TESTING SUSTAINING SOCIAL INFLUENCE MODEL RURAL SCHOOL

测试维持社会影响力示范乡村学校

• 批准号: 2770163
• 负责人: Douglas Y. Longshore
• 金额: $ 78.91万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-09-30 至 2002-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2770163
• 关键词: alcoholism /alcohol abuse education; alcoholism /alcohol abuse prevention; behavioral /social science research tag; clinical research; cognition; curriculum; drug abuse education; drug abuse prevention; health economics; human subject; human therapy evaluation; longitudinal human study; outcomes research; rural area; secondary schools; social psychology; substance abuse related disorder; tobacco abuse education; tobacco abuse prevention

DESCRIPTION: (Applicant's Abstract) Project ALERT is a school-based curriculum (eleven lessons in the 7th grade and a three-lesson booster in the 8th) to prevent/delay the use of alcohol, tobacco, and other drugs (ATOD) among young people by raising resistance self efficacy; modifying beliefs regarding ATOD norms; changing expectancies and intentions regarding ATOD use; and helping students identify and resist pro-drug pressures. An earlier evaluation of ALERT documented favorable effects on these cognitive factors and ATOD use among middle-school students. In this study we will create developmentally appropriate booster lessons extending the ALERT curriculum into the 9th, 10th, and 11th grades. Multi year outcomes will be compared across three conditions: a control (no ALERT) condition; the existing ALERT curriculum (7th and 8th grades); and the extended curriculum (7th thru 11th grades), called ALERT PLUS. Clusters of 48 high schools and their middle-school feeders will be randomly assigned to these conditions. Clusters will include public and Catholic schools in communities of varying size in the largely rural state of South Dakota. The study design will enable us to address current issues in generalizability (are social influence programs effective for young people of varying background characteristics and in varying school contexts), sustain ability (what can be done to prolong the favorable effects of middle-school prevention programs as teens move through their high-school years) and implementation (what school characteristics facilitate or undermine successful implementation of ATOD prevention curricula). Specific aims of the study are as follows. (1) Estimate the effects of the 7th and 8th grade curriculum on cognitive factors and ATOD use among a cohort of middle-school students in a rural state. (2) Estimate the effects of 9th to 11th grade booster lessons on cognitive factors and ATOD use as the middle-school cohort matures. (3) Explicate effects of ALERT and ALERT PLUS in analyses of rural/urban school context, mediating and moderating background factors, dose-response, and longitudinal transitions on ATOD use. (4) Describe program implementation and incorporate fidelity of implementation into outcome analyses. (5) Estimate the cost-effectiveness of Project ALERT and Project ALERT PLUS.

描述：（申请人摘要） Project ALERT 是一个校本课程（七年级十一节课） 以及第 8 课的三堂强化课程，以防止/延迟饮酒， 通过提高年轻人对烟草和其他药物（ATOD）的抵抗力 自我效能感；改变对 ATOD 规范的信念；改变期望 以及关于 ATOD 使用的意图；并帮助学生识别和抵制 前药压力。早期对 ALERT 的评估记录显示有利 对这些认知因素和中学 ATOD 使用的影响 学生。在这项研究中，我们将创造适合发育的助推器 将 ALERT 课程扩展到 9 年级、10 年级和 11 年级。 将在三个条件下比较多年结果：对照（无 警报）条件；现有的 ALERT 课程（七年级和八年级）；和 扩展课程（7 年级至 11 年级），称为 ALERT PLUS。集群 48所高中及其附属中学将被随机分配 到这些条件。集群将包括公立和天主教学校 在以农村为主的南达科他州，有不同规模的社区。这 研究设计将使我们能够解决当前的普遍性问题 （社会影响力计划对不同年龄段的年轻人是否有效？ 背景特征和不同的学校环境），维持能力 （可以做些什么来延长中学的有利影响 青少年高中时期的预防计划）以及 实施（学校的哪些特点促进或破坏 ATOD 预防课程的成功实施）。具体目标 研究如下。 (1) 预估七、八年级的效果 一组中学的认知因素和 ATOD 使用课程 农村国家的学生。 (2) 预估9至11年级的效果 关于认知因素和 ATOD 使用的强化课程作为中学 群体成熟。 (3) ALERT 和 ALERT PLUS 在分析中的明确效果 农村/城市学校环境、中介和调节背景因素、 ATOD 使用的剂量反应和纵向转变。 (4) 描述 计划实施并将实施的保真度纳入 结果分析。 (5) 评估 ALERT 项目的成本效益和 项目警报增强版。