COMMUNITY INTERVENTION TRIAL TO PREVENT YOUTH DRUG USE

建议的项目是一个社区的随机对照试验 预防青少年吸毒的干预措施。该项目比较了 社区干预，包括以学校为基础的预防 仅以学校为基础的干预计划，使用16个小社区 进行匹配，然后随机分配给条件。建议数 该项目将扩大和扩展社区干预项目 旨在防止青少年使用烟草，该项目已经由 美国国家癌症研究所。它将扩大NCI的工作重点 以烟草为导向的社区干预包括活动 旨在动员社区领导人和组织 改变影响青少年使用其他毒品的社会条件。 现有的研究有力地支持了这一命题 要减少吸毒的流行率，就必须 育儿技能和教育实践的广泛变化。是这样的 反过来，变革需要动员社会各方面的力量 传统上不参与影响孩子养育的人 练习。拟议的干预将增加成员人数，并 NCI将设立的社区委员会和特别工作组的重点 社区干预。此外，该项目将进行重组和 扩大关于(A)育儿、(B)媒体、(C)筛查/的工作队 招募高危青年；(D)改造社区 注重在全社会范围内减少风险因素的环境 青少年吸毒。该项目将在以下方面创建两个额外的工作组 每个社区--一个实施更有效的降低风险做法 在学校和一个改善社区对高危青少年的支持和 他们的家人。这项提议的一个特别优点是， 社区干预效果的综合评价 将是可能的，因为已经资助的NCI评估 活动。干预效果将使用以下方法进行评估 7年级和9年级的横断面和纵向评估 青少年，以及对育儿和教学的评估 实践，并通过衡量社区领导人和 影响高危青年社会环境的组织和 他们的家人。这项研究还将检查两者之间的关系 青少年吸毒和其他有针对性的社会背景的各个方面 问题行为。最后，该项目将进行试验性评估 针对高危家庭的父母培训计划的效果。这 该项目有望成为社区干预措施的典范，以预防 小社区的青少年吸毒问题。

The proposed project is a randomized control trial of a community intervention to prevent youth drug use. The project compares a community-based intervention that includes a school-based prevention program to a school-based intervention alone, using 16 small communities that are matched and then randomly assigned to condition. The proposed project will augment and extend a community intervention project designed to prevent youth tobacco use, which is already funded by the National Cancer Institute. It will expand the focus of the NCI tobacco-oriented community-based intervention to include activities directed at the mobilization of community leaders and organizations to modify the social conditions which influence youth to use other drugs. Available research strongly supports the proposition that substantial reductions in the prevalence of drug use cannot be achieved without widespread changes in parenting skills and schooling practices. Such changes in turn require the mobilization of elements of the community which have traditionally not been involved in affecting child-rearing practices. The proposed intervention would augment the membership and focus of the community board and task forces to be created in the NCI community intervention. In addition, the project would restructure and expand the task forces on (a) parenting, (b) media, (c) screening/ recruitment of high risk youth, and (d) modification of the community environment to focus on the community-wide reduction of risk factors for youth drug use. This project would create two additional task forces in each community--one to implement more effective risk reduction practices in schools and one to improve community support of high risk youth and their families. A particular strength of this proposal is that a comprehensive evaluation of the effects of the community interventions will be possible because of the already-funded NCI evaluation activities. The intervention effects will be evaluated using cross-sectional and longitudinal assessments of 7th and 9th grade-level youth, as well as through assessments of parenting and teaching practices, and by measuring efforts of community leaders and organizations to affect the social environment for high risk youth and their families. The study will also examine the relationships between aspects of the social context for youth drug use and other targeted problem behaviors. Finally, the project will experimentally evaluate the effect of a parent-training program for high-risk families. This project is expected to be a model for community interventions to prevent youth drug use in small communities.