INTERVENTION FOR ADOLESCENT INDIAN DRINKING

印度青少年饮酒干预措施

• 批准号: 6168511
• 负责人: Gordon ALAN Marlatt
• 金额: $ 46.32万
• 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/6168511
• 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.

当前应用程序的长期目标是通过制定有效的、与文化相关的酒精治疗计划，减少原住民青少年酗酒的负面后果。 这项研究将分两个阶段进行。 拟议研究的第一阶段致力于项目评估和治疗开发活动。 这一阶段对于开发两个门诊治疗方案奠定基础是必要的，这两个方案将纳入第二阶段进行的随机临床试验。 第一阶段的具体目标如下： 1. 对社区健康中心（西雅图印第安人健康委员会）向美国城市/阿拉斯加原住民青少年提供的现有酒精和药物治疗方案进行形成性、总结性评估。 2. 对西雅图/金县地区土著青年现有的基于替代活动的酒精和毒品预防计划（健康国家计划）进行评估。 3. 评估用于识别初级保健机构中土著青少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措施、酒精后果以及治疗和预防功效的假设调节因素和中介因素，以评估土著青少年群体中这些项目的文化敏感性 5. 制定并试点两个有前途的门诊团体酒精治疗计划（生活技能方法和土著 12 步方法）的土著适应方案。 第二阶段的具体目标是 I. 与以本地人为导向的 12 步恢复和支持计划相比，评估生活技能门诊酒精治疗计划（基于针对各种生活方式风险行为的技能培训、减少伤害方法）的总体效果和比较效果。 2. 评估可能与不同结果相关的个体差异，以便为未来的治疗匹配工作提供信息。 3. 向其他原住民社区传播有关有效计划的信息。第一阶段的具体目标将通过形成性/总结性计划评估来实现，包括对第一年期间所有转介到现有服务以及在此期间预防活动的所有参与者进行基线和三个月的后续评估。 此外，将与 SIHB 工作人员合作，根据先前更新的技能培训和 12 步计划，并纳入现有服务人群中青年的意见，为人群制定和调整治疗手册。这些计划将在资助期的第二年进行试点测试和完善。 第二阶段的具体目标将通过一项随机对照试验来实现，该试验比较 12 步计划与生活技能计划的功效。这两种治疗方案都将作为门诊治疗方案和持续护理方案提供和评估。 115 名门诊患者和 80 名持续护理患者将分别参加这两种治疗方案。