PREVENTING ALCOHOL ABUSE AMONG NATIVE AMERICAN YOUTH

在重复测量、随机区组设计中，修订后的研究将 评估技能和家庭的单独和综合影响 美国原住民酒精滥用预防干预措施 青少年。 研究地点是位于纽黑文的城市印第安中心， CT，Boston，MA，纽约，NY和普罗维登斯，RI。 随机，预先测试 参与地点的美国原住民青年将分为四个 条件：技能干预、家庭干预、技能和家庭 干预组合和无干预控制。 技能干预将涵盖文化和生活方式要素 酗酒问题，人际沟通技巧， 自我决定，应对同伴饮酒压力的策略， 解决问题的能力，分析和抵制媒体的影响 酒精使用和滥用。 家庭干预将涵盖这些相同的 通过社区会议，海报制作练习和 大赛 将这些相同的元素整合到一个课程中， 联合干预将寻求最大限度地发挥技能和 采取家庭办法进行预防性干预。 观察指标 在干预前、干预后和干预后每半年给药一次 交付将量化认知、行为和环境变量 酒精滥用风险和风险降低。 拟议的研究是 与美洲原住民组织、机构、 保留地部落会议和团体 代表这些网站， 管理人员和临床工作人员已同意参加 study.

In a repeated measures, randomized blocks design, the revised study will evaluate the separate and combined effects of skills and family interventions for alcohol abuse prevention among Native American adolescents. Study sites are urban Indian centers located in New Haven, CT, Boston, MA, New York, NY, and Providence, RI. Randomly, pretested Native American youths at participating sites will be divided into four conditions: skills intervention, family intervention, skills and family intervention combined, and no-intervention control. Skills intervention will cover elements of cultural and life-style aspects of alcohol abuse, interpersonal communication skills for self-determination, strategies for coping with peer pressure to drink, problem solving skills, and analyzing and resisting media influences toward alcohol use and abuse. Family intervention will cover these same elements through community meetings, a poster making exercise, and a contest. Integrating these same elements into one curriculum, the combined intervention will seek to maximize the benefits of skills and family approaches to preventive intervention. Outcome measures administered before, after, and semiannually following intervention delivery will quantify cognitive, behavioral, and environmental variables of alcohol abuse risk and risk reduction. The proposed research is developed in collaboration with Native American organizations, agencies, reservations, tribal councils, and groups. Representing these sites, administrators and clinical staff have agreed to participate in the study.