RURAL FAMILY AND COMMUNITY DRUG ABUSE PREVENTION PROJECT

这项修订后的提案将包括两个相互关联的研究阶段。 为全州范围的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 规划中的示范项目。拟议的研究将借鉴 结果来自之前由NIDA资助的爱荷华州和华盛顿州的研究。 华盛顿州的项目导致了一个家庭的发展 以风险为重点的预防计划，为药物(免费)年做准备 (PDY)，在初步研究中显示了可喜的结果。现在就是 需要此应用程序中建议的严格计算，使用 多方法、多信息者测量方法是通过 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个农村家庭六年级和七年级学生的试点研究， 分配到车间并尽量减少干预(以自助为导向) PDY计划演示文稿。家庭将从农村地区挑选出来 低收入家庭比例高的学区，高收入家庭 足以通过爱荷华州获得特别经济援助 教育部。对这些家庭进行的试点研究将：(A) 用于指导研究人员细化招聘和留住 针对类似农村人口的战略，(B)提供有价值的 在有效管理联合实施 PDY方案和密集、多方法评估程序，以及(C) 允许评估多个结果的短期计划效果 措施。因此，初步研究结果将指导PDY的改进 计划实施和结果衡量程序 第二组700人的长期随机对照研究 来自经济困难学区的农村家庭 该州的不同地区。这项试验中的家庭将随机 分配给以下三种条件之一：车间、最小干预和 等待名单控制。这项试验将评估家庭功能和 采用多种方法对青少年相关物质使用情况进行调查， 前测、后测和一年的多信息量测量方法 后续评估。这个项目的结果将是 整合到全州家庭和社区药物的设计中 防止虐待示范项目，其中将包括家庭风险- 有针对性的干预措施是核心，其他资金将为此提供 被追寻。

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.