Brief Intervention of Minority Adolescents

描述(由申请人提供)：针对少数族裔青少年饮酒者的简短干预“是一个为期五年的研究项目，旨在开发和测试对发展和文化敏感的、以学校为基础的、针对进入替代高中的高危非裔美国人和西班牙裔/拉丁裔青少年饮酒者的简短干预措施。 另类学校学生报告说：(A)第一次饮酒、第一次醉酒和第一次使用大麻的时间比传统高中生更早，(B)更多地使用多种物质，以及(C)比传统高中生更频繁和严重地使用非法物质。此外，另类学校的学生不成比例地来自族裔/文化少数群体，很少有实证研究考察酒精或其他药物干预对任何年龄段的少数群体的有效性。这项拟议研究的主要目标是进行一项随机临床试验，评估以发展和文化一致的学校为基础的动机访谈干预对酗酒替代学校学生的效果。参与者(n=540)将被随机分配到两种治疗条件：(1)评估加激励性访谈反馈会议(A MI)或(2)评估加简短建议会议(A BA)。参与者将在研究开始时以及三个月、六个月和九个月的随访中接受评估。我们假设，被分配到A MI组的青少年比被分配到A BA组的青少年在酒精使用方面的减少幅度要大得多。其他研究目的将考察文化和种族因素(例如，感知到的歧视、文化不信任、文化适应、文化适应压力)对干预反应的缓和作用。拟议研究的最终目的是为高危替代学校饮酒者，特别是少数民族/文化少数群体青少年制定更有效的干预措施。

DESCRIPTION (provided by applicant): Brief Intervention for Minority Adolescent Drinkers" is a five-year research project designed to develop and test a developmentally and culturally sensitive, school-based, brief intervention for high risk African-American and Hispanic/Latino adolescent drinkers enrolled in alternative high schools. Alternative school students report (a) earlier first drink, first time drunk, and first marijuana use, (b) more polysubstance use, and (c) more frequent and heavy use of illicit substances than traditional high school students. In addition, alternative school students are disproportionately from ethnic/cultural minority groups, and very little empirical research has examined the effectiveness of alcohol or other drug interventions for minorities of any age. The primary goal of the proposed research is to conduct a randomized clinical trial evaluating the efficacy of a developmentally and culturally congruent school-based motivational interviewing intervention with alcohol abusing alternative school students. Participants (n = 540) will be randomly assigned to two treatment conditions: (1) assessment plus a motivational interviewing feedback session (A+MI) or (2) assessment plus a brief advice session (A+BA). Participants will be evaluated at study entry, and at three-month, six-month and nine-month follow-ups. We hypothesize that adolescents assigned to A+MI will demonstrate significantly greater reductions in alcohol use than adolescents assigned to (A+BA). Additional study aims will examine the moderating effects of cultural and ethnic factors (e.g., perceived discrimination, cultural mistrust, acculturation, acculturation stress) on intervention response. The ultimate aim of the proposed study is to develop more effective interventions for high risk alternative school drinkers, particularly ethnic/cultural minority adolescents.