TESTING A METHOD FOR INCREASING RURAL PREVENTION EFFORTS

描述：（申请人？s摘要） 该项目旨在确定是否全州范围内 干预措施可以增加农村社区的预防工作 以及这些预防工作是否导致 甲基苯丙胺和其他毒品的使用。怀俄明州正遭受 农村青少年使用甲基苯丙胺的流行情况严重。问题是 不限于甲基苯丙胺，因为90%的使用甲基苯丙胺的人， 上个月还使用了大麻和至少一种药物， 在这一个月里，一项全国性的预防措施将 动员农村社区制定和实施药物滥用预防措施 政策和方案。在怀俄明州的每个农村社区， 将形成该小组将接受社区准备模式的培训， 将帮助他们使用这种模式来推动他们的社区实施，维护 并评估当地的预防工作。培训模式是推荐的 并且描述于NIDA出版物97-4112中。当地团队将受到监控 每月通过电话和每季度的个人采访，并将提供 鼓励，支持，计划和政策的信息， 再培训四年。这些社区将与一个 一组来自周边州的社区与怀俄明州的每个社区相匹配 社区的人口，农村，和甲基苯丙胺的使用。第一个目标 是要确定这一举措是否会导致社区政策的改变 以及实施农村预防方案。基线关键举报人 目前正在对实验社区和比较社区进行访谈 确定预防准备情况（包括政策和预防 方案、领导力、当地知识和社区支持）。 这些关键的线人访谈将在三年后重复， 五年，获得有关政策和方案变化的完整数据。 第二项任务是确定政策和预防方案是否 当地团队制定的政策改变了毒品使用情况。基线 青少年药物使用数据收集自实验组， 农村怀俄明州社区和所有匹配的比较社区。 所有社区的学生将在三年后重新进行调查。 干预开始和干预开始后五年。

DESCRIPTION: (Applicant?s Abstract) This project is designed to determine whether a state-wide intervention can lead to increases in prevention efforts in rural communities in that state and whether those prevention efforts lead to reductions in methamphetamine use and the use of other drugs. Wyoming is suffering from a serious epidemic of methamphetamine use among rural adolescents. The problem is not limited to methamphetamines, since 90% of those who used methamphetamine in the last month also used marijuana and at least one drug other than methamphetamine during that month. A state-wide prevention initiative will mobilize rural communities to develop and implement drug abuse prevention policies and programs. In each rural community in Wyoming a prevention team will be formed. That team will be trained in the community readiness model and will be helped to use that model to move their community to implement, maintain and evaluate local prevention efforts. The training model is that recommended and described in NIDA publication 97-4112. Local teams will be monitored monthly by phone and quarterly by personal interviews, and will be provided with encouragement, support, information on programs and policies, and retraining over a four year period. These communities will be compared with a set of communities from surrounding states matched with each of the Wyoming communities for population, rurality, and methamphetamine use. The first goal is to determine whether this initiative leads to changes in community policies and to implementation of rural prevention programs. Baseline key informant interviews in the experimental and comparison communities are now in progress to determine readiness for prevention (including policies and prevention programs now in place, leadership, local knowledge and community support). These key informant interviews will be repeated after three years and after five years, obtaining complete data on the changes in policies and programs. The second task is to determine whether the policies and prevention programs instituted by the local teams have led to changes in drug use. Baseline adolescent drug use data have been collected from the experimental group of rural Wyoming communities and from all of the matched comparison communities. Students in all communities will be resurveyed three years after the intervention starts and five years after the intervention starts.