College Drinking Prevention - Changing the Culture
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Executive Summary

The National Institute on Alcohol Abuse and Alcoholism (NIAAA) is committed to helping colleges and universities reduce alcohol-related problems on their campuses, protect students from harm, and improve quality of life for the entire campus community. To guide future efforts, the Advisory Council on Alcohol Abuse and Alcoholism established a Task Force on College Drinking to review and report on the existing research on college student drinking, including evaluations of campus and community policies, prevention programs, and early intervention strategies. A summary of the Task Force’s report, A Call to Action: Changing the Culture of Drinking at U.S. Colleges, provides college administrators and program specialists with a useful overview of these evaluations, which can be used to inform future program and policy development (see http://www.collegedrinkingprevention.gov for complete text of the report).

This brief guide is intended to provide some direction as to how this research can be incorporated most effectively into an explicit planning process to not only maximize the impact of any prevention strategy, but also to actively monitor any intervention’s implementation and local impact. By tightly integrating evaluation into prevention planning and management, college administrators and program staff can assure themselves that objectives are clear to all, and that precious resources are being spent effectively. More broadly, our hope is that, when greater numbers of college and university administrators commit their institutions to sound planning and evaluation, all of us will benefit from their work. The following paragraphs show how the guide is organized.

Steps for Effective Prevention Planning and Evaluation

Thinking about the evaluation as part of the planning process will sharpen everyone’s thinking about the program: its mission, its goals, its objectives, and the activities designed to meet those objectives. The process for developing and evaluating prevention programs and policies can be divided into five basic steps:

  1. Identifying specific goals and objectives
  2. Reviewing the evaluation research
  3. Outlining how the intervention will work
  4. Creating and executing a data collection plan
  5. Providing feedback to the intervention program.

1. Identify Specific Goals and Objectives

The problem—student drinking—is obvious, but exactly which goals and objectives should be specified to guide campus prevention efforts is not. Is the goal to eliminate college student drinking? Limit excessive consumption of alcohol? Eliminate alcohol-related behavior problems? Protect student drinkers from harm? Should the prevention effort focus on student drinking on campus, or should it also cover off-campus behavior? How college officials answer these questions will depend on several factors: the philosophy and academic mission of the institution, the nature of the student alcohol problem, the level of prevention resources available, the views and opinions of key constituencies, the characteristics of the surrounding community, and the cultural and political context in which the school operates.

Having an evaluator be part of the planning process from the beginning will help guarantee that staff have listed out specific goals and objectives. In turn, these goals and objectives can be translated into specific outcomes that are assessed through the evaluation process. The evaluator can help a college’s officials reach consensus on their specific goals and objectives. This is a good example of how planning an intervention can help shape the intervention as well.

2. Review Research on College Drinking Interventions

The next step is to review program and policy options that might be applied to achieve the outlined goals and objectives. We present a typology of prevention interventions that comprises programs and policies classified into one of the following levels: 1) individual, 2) group, 3) institution, 4) community, and 5) State and Federal public policy. Many areas of strategic intervention can be pursued at one or several levels of the social ecological framework. Implementing multiple strategies from these various levels would greatly increase the likelihood of the objective being achieved.

In this section we summarize some of the major findings from a review of the literature on college-focused prevention, organized according to the levels of intervention (1-5 above).

3. Outline How the Intervention Will Work

A review of available research, plus consultations with other college and university prevention specialists, will suggest a set of program and policy options that can be adopted. The next planning step is to outline the chain of events that will lead from implementation of each component program or policy to its specific (and measurable) objective. This is often called building the “logic model” for the intervention. We provide a simple example of the kind of flow chart that is often the clearest and most economical way of presenting this information (see Figure 1).

There are several reasons why this step is important:

  • First, developing the logic model will pinpoint areas of uncertainty, confusion, or disagreement among members of the planning team.
  • Second, work on the logic model can make transparent any false assumptions that need to be addressed.
  • Third, development of the logic model will help guarantee that all program activities and policies can be logically linked to the achievement of specific objectives.
  • Fourth, a logic model can later serve as an educational and communications tool when a new program or policy is being implemented.
  • Fifth, a logic model can be a tool for tracking changes in the intervention or its implementation.
  • Finally, the logic model helps inform the evaluation so that it can answer the fundamental question of whether the program effects were smaller (say) because the fundamental concept behind the intervention was wrong, the implementation was flawed, or one piece of the intervention sequence fell apart.

4. Create and Execute a Data Collection Plan

Self-report surveys are a primary data source for program and policy evaluations, especially if the goal is to reduce consumption or alcohol-related problem behaviors. If a student survey is to be part of an evaluation, we briefly describe some basic requirements of a valid and useful survey. It should be remembered, however, that a student survey is not the only source of useful data, and in some cases may not even be the best source. Ideally, colleges and universities will put in place a system for recording a wide range of alcohol-related incidents involving students. These might include data from urgent or emergency care facilities, campus police student counseling services, residence halls, athletic departments, and offices of student discipline.

On many campuses, the problem is that data are recorded but are not easily accessed, but this situation is improving as offices move toward using computerized databases and automated data entry. As these systems are put in place, administrators should be sure that records of campus problems make note of alcohol involvement.

5. Communicating Evaluation Results: Feedback

The full value of any evaluation is only realized when it can provide ongoing feedback to the program and the affected community at large. Often, this feedback is necessary just to create support for the program or intervention to be continued. Important information on individual program components may also prove valuable for continuously improving the intervention or for guarding against degradation in the program’s impact.

Program Evaluation: The Big Picture

Newcomers to the topic of college student drinking are often puzzled to learn that the field’s knowledge of “what works” is relatively slim. Apart from some recent and promising interventions aimed at individual students, the conscientious program planner will find little empirical evidence to guide choices of program and policy interventions aimed at the broader college population. The broader field of prevention research, which has examined the impact of programs and policies aimed at youth in the general population, provides useful guidance. Even so, it is clear that evaluations of environmentally focused prevention strategies that focus specifically on college populations are sorely needed.

We are urging higher education administrators to incorporate evaluation as an integral part of program planning, which we view to be essential to developing more effective prevention programs and policies. We hope that administrators will realize that the evaluations they undertake will also contribute significantly to our knowledge of “what works.” Conducting and then sharing the results of evaluations of alcohol prevention efforts is necessary to meet that larger goal.

Resources

The guide concludes with a number of references, both publications and Web sites, that directly relate to the topic of alcohol-related problems among college students.

 

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Historical document
Last reviewed: 9/23/2005


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