI score from the
pretest to 1-month posttest. Objective 1b: Upon completion of BASICS, students will maintain or decrease in RAPI score from the 1-month
posttest to the 3 month posttest.
Goal: Students will decrease their overall levels (quantity) of alcohol consumption. Objective 2a: Upon completion of BASICS, students will show a 3-drink weekly decrease in quantity from the pretest
to the 1 month posttest. Objective 2b: Upon completion of BASICS, students will maintain or decrease in quantity from the 1-month posttest
to the 3 month posttest.
Goal: Students will decrease their level of harm associated with alcohol use. Objective 3a: On the 1 month posttest, students will show at least a 2-point decrease in AUDIT score from the
pretest. Objective 3b: On the 3 month posttest, students will maintain or decrease in AUDIT score from the 1- month
posttest.
Goal: Students will decrease their overall alcohol temptations. Objective 4a: Upon completion of BASICS, students will show at least a 3-point decrease in alcohol temptation score
from the pretest to the 1 month posttest. Objective 4b: Upon completion of BASICS, students will maintain or decrease in alcohol temptation score from the
1-month posttest to the 3 month posttest.
1-month ResultsVariable Mean (SD) Pre-Test Mean (SD) Post-Test
Difference in Mean Scores
Effect Size (d)
Drink Quantity 19.94 (20.05) 13.13 (12.66) -6.81* 0.41
Drink Frequency 2.56 (1.15) 2.25 (1.61) -0.31 0.22
Peak BAC 0.13 (0.11) 0.10 (0.08) -0.03 0.31
Binge Drinking 1.63 (0.50) 1.63 (0.50) 0 0
AUDIT Total Score 12.63 (6.04) 7.25 (4.28) -5.38** 1.03
RAPI Total Score 23.31 (5.08) 20.31 (3.00) -3.00* 0.72
Situational Temptations Score
47.13 (15.81) 44.50 (14.89) -2.63 0.17
Response Means by Variable across Time.* denotes p < .05. ** denotes p < .001
1 and 3-month ResultsVariable
Mean (SD) Pre-
Test
Mean (SD) Post-
Test 1
Mean (SD) Post-
Test 2Effect Size (ηG
2)
Drink Quantity* 20.63 (18.23) 14.47 (12.36) 13.16 (10.02) .10
Drink Frequency 2.63 (1.07) 2.37 (1.54) 2.16 (1.17) .04
Peak BAC* 0.19 (0.12) 0.11 (0.09) 0.12 (0.09) .17
AUDIT Scale* 10.37 (5.16) 8.63 (5.17) 7.32 (5.05) .11
RAPI Scale 22.68 (4.92) 20.74 (3.94) 20.16 (2.83) .08
Temptations
Scale48.79 (14.97) 48.53 (14.98) 46.05 (15.09) .01
Response Means by Variable Across Time. * indicates significance of One-Way Repeated-Measures ANOVA.
Lessons Learned Challenges
Consistent BASICS referral process
Consistent student attendance
Where to “house” BASICS
Justification for full-time BASICS position
Successes
Evaluation incentive
Collaboration with CARS
Early Athletics buy-in
References Babor, T. F., Biddle-Higgins, J. C., Saunders, J. B. & Monteiro, M. G. (2001). AUDIT:
The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Health Care. Geneva, Switzerland: World Health Organization.
Collins, R. L., Parks, G. A., Marlatt, G. A. (1985). Social determinants of alcohol consumption: The effects of social interaction and model status on the self-administration of alcohol. Journal of Consulting Clinical Psychology, 53, 189–200.
Dimeff, L. A., Baer, J. S., Kivlahan, D. R., Marlatt, G. A. Brief Alcohol Screening and Intervention for College Students: A Harm Reduction Approach. New York, NY: Guilford Press; 1999.
Maddock, J. E., Laforge, R. G., & Rossi, J. S. (2000). Short form of the situational temptations scale for heavy, episodic drinking. Journal of Substance Abuse, 11, 281-288.
Saunders, J. B., Aasland, O. G., Babor, T. F., de la Fuente, J. R. & Grant, M. (1993). Development of the Alcohol Use Disorders Screening Test (AUDIT). WHO collaborative project on early detection of persons with harmful alcohol consumption. II. Addiction 88, 791-804.
White H. R., & Labouvie E.W. (1989). Towards the assessment of adolescent problem drinking. Journal of Studies on Alcohol, 50, 30–37.
Questions?
Contact:
Tia Mann
BASICS Prevention Specialist
540-568-3317