MEDIA INTERVENTION TO PREVENT YOUTH ALCOHOL USE

酒精的使用和滥用在我们的社会中是如此普遍， 年轻人开始喝酒比他们喝酒法律的要早很多年。作为 多达30%的人在8年级时成为经常饮酒者（每月或更频繁）， 在五年级到七年级之间增长最快。这些年轻人成为 一个更大的饮酒者群体的核心在青春期后期，其中许多人有 酒精的问题，损害他们的发展，并可能成为更多 在成年生活中， 预防酗酒互动项目（IPAP）的目的是 开发和测试一个全面的，但具有成本效益的， 大众媒体和社区干预措施， 发展健康的生活方式和阻止饮酒。这些 干预措施将与现有的学校课程协调， 从4 - 5年级到7 - 8年级 干预方法是基于非常年轻的饮酒证据 青少年，理论模型识别可修改的自我， 社会、环境和行为因素，以及经过验证的大众媒体， 健康行为改变的社区模式。 大众媒体将针对年轻人开展宣传运动， 通过非饮酒生活方式的积极形象来宣传酒精;这些信息 将从4 - 5年级开始开始，持续四年。媒体 将制定信息并进行初步有效性测试 在IPAP提案中。这些年轻人的父母也将 被大众媒体宣传活动所针对，塑造支持性的父母行为。一 社区干预计划的重点将是减少 通过父母的合作行动， 学校官员、酒类零售商、执法人员和当地 政府官员 干预措施将在一个控制设计中进行评估， 佛蒙特州农村学区接受干预措施， 只接受测量。对2800名学生的横断面调查 干预区和比较区的7 - 8年级将在 基线和四年干预后立即确定 酒精使用率和相关行为。全面的理论- 将评估干预措施的影响， 饮酒行为的调节剂。据推测，经常饮酒 在7 - 8年级的学生中， 接受这种强有力的干预组合。过程评价 将评估干预措施的直接影响， 针对学生，他们的父母，和其他关键的成年人， 社区.

Alcohol use and misuse is so prevalent in our society that a majority of young people begin drinking years before it is legal for them to do so. As many as 30% become regular drinkers (monthly or more often) by grade 8, with the steepest increases between grades 5 and 7. These youth become the core of a larger group of drinkers in later adolescence, many of whom have problems with alcohol which impair their development and may become more severe in adult life. The purpose of the Interactive Projects for Alcohol Prevention (IPAP) is to develop and test a comprehensive, yet cost-efficient, combination of mass media and community interventions supporting young people in developing healthy lifestyles and deterring alcohol use. These interventions will be coordinated with existing school curricula from grades 4-5 through grades 7-8. The intervention approach is based on evidence of drinking by very young adolescents, theoretical models identifying modifiable intrapersonal, social, environmental and behavioral factors, and proven mass media and community models for health behavior change. A mass media campaign will target young people to reduce the demand for alcohol through positive images of non-drinking lifestyles; these messages will begin in grades 4-5 and continue over a four-year period. Media messages will be developed and receive preliminary effectiveness testing in the companion IPAP proposal. Parents of these young people also will be targeted by a mass media campaign modeling supportive parent behaviors. A community intervention program will be focused on reducing availability of alcohol for young adolescents through cooperative actions of parents, school officials, alcohol retailers, law enforcement officers, and local government officials. The interventions will be evaluated in a controlled design with eight rural Vermont school districts receiving the interventions and eight receiving measurement only. Cross-sectional surveys of 2800 students in grades 7-8 from intervention and comparison districts will be conducted at baseline and immediately after the four-year interventions to determine prevalence of alcohol use and related behaviors. A comprehensive theory- based set of measures will assess the impact of the interventions on mediators of drinking behavior. It is hypothesized that regular drinking among grade 7-8 students will be reduced by one-third in districts receiving this combination of powerful interventions. Process evaluation will assess the immediate impact of intervention components on the targeted students, their parents, and other key adults in their communities.