REACHING AND MOTIVATING CHANGE IN TEEN MARIJUANA SMOKERS

描述：（申请人提供） 请求提供资金，以支持编写和试点测试一份简报， 不寻求治疗的干预（青少年体检） 青少年大麻吸食者干预是一种激励增强 治疗包括三个单独的会议，所有这些都是交付 在学校里首先评估参与者使用 大麻，酒精和其他毒品，以及相关的态度和目标。 在第二次和第三次会议上，个性化的反馈报告， 来自参与者评估的信息，以及规范性比较 资料，审查，与健康教育工作者采用动机访谈 旨在增强减少或停止使用的动机的战略 吸食大麻具体目标的变化和行为改变的战略是 与希望支持改变大麻使用的参与者讨论。的 主要目的将是确定是否与这种干预的疗效试验， 有正当理由因此，本提案包括以下具体目标：（1） 修改并手册化一个三节的激励增强干预 （2）在高中向经常吸食大麻的青少年提供; 修订参与者招募机制并使之手册化;（3）制定和 预先测试计算机辅助自我面试评估系统， （4）修改有关人口的过程和结果措施， 实验干预的假设效果;（5）制定一个 实验干预的培训方案;（6）制定措施， 健康教育者的能力和坚持;（7）制定措施， 干预保真度;（8）进行试点研究，其中的效果大小为 确定关键结果;（9）描述自我推荐的参与者与 其他人提到的那些：基线大麻，酒精， 其他药物使用模式;药物滥用问题后果的基线指标 使用;共同发展指标;干预完成情况;研究 保留;（10）衡量参与者对研究招募的评价， 评估和干预组成部分;以及（11）按关键指标衡量评价 学校人员（例如，顾问，干预专家）的研究 在参与学校中的实施和影响。

DESCRIPTION: (provided by applicant) Funds are requested to support the development and pilot testing of a brief intervention (The Teen Marijuana Check-Up) with non-treatment seeking adolescent marijuana users. The intervention is a motivational enhancement treatment consisting of three individual sessions, all of which are delivered in the school setting. The participant is first assessed regarding use of marijuana, alcohol, and other drugs, as well as pertinent attitudes and goals. In the second and third sessions, a personalized feedback report containing information from the participant's assessment, as well as normative comparison data, is reviewed, with the health educator employing motivational interviewing strategies intended to enhance motivation for reduction or cessation of marijuana use. Specific goals for change and behavior change strategies are discussed with participants who wish support to change their marijuana use. The primary aim will be to determine if an efficacy trial with this intervention is warranted. As such, this proposal includes the following as specific aims: (1) to revise and manualize a three-session motivational enhancement intervention for delivery in high schools to adolescents who smoke marijuana frequently; (2) to revise and manualize participant recruitment mechanisms; (3) to develop and pre-test a computer-assisted self-interviewing assessment system for this population; (4) to modify process and outcomes measures concerning the hypothesized effects of the experimental intervention; (5) to develop a training protocol for the experimental intervention; (6) to develop measures of health educator competence and adherence; (7) to develop measures of intervention fidelity; (8) to conduct a pilot study in which effect sizes for key outcomes are determined; (9) to describe self-referred participants vs. those referred by others with reference to: baseline marijuana, alcohol, and other drug use patterns; baseline indicators of problematic consequences of use; indicators of comorbidity; intervention completion; and research retention; (10) to measure participant evaluations of the study's recruitment, assessment, and intervention components; and (11) to measure evaluations by key school personnel (e.g., counselors, intervention specialists) of the study's implementation and impact within the participating schools.