Reaching and Motivating Change in Teen Marijuana Smokers

描述(由申请人提供)： 在NIDA行为疗法开发计划的赞助下，要求提供资金，以支持一项针对未寻求治疗的青少年大麻使用者的疗效试验，该试验评估一项名为“青少年大麻体检”的干预措施。这项拟议的研究是基于申请者在此干预下完成的较早阶段1a和1b的研究。西雅图地区四所高中招募了300名吸食大麻的青少年(14-19岁)，他们将参加这项试验。参与者将通过以大麻为重点的课堂演讲或通过学校教职员工的推荐来招募。首先将评估他们使用大麻、酒精和其他药物的情况，以及相关的态度和目标。然后，参与者将被随机分配到三种条件中的一种。实验干预是一项为期两个疗程的动机增强治疗。审查了一份包含参与者评估信息以及规范比较数据的个性化反馈报告，健康教育者采用激励性访谈策略，旨在增强减少或停止使用大麻的动机。与希望支持改变其大麻使用的参与者讨论了改变和行为改变战略的具体目标。比较条件包括两次教育会议，重点是大麻对健康和行为的影响。第三种情况(延迟治疗控制)涉及最低限度的基线评估，然后在三个月后进行重新评估面谈。然后，那些被分配到这种情况的人将被给予两种积极治疗中的一种选择。在完成两次干预后，两次积极治疗的参与者将再接受四次认知-行为技能培训，其中重点是戒烟策略。所有参与者将在初次评估面谈后3个月和12个月进行重新评估。

DESCRIPTION (provided by applicant): Under the auspices of NIDA's Behavioral Therapies Development Program, funds are requested to support an efficacy trial evaluating an intervention called "The Teen Marijuana Check-Up" with non-treatment seeking adolescent marijuana users. This proposed research is based on earlier Stage 1a and 1b research completed by the applicants with this intervention. Three hundred adolescents who smoke marijuana (ages 14-19), recruited in four Seattle-area high schools, will be enrolled in the trial. Participants will be recruited either through in-class presentations focusing on marijuana or via referrals from school staff. They will first be assessed regarding use of marijuana, alcohol, and other drugs, as well as pertinent attitudes and goals. Participants will then be randomly assigned to one of three conditions. The experimental intervention is a two-session motivational enhancement treatment. 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 comparison condition involves two educational sessions focusing on the health and behavioral effects of marijuana. The third condition (delayed treatment control) involves a minimal baseline assessment followed three months later by a reassessment interview. Those assigned to this condition will then be given their choice of either active treatment. Following completion of their two intervention sessions, participants in the two active treatments will be offered an additional four sessions of cognitive-behavioral skills training in which the focus is strategies in quitting marijuana. All participants will be reassessed at 3 and 12 months following their initial assessment interviews.