Recruitment to a university alcohol program: evaluation of social marketing theory and stepped approach model.
BACKGROUND
This study was a first initiative to evaluate the application of social marketing theory (SMT) to increase attendance at an alcohol abuse education program for university residence hall students and to ascertain whether aggressive recruitment strategies are necessary as part of the stepped approach model (SAM) of service delivery.


METHODS
SMT and public health strategies that include focus groups, in-depth interviews, and intercept interviews were used to develop recruitment materials in a Test Hall. These new recruitment materials were introduced to the residents in the Treatment Hall (N = 727) and were compared to the Usual Care, Control Hall (N = 706) which received the recruitment materials normally provided to residents as well as to three Historical Halls separately and combined which had used the Usual Care recruitment materials in the past.


RESULTS
The Treatment Hall percentage attendance was significantly superior (0.001 < p < 0.05) in all comparisons. The percentage attendance did not differ significantly from marketing literature expectations. The projections for campus-wide attendance for residence hall students were between 207 and 243 participants and for nationwide attendance, 36,900 +/- 8,185.


CONCLUSIONS
The results suggest that the SMT and public health methods used are helpful in developing recruitment strategies and are an important initial step of the SAM and that a "minimal intervention" recruitment strategy is a cost-effective approach that can have a dramatic impact.
D000293:Adolescent; D000328:Adult; D000437:Alcoholism / Q000517:prevention & control*; D016009:Chi-Square Distribution; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008389:Marketing of Health Services / Q000191:economics / Q000379:methods*; D015146:Midwestern United States; D011336:Probability; D011582:Psychological Theory; D013333:Student Health Services / Q000191:economics / Q000379:methods*