Brief Intervention of Minority Adolescents

描述（由申请人提供）：“对少数族裔青少年饮酒者的短暂干预”是一个为期五年的研究项目，旨在为高风险非裔美国人和西班牙裔/拉丁裔青少年饮酒者开发和测试一种对发展和文化敏感的、以学校为基础的短暂干预。就读于替代高中的青少年饮酒者。 替代学校的学生报告说：（a）第一次喝酒、第一次喝醉和第一次使用大麻的时间更早，（B）使用多种物质的时间更早，（c）使用非法物质的频率和程度比传统高中学生更高。此外，替代学校的学生中来自族裔/文化少数群体的比例过高，而且很少有实证研究审查酒精或其他药物干预措施对任何年龄的少数群体的有效性。拟议的研究的主要目标是进行一项随机临床试验，评估与酒精滥用替代学校学生的发展和文化一致的学校为基础的动机访谈干预的有效性。参与者（n = 540）将被随机分配到两种治疗条件：（1）评估加动机访谈反馈会议（A + MI）或（2）评估加简短建议会议（A + BA）。参与者将在进入研究时以及3个月、6个月和9个月的随访时接受评估。我们假设分配到A + MI组的青少年比分配到（A + BA）组的青少年表现出更大的酒精使用减少。其他研究目标将研究文化和种族因素的调节作用（例如，感知歧视、文化不信任、文化适应、文化适应压力）对干预反应的影响。这项研究的最终目的是为高风险的替代学校饮酒者，特别是少数民族/文化的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.