Evaluation of the QuikFix Good Night Out (GNO) College Program on alcohol and other drug (AOD) use and related harm in residential college students.

This study has two arms: Colleges in the Arm 1 intervention group receive the QuikFix GNO Program which targets alcohol and other drug (AOD) use in student social networks in two ways: a. An AOD trivia workshop, delivered by peer student leaders to all first-year students during Orientation-week. Student leaders are provided with a two hour training workshop on the delivery the AOD trivia workshop approximately one week before the workshop.. b. QuikFix a brief telehealth harm reduction intervention targeting the most socially influential heavy drinking students, incorporating assessment feedback, motivational interviewing, goal setting, and personality-targeted coping skills training.. The clinicians (counsellors, psychologists) delivering QuikFix have attended a 2-day training workshop and are receive clinical supervision. Colleges in the Arm 2 control group receive AOD education as usual Arm 1 Intervention Group AOD trivia workshop: An interactive, 2-hour workshop will be delivered during orientation-week to first-year students at participating colleges to increase their knowledge of and intention to use harm reduction strategies and reduce their risk of AOD-related harm. A quiz show trivia format will be used, in which the first-year cohort at each college will be split into teams (based on existing college structures). The workshop will be facilitated by trained student leaders from each college, with the support of the research team. The trivia content was co-developed with college student leaders in a series of participatory design workshops and refined based on feedback. The workshop includes information about: - How alcohol and different types of drugs affect individuals physically, mentally, socially and emotionally. - How to drink alcohol but not get too drunk (learning limits). - Harm reduction strategies for safer AOD use to reduce risk of harm. The workshop will be scheduled into the Colleges' formal orientation-week program, which all students are encouraged to attend. QuikFix Brief Telehealth Intervention: First-year students from Intervention Group colleges who report risky drinking and are identified as socially influential by their peers at the 6-week survey will be offered the QuikFix Brief Telehealth Intervention. The social network data is collected at 6-weeks post-baseline to allow sufficient time for social bonds to be established among first-year students. This approach is based on recommendations made in previous research. It is expected that targeting AOD use among the socially influential risky drinking students with the telehealth intervention will indirectly influence AOD use among the rest of the college social network. The one-session QuikFix Brief Telehealth Intervention is delivered over a maximum of 30 minutes by clinicians (counsellors, psychologists) who have attended a 2-day training workshop. All clinicians will receive at least three supervision sessions. The QuikFix Brief Telehealth Intervention uses a harm reduction approach to assist students with developing a good night out plan. It incorporates personalised assessment feedback, psychoeducation, motivational interviewing and personality-targeted coping skills training. A comprehensive range of materials (e.g., fact and harm-minimisation sheets) are used to support program delivery. During the phone call students receive assessment feedback on their AOD use and related consequences, including comparisons with normative data from general population and college student samples. Motivational interviewing techniques are then used to build the students readiness and commitment to develop a harm reduction focused AOD use plan for having a good night out. They are offered relevant information on the physical, psychological and social effects of AOD use, as well as harm reduction strategies for reducing their risk of harm. Students are also provided with feedback on their dominant personality style and how this may affect their AOD use, and will be offered personality-specific training in one coping skill. The session concludes with the young person developing a good night plan for future AOD-related situations, which incorporates their selected harm reduction strategies and personality-specific coping skill. All telephone treatment sessions are audio-recorded and a random 20% will be independently rated for treatment fidelity purposes. The telephone session will last up to 30 minutes. Students will be offered a follow-up phone call if they are unable to complete the QuikFix brief intervention in one session or need further support/referral. Participants will receive an emailed copy of relevant QuikFix AOD Factsheets and Harm Minimisation Factsheets as part of the intervention.