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.

当前应用的长期目标是通过制定有效的，具有文化相关的酒精治疗计划来减少本地青年滥用酗酒的负面影响。 这项研究将分为两个阶段。 拟议的研究的第一阶段致力于计划评估和治疗开发活动。 对于要在第二阶段进行的随机临床跟踪中，必须将这两个门诊治疗计划的发展奠定基础。 第一阶段的具体目的如下：1。在一个社区健康中心（西雅图印度卫生委员会）（西雅图印度卫生委员会）对现有的饮酒和药物治疗计划进行形成性，总结性评估。 2.对西雅图/金县地区的土著青年可签署的现有基于替代活动的酒精和预防计划（健康国家计划）的评估。 3.评估简短筛查工具的诊断敏感性/特异性，以识别初级保健环境中本地青年的酒精问题。 4。评估现有的酒精使用措施，酒精后果以及假设的主持人和治疗和预防功效的介体，以评估本地青少年人群中这些项目的文化敏感性5。开发和试验的本机适应两个有前途的客场酒精治疗计划（生命技能接近生命力和12步的生命中的12步方法）。 第二阶段的具体目的是I。与一个面向本土的12步恢复和支持计划相比，评估生活技能门诊门诊计划的整体和比较效果（基于对各种生活方式风险行为的技能培训，减少伤害方法）。 2.评估可能与差异结果有关的个体差异，以告知未来的治疗匹配工作。 3。向其他本地社区传播有关有效计划的信息。第一阶段的具体目的将通过形成性/总结性计划评估来实现，涉及第一年的所有转介的基线和三个月的随访评估，以及所有在此期间进行预防活动的参与者。 此外，将根据先前更新的技能培训和12步计划，与SIHB员工合作制定并为人群制定治疗手册，并包括从现有服务人群中得出的青年的意见。这些计划将在赠款期的第二年进行试点测试和完善。 第二阶段的具体目的将通过比较12步计划与生活技能计划的疗效的随机，对照试验来实现。两种治疗计划都将作为门诊治疗计划和持续护理计划进行评估。 115名门诊患者和80名持续护理患者将参与两个治疗条件中的每一个。