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Change IS Possible: Reducing High-Risk Drinking Using a Collaborative Improvement Model.

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    Public health methods successfully reduced high-risk college drinking. A national collaborative improved interventions, though data collection and cultural change remain challenges for prevention efforts.

    Keywords:
    Plan–Do–Study–Act (PDSA)high-risk drinkinglearning collaborativemeasurementmodel for improvement

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    Area of Science:

    • Public Health
    • Health Behavior Change
    • Quality Improvement Science

    Background:

    • College student drinking poses significant health risks.
    • Existing prevention efforts require enhanced strategies.
    • Public health methodologies offer a framework for intervention.

    Purpose of the Study:

    • To describe the adoption of public health and improvement methodologies.
    • To address college students' high-risk drinking behaviors.
    • To aid in prevention efforts.

    Main Methods:

    • A 2-year learning collaborative involving 32 colleges and universities.
    • Training in the Plan-Do-Study-Act (PDSA) cycle for intervention development.
    • National College Health Improvement Program (NCHIP) facilitated the collaborative.

    Main Results:

    • Increased types and intensity of interventions targeting high-risk drinking.
    • Established campus, community, and stakeholder collaboratives.
    • Persistent challenges in data collection and achieving sustainable cultural change.

    Conclusions:

    • Quality improvement methodologies effectively reduced high-risk drinking behaviors.
    • A national collaborative facilitated meaningful change on college campuses.
    • Sustained efforts are needed to address remaining challenges.