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Implementing an evidence-based alcohol use and sexual risk intervention in young adult homeless service settings

Award Number: R01AA033407
ORGANIZATION: NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/01/2026
PERIOD OF PERFORMANCE END DATE: 08/31/2031

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Implementing an evidence-based alcohol use and sexual risk intervention in young adult homeless service settings - Each year, about one in 10 U.S. young adults aged 18-25 experience homelessness or unstable housing. Compared to their stably housed counterparts, young adults experiencing homelessness are at greater risk of hazardous alcohol and other drug (AOD) use and engaging in sexual risk behaviors. There remains an urgent need to expand access to evidence-based interventions (EBIs) that use strength-based approaches to address these health risks. Drop-in centers are one of the most popular service settings where young adults experiencing homelessness go to meet their basic needs for food, clothing, and connection to services. Given that drop-in centers are preferable and engaging to young adults experiencing homelessness, they present a potentially valuable access point to provide EBIs for this population. One promising EBI to address hazardous AOD use and sexual risk behaviors is AWARE: a brief (four-session) group counseling intervention that uses motivational interviewing, social learning, and psychoeducation. AWARE has demonstrated efficacy in reducing alcohol-related problems and sexual risk behaviors among young adults receiving services at drop-in centers. However, like other EBIs for this population, AWARE has been delivered by trained research staff, yielding limited understanding of its effectiveness and implementation under real-world conditions. In partnership with three drop-in centers, this project will use a hybrid type 1 effectiveness-implementation study guided by the Exploration, Preparation, Implementation, Sustainment (EPIS) framework to evaluate effectiveness and enhance sustainability of AWARE—delivered for the first time entirely by drop-in center staff. This study will (1) conduct a group-randomized trial to compare the effectiveness and cost-effectiveness of AWARE versus services as usual on primary (alcohol use and consequences) and secondary outcomes (other substance use, sexual risk behaviors, mental health, social functioning, housing stability); (2) evaluate AWARE implementation across sites, including reach to young adults experiencing homelessness, acceptability, AWARE fidelity, and sustainability; and (3) explore gaps and opportunities in funding to sustain AWARE by engaging drop-in centers in a unique Fiscal Mapping Process and conducting qualitative interviews with policy actors. Findings will improve understanding of how to successfully implement and sustain EBIs such as AWARE at young adult homeless service organizations.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $731,345 )
2026	2026	THE RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Alcohol Research Programs	000	1	8/25/2026	NEW	$731,345
														Subtotal = $731,345

Grand Total All Awards = $731,345

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Implementing an evidence-based alcohol use and sexual risk intervention in young adult homeless service settings

Award Number: R01AA033407

ORGANIZATION: NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/01/2026

PERIOD OF PERFORMANCE END DATE: 08/31/2031

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