RURAL FAMILY AND COMMUNITY DRUG ABUSE PREVENTION PROJECT

这一修订提案将涉及两个相互关联的研究阶段 为全州社区药物滥用奠定基础的活动 爱荷华州的预防示范项目。药物使用的不利趋势 农村青年的态度和行为强调了这一点的必要性 计划示范项目。 拟议的研究将借鉴 来自于以前在爱荷华州和华盛顿州的NIDA资助的研究结果。 华盛顿州的项目已经导致了家庭的发展 以风险为重点的预防计划，为药物（免费）年做准备 (PDY)在初步研究中取得了良好的效果。 现在 需要本申请中提出的严格评估，使用 多方法、多信息测量方法， 爱荷华州家庭压力项目。研究活动的第一阶段需要 一项针对200个有六年级和七年级学生的农村家庭的试点研究， 分配到讲习班和最低限度的干预（自助导向） PDY计划的介绍。 将从农村地区挑选家庭 低收入家庭比例高的学区， 足以通过爱荷华州获得特别财政援助 教育部。 对这些家庭的试点研究将（a） 用于指导研究人员完善招聘和保留 针对类似农村人口的战略，（B）提供宝贵的 在有效管理联合执行 PDY计划和密集的多方法评估程序，以及（c） 允许在多个结果中评估短期计划效果 措施 因此，试点研究结果将指导PDY的改进 项目实施和成果衡量程序， 一项长期、随机、对照研究，第二组700人 来自经济困难学区的农村家庭， 国家的不同地区。 参与试验的家庭将被随机 分配到三个条件之一：讲习班，最低限度的干预， 等待列表控件。 该试验将评估家庭功能， 通过采用多种方法， 前测、后测和一年的多信息量测量方法 后续评估。 该项目的结果将是 纳入全州家庭和社区药物的设计中， 预防虐待示范项目，其中将包括家庭风险- 重点干预作为核心，其他资金将 被寻找。

This revised proposal will entail two interrelated stages of research activity laying the foundation for a statewide community drug abuse prevention demonstration project in Iowa. Unfavorable trends in drug use attitudes and behaviors of rural youth underscore the need for this planned demonstration project. The proposed research will draw upon results from previous NIDA-funded studies in Iowa and Washington State. The Washington State project has resulted in the development of a family risk-focused prevention program, Preparing for the Drug (Free) Years (PDY), which has shown promising results in preliminary study. It now requires the rigorous evaluation proposed in this application, using the multimethod, multiinformant measurement methods developed through the Iowa Family Stress Project. The first stage of research activity entails a pilot study with 200 rural families having sixth and seven graders, assigned to workshop and minimal intervention (self-help oriented) presentations of the PDY Program. Families will be selected from rural school districts having high percentages of lower income families, high enough to qualify for special financial assistance through the Iowa Department of Education. The pilot study with these families will (a) serve to guide the researchers in refining recruitment and retention strategies targeting similar rural populations, (b) provide valuable experience in efficiently managing the combined implementation of the PDY program and intensive, multimethod assessment procedures, and (c) allow evaluation of short-term program effects across multiple outcome measures. Pilot study results will thus guide the refinement of PDY Program implementation and outcome measurement procedures for a longer-term, randomized, controlled study with a second group of 700 rural families from economically disadvantaged school districts in a different region of the state. Families in this trial will be randomly assigned to one of three conditions: workshop, minimal intervention and waiting-list control. The trial will evaluate family functioning and related adolescent substance use by employing the multimethod, multiinformant measurement methods at pretest, posttest and one year follow-up assessments. The results of this project will then be incorporated into the design of a statewide family and community drug abuse prevention demonstration project, which will include family risk- focused interventions as a centerpiece, and for which other funding will be sought.