OBJECTIVE Pregaming is among the riskiest drinking behaviors in which college students engage, often leading to elevated blood alcohol levels and negative alcohol-related consequences. Yet, tailored interventions to reduce risk associated with pregaming are lacking. The present study was designed to develop and evaluate the efficacy of a brief, mobile-based intervention targeting heavy drinking during pregaming among college students, called Pregaming Awareness in College Environments (PACE). METHOD PACE was developed using two innovations to facilitate behavior change: (a) a mobile-based application to increase intervention accessibility and (b) personalized pregaming-specific intervention content delivered using a harm reduction approach with cognitive behavioral skills training. After development and β-testing, we employed a randomized clinical trial with 485 college students who reported pregaming at least once per week in the past month (Mage = 19.98; 52.2% from minoritized racial and/or ethnic groups; 65.6% female). Participants were randomly assigned to PACE (n = 242) or a control condition website (n = 243), which consisted of general information about the effects of alcohol. Analysis assessed intervention effects on pregaming drinking, global drinking, and alcohol-related consequences at 6 and 14 weeks postintervention. RESULTS Although participants in both conditions reduced drinking, small and significant intervention effects favoring PACE were found at 6-week follow-up for overall drinking days, pregaming days, and alcohol-related consequences. CONCLUSIONS Findings suggest the brief mobile PACE intervention has potential to address risky drinking, but more intensive pregaming-focused efforts may be necessary to achieve stronger and lasting effects among college students. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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针对大学生的基于移动设备的游戏前饮酒预防干预措施：一项试点随机对照试验。

目的 游戏前赌博是大学生最危险的饮酒行为之一，通常会导致血液中酒精含量升高以及与酒精相关的负面后果。然而，缺乏针对性的干预措施来降低与赛前相关的风险。本研究旨在开发和评估针对大学生游戏前酗酒的简短、基于移动设备的干预措施的效果，该干预措施称为大学环境中的游戏前意识（PACE）。METHOD PACE 的开发利用了两项促进行为改变的创新：（a）基于移动的应用程序，以提高干预的可及性；（b）使用减少伤害的方法和认知行为技能培训来提供个性化的游戏前特定干预内容。经过开发和 β 测试后，我们对 485 名大学生进行了一项随机临床试验，他们报告在过去一个月中每周至少玩一次游戏（法师 = 19.98；52.2% 来自少数种族和/或民族；65.6% 为女性）。参与者被随机分配到 PACE（n = 242）或控制条件网站（n = 243），其中包含有关酒精影响的一般信息。分析评估了干预后 6 周和 14 周对赛前饮酒、全球饮酒以及酒精相关后果的干预效果。结果 尽管两种情况下的参与者都减少了饮酒，但在 6 周的随访中发现，对于总体饮酒天数、赛前天数和酒精相关后果，有利于 PACE 的小而显着的干预效应。结论 研究结果表明，简短的移动 PACE 干预有可能解决危险饮酒问题，但可能需要更深入的以游戏前为重点的努力，才能在大学生中取得更强大和持久的效果。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。