Effects of a multidimensional anabolic steroid prevention intervention - The adolescents training and learning to avoid steroids (ATLAS) program
Effects of a multidimensional anabolic steroid prevention intervention - The adolescents training and learning to avoid steroids (ATLAS) program
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DOI：
10.1001/jama.276.19.1555
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发表时间：
1996-11-20
影响因子：
120.7
通讯作者：
Lapin, A
中科院分区：
文献类型：
--
作者：
Goldberg, L;Elliot, D;Lapin, A
目标。目的：测试一项以团队为基础的教育干预，旨在降低青少年运动员使用合成代谢雄激素类固醇（AAS）的意图。-随机前瞻性试验。-俄勒冈州波特兰市的31所高中橄榄球队。-实验学校的7200名青少年足球运动员；804名运动员在对照学校，干预。-每周7次，每次50分钟的课程由教练和学生团队领导讲授，内容涉及AAS的影响、运动营养和力量训练替代AAS的使用、拒绝药物的角色扮演以及反AAS的媒体信息。七节举重课由研究人员讲授。家长们收到了书面信息，并被邀请参加讨论。主要结果测量。-在干预前后和随访9个月或12个月时进行问卷调查，评估AAS使用的危险因素、AAS相关知识和态度、运动营养和运动知识和行为、AAS使用意向。-与对照组相比，长期随访的实验对象对AAS效果的理解增加，对AAS不良后果的个人脆弱性的信念增加，拒绝药物的技能提高，对AAS宣传媒体信息的信念减少，对团队作为信息源的信念增加，对运动能力和力量训练自我效能感的感知提高，营养和运动行为的改善，使用AAS的意愿降低。在长期随访中，许多其他有益的方案效果仍然显著。-本AAS预防项目增强了健康行为，减少了鼓励AAS使用的因素，降低了使用AAS的意图。这些变化持续了一年。以团队为基础的干预措施似乎是改善青少年行为和减少吸毒风险因素的有效方法。
Objective.-To test a team-based, educational intervention designed to reduce adolescent athletes' intent to use anabolic androgenic steroids (AAS).Design.-Randomized prospective trial.Setting.-Thirty-one high school football teams in the Portland, Ore, area.Participants.-Seven hundred two adolescent football players at experimental schools; 804 players at control schools.Intervention.-Seven weekly, 50-minute class sessions were delivered by coaches and student team leaders, addressing AAS effects, sports nutrition and strength-training alternatives to AAS use, drug refusal role play, and anti-AAS media messages. Seven weight-room sessions were taught by research staff. Parents received written information and were invited to a discussion session.Main Outcome Measures.-Questionnaires before and after intervention and at 9- or 12-month follow-up, assessing AAS use risk factors, knowledge and attitudes concerning AAS, sports nutrition and exercise knowledge and behaviors, and intentions to use AAS.Results.-Compared with controls, experimental subjects at the long-term follow-up had increased understanding of AAS effects, greater belief in personal vulnerability to the adverse consequences of AAS, improved drug refusal skills, less belief in AAS-promoting media messages, increased belief in the team as an information source, improved perception of athletic abilities and strength-training self-efficacy, improved nutrition and exercise behaviors, and reduced intentions to use AAS. Many other beneficial program effects remained significant at the long-term follow-up.Conclusions.-This AAS prevention program enhanced healthy behaviors, reduced factors that encourage AAS use, and lowered intent to use AAS. These changes were sustained over the period of 1 year. Team-based interventions appear to be an effective approach to improve adolescent behaviors and reduce drug use risk factors.