Evidence for Site-Specific, Systematic Adaptation of Substance Prevention Curriculum With High Risk Youth in Community and Alternative School Settings.
Evidence for Site-Specific, Systematic Adaptation of Substance Prevention Curriculum With High Risk Youth in Community and Alternative School Settings.
复制标题
DOI：
10.1080/1067828x.2013.869141
复制
发表时间：
2014-09-01
影响因子：
0.6
通讯作者：
Robinson C
中科院分区：
文献类型：
--
作者：
Holleran Steiker LK;Hopson LM;Goldbach JT;Robinson C
老年青年中的药物使用问题令人十分关切，但在预防研究中却很少受到关注。这可能是由于人们认为预防方案对于积极尝试药物的老年青少年来说在发育上是不合适的。该项目研究了青年驱动的循证预防方案的适应性差异，保持真实的（KiR）。参与的地点包括一个少年司法日计划，一个无家可归者收容所，四所替代高中，低收入住房计划，一个LGBTQ青年中心，以及德克萨斯州-墨西哥边境的一个青年团体。在该项目的第一阶段，社区环境中的高风险青少年量身定制KiR工作簿和视频，以增加与同龄人的相关性，这些同龄人可能已经开始使用药物。研究的第二阶段，这里详细讨论，评估KiR的改编版本与原始版本和比较条件相比的有效性。本研究采用了准实验的前测后测设计，随访6周。青年还参加了重点小组。定性和定量数据都表明，接受改编版课程的参与者在接受和使用物质方面比其他两组青年有更大的改善。
The problem of substance use among older youth is of great concern, but has received little attention in prevention research. This may be due to the perception that prevention programming is developmentally inappropriate for older youth who are actively experimenting with substances. This project examined the differential effectiveness of youth-driven adaptations of the evidence-based prevention program, keepin’ it REAL (KiR). The participating sites included a juvenile justice day program, a homeless shelter, four alternative high schools, low-income housing programs, an LGBTQ youth center, and a youth group on the Texas-Mexico border. In the project’s first phase, high risk youth in community settings tailored KiR workbooks and videos to increase the relevance for their peers, older adolescents who are likely to have already initiated drug use. The second phase of the study, discussed here in detail, evaluates the effectiveness of the adapted versions of KiR compared with the original version and a comparison condition. The study employed a quasi-experimental pretest posttest design with a 6-week follow-up. Youth also participated in focus groups. Both qualitative and quantitative data suggest that participants receiving the adapted version of the curriculum experienced greater improvement in acceptance and use of substances than youth in the other two groups.