INTERVENTION FOR ADOLESCENT INDIAN DRINKING

印度青少年饮酒干预措施

• 批准号: 2885982
• 负责人: Gordon ALAN Marlatt
• 金额: $ 47.25万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-01 至 2002-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2885982
• 关键词: Alaskan Native American; Native Americans; adolescence (12-20); alcoholic beverage consumption; alcoholism /alcohol abuse prevention; alcoholism /alcohol abuse therapy; behavioral /social science research tag; clinical research; clinical trials; community mental health services; comprehensive care; diagnosis quality /standard; drug abuse prevention; functional ability; health care service evaluation; health services research tag; high risk behavior /lifestyle; human subject; human therapy evaluation; information dissemination; interview; managed care; outcomes research; outpatient care; social support network

The long-term objective of the current application is to reduce negative consequence with alcohol abuse by Native youth, through the development of effective, culturally relevant alcohol treatment programs. This research will be conducted in two phases. Phase I of the proposed research is devoted to program evaluation and treatment development activities. This Phase is necessary to lay the groundwork for the development of the two outpatient treatment programs to be included in the randomized clinical trail to be conducted in Phase II. The specific aims of Phase I are as follows: 1. Conduct a formative, summative, evaluation of existing alcohol and drug treatment programs available to urban American/Alaska Native adolescents at a community-based health center (the Seattle Indian Health Board). 2. Conduct an evaluation of an existing alternative- activities-based alcohol and drug prevention program (the Healthy Nations program) affiliated available to Native youth in the Seattle/King County area. 3. Assess diagnostic sensitivity/specificity of a brief screening instrument for identifying alcohol problems among Native youth in a primary care setting. 4. Evaluate existing measures of alcohol use, alcohol consequences, and hypothesized moderators and mediators of treatment and prevention efficacy, to assess cultural sensitivity of the items in a Native adolescent population 5. Develop and pilot-test Native adaptations of two promising outpatient group alcohol treatment programs (life-skills approach and a Native 12-step approach). The specific aims of phase II are I. Evaluate the overall and comparative efficacy of a life-skills outpatient alcohol treatment program (based on a skills-training, harm-reduction approach for a variety of lifestyle risk behaviors), as compared to a Native-oriented 12-step recovery and support program. 2. Assess individual differences that may be related to differential outcome, so as to inform future treatment matching efforts. 3. Disseminate information about effective programs to other Native communities. The specific aims of phase I will be accomplished through a formative/summative program evaluation, involving the baseline and three-month follow-up assessment of all referrals to existing services during the first year period, and all participants in prevention activities during this time period. In addition, treatment manuals will be developed and adapted for the population based on previously updated skills-training and 12-step programs, in collaboration with SIHB staff and including input from youth drawn from the existing service population. These programs will be pilot-tested and refined during Year 2 of the grant period. The specific aims of phase II will be accomplished through a randomized, controlled trial comparing the efficacy of the 12-step program with the life skills program. Both treatment programs will be provided and evaluated as outpatient treatment programs and as continuing care programs. 115 outpatients and 80 continuing care patients will participate in each of the two treatment conditions.

目前应用的长期目标是通过制定有效的、与文化相关的酒精治疗方案，减少土著青年酗酒的负面后果。这项研究将分两个阶段进行。拟议研究的第一阶段致力于方案评估和治疗开发活动。这一阶段是为开发两个门诊治疗计划奠定基础的，这两个门诊治疗计划将包括在第二阶段进行的随机临床试验中。第一阶段的具体目标如下：1.在社区健康中心(西雅图印第安人健康委员会)对美国城市/阿拉斯加土著青少年现有的酒精和药物治疗计划进行形成性、总结性评估。2.对现有的以替代活动为基础的酒精和毒品预防方案(健康国家方案)进行评估，该方案附属于西雅图/金县地区的土著青年。3.评估用于在初级保健环境中查明土著青年酒精问题的简短筛查工具的诊断敏感性/特异性。4.评估现有的酒精使用、酒精后果以及假想的治疗和预防效果的调节因素和中介因素，以评估这些项目在本地青少年人群中的文化敏感性5.开发和试行两个有希望的门诊团体酒精治疗方案(生活技能方法和本地12步方法)的本地适应。第二阶段的具体目标是I。与面向原住民的12步康复和支持计划相比，评估生活技能门诊酒精治疗计划(基于针对各种生活方式危险行为的技能培训和减少伤害的方法)的总体和比较疗效。2.评估可能与不同结果有关的个体差异，以便为未来的治疗匹配工作提供信息。3.向其他土著社区传播有关有效方案的信息。第一阶段的具体目标将通过形成性/总结性方案评估来实现，包括对第一年期间所有转介到现有服务机构的基线和三个月的后续评估，以及这一时期预防活动的所有参与者。此外，将根据以前更新的技能培训和12步方案，与SIHB工作人员合作，并包括从现有服务人口中抽出的青年的意见，为人口编制和调整治疗手册。这些计划将在赠款期间的第二年进行试点测试和改进。第二阶段的具体目标将通过一项随机对照试验来实现，比较12步计划和生活技能计划的疗效。这两个治疗计划都将作为门诊治疗计划和持续护理计划提供和评估。115名门诊患者和80名继续护理患者将分别参加两种治疗条件。