A COMMUNITY PREVENTION TRIAL TO REDUCE ALCOHOL-INVOLVED ACCIDENTAL INJURY AND DEATH - OVERVIEW

The 5-year ''Preventing Alcohol Trauma: A Community Trial'' project in the United States was designed to reduce alcohol-involved injuries an d death in three experimental communities. The project consisted of fi ve mutually reinforcing components: (1) Community Mobilization Compone nt to develop community organization and support, (2) Responsible Beve rage Service Component to establish standards for servers and owner/ma nagers of on-premise alcohol outlets to reduce their risk of having in toxicated and/or underage customers in bars and restaurants, (3) Drink ing and Driving Component to increase local DWI enforcement efficiency and to increase the actual and perceived risk that drinking drivers w ould be detected, (4) Underage Drinking Component to reduce retail ava ilability of alcohol to miners, and (5) Alcohol Access Component to us e focal zoning powers and other municipal controls of outlet number an d density to reduce the availability of alcohol. This paper gives an o verview of the rationale and causal model, the research design and out line of each intervention component for the entire prevention trial.