People Awakening Resilience Program (PARP)

描述（由申请人提供）： 酗酒对阿拉斯加土著人来说是一个巨大的公共健康问题，是阿拉斯加排名最高的行为健康问题（阿拉斯加土著人委员会; 1994年）。人民觉醒复原力项目（PARP）的主要目标是为12至18岁的Yup'ik Eskimo儿童制定一份针对特定文化的、多因素的、以阿拉斯加农村村庄为基础的酒精滥用预防干预措施手册，这些干预措施的理论基础是在以前对该部落群体进行的研究中开发的启发式模型，并对其可行性、可接受性和文化兼容性进行试点测试。该项目是一项长期研究议程的第一阶段，目的是为以后的预防试验奠定基础，以减少Yup'ik Eskimo村青年的未成年饮酒。R21应用程序的具体目标是根据启发式模型完成干预措施的手动开发，并对其可行性、可接受性、文化兼容性和保真度进行试点测试。分析与每个模块有关的数据将有助于进一步完善模块。PARP还将管理关于家庭和个人层面变量的中间结果措施，并在阿拉斯加西南部的一个Yup'ik爱斯基摩社区完成中间结果的探索性测试。该模式建议的干预措施将在家庭和个人两级进行。手册编制的设计采用了一种关键的知情人方法，通过与文化专家的小组规划会议。社区成员将审查根据焦点小组的投入开发的模块。一个由来自A村和其他村庄的7名主要信息提供者组成的规划小组将作为共同研究人员编写手册。这将确保纳入当地情况，并发展参与和协作。与其他村民组成的重点小组将就这些单元的可行性和文化上的适当性提供反馈意见。将在A村对该手册进行测试，样本为来自这些家庭的父母（n=16）和青年（n=16），对照组为相同数量的不参加干预措施的父母和青年。将完成对中间结果影响的探索性分析，以确定手动预防性干预对参与者的影响方式。

DESCRIPTION (provided by applicant): Alcohol abuse constitutes a public health problem of immense proportions for Alaska Natives and is the highest ranked behavioral health problem in Alaska (Alaska Natives Commission; 1994). The primary goal of the People Awakening Resilience Project (PARP) is to develop a manual of culture-specific, multi-factorial, rural Alaska village-based alcohol abuse preventive interventions for Yup'ik Eskimo children ages 12 through 18 that have their theoretical basis in a heuristic model developed in previous research done with this tribal group and to pilot test them for feasibility, acceptability, and cultural compatibility. The project is the first stage of a long-term research agenda to develop a foundation for a later prevention trial to reduce underage drinking among Yup'ik Eskimo village youth. The specific aims of the R21 application are to complete manual development for interventions based upon the heuristic model and to pilot test them for feasibility, acceptability, cultural compatibility, and fidelity. Analysis of data related to each will allow for further refinement of modules. PARP will also administer intermediate outcome measures on family and individual level variables and complete an exploratory testing of intermediate outcomes in one Yup'ik Eskimo community in Southwestern Alaska. Interventions suggested by the model will take place at the family and the individual levels. The design of the manual development utilizes a key informant methodology through group planning sessions with cultural experts. Community members will review modules that are developed with input from focus groups. A planning group consisting of 7 key informants from Village A and other villages will serve as co-researchers to develop the manual. This will insure that local context is included and engagement and collaboration are developed. Focus groups with other village members will provide feedback on the feasibility and cultural appropriateness of the modules. The manual will be tested in Village A with a sample of parents (n=16) and youth who are from these families (n=16) matched with a control of equal numbers of parents and youth who do not take part in the interventions. Exploratory analyses of the effects on intermediate outcomes will be completed to determine ways that the manualized preventive intervention affects participants.