PARTNER

描述（由申请人提供）：杜克大学、杜克临床研究所和杜克大学卫生系统提出了合作伙伴项目（预防未成年人饮酒的方法），用于初级保健系统的能力建设，以设计、测试和提供干预措施，解决农村未成年人饮酒问题。合作伙伴的目标县是北卡罗来纳州皮埃蒙特地区的达勒姆、珀森、万斯、格兰维尔、富兰克林、沃伦和哈利法克斯等七个农村县。伙伴将为大约45 000名青年提供服务，其中包括18 000名非洲裔美国青年。合作伙伴将重点建设杜克附属医生（DUAP）的能力，DUAP是目标县完善的初级保健实践网络。具体目标1提议在初级保健提供者网络内发展基础设施和进行能力建设。研究小组将与7个PCP合作伙伴的核心合作，建立一个合作联盟，以支持干预和预防工作。该联盟将与学校、社会服务机构、宗教组织、执法部门和药物滥用服务提供者，以及重要的青年和家长建立联系。具体目标2提出了一个纵向的生态流行病学的基础上，未成年人饮酒的青年危险行为调查（YRBS）在学校和估计2000名学生就读于社区学院的年度管理。 具体目标3将是为实施干预和预防方法做准备。将开展两项试点研究。具体目标3a将研究在初级保健环境中进行简短干预的可行性。具体目标3b将测试个人/系统层面的方法，以最大限度地增加未成年青年的数量，特别是可以获得干预的非洲裔美国人。 该项目的公共卫生效益有三个方面：首先，该项目将扩大初级卫生保健网络在干预和预防农村未成年人饮酒方面的作用。第二，它将在社区伙伴之间建立一个沟通与合作的协作模式，以发展和维持解决未成年人饮酒问题的努力，特别是在农村非洲裔美国人社区。最后，它可以表明，将基于证据的干预未成年人饮酒纳入初级保健实践。

DESCRIPTION (provided by applicant): Duke University, Duke Clinical Research Institute and Duke University Health System propose the PARTNER project (Prevention Approaches To UNdERage Alcohol Use) for capacity building in the primary care system to design, test and deliver interventions to address rural underage drinking. The target counties for PARTNER are the seven rural counties of Durham, Person, Vance, Granville, Franklin, Warren and Halifax in the piedmont region of North Carolina. PARTNER will serve a population of approximately 45,000 youth including 18,000 African-American youth. PARTNER will focus on building capacity within the Duke Affiliated Physicians (DUAP) a well-established network of Primary Care Practices in the target counties. Specific Aim 1 proposes infrastructure development and capacity building within the primary health care provider (PCP) network. The investigator team will work with a core of 7 PCP partners to establish a collaborative alliance to support intervention and prevention efforts. This alliance will link with PCPs with schools, social service agencies, faith based organizations, law enforcement, and substance abuse service providers, and importantly youth and parents. Specific Aim 2 proposes a longitudinal ecological epidemiology of underage drinking based on annual administration of the Youth Risk Behavior Survey (YRBS) in schools and to the estimated 2000 students enrolled in community colleges. Specific Aim 3 will be the preparation to implement interventional and prevention approaches. Two pilot studies will be undertaken. Specific Aim 3a will examine the feasibility of a brief intervention within the primary care setting. Specific Aim 3b will test an individual/ system level approach to maximize the number of underage youth, particularly African-Americans who can be accessed for intervention. The public health benefits of the project are three fold: First the project will broaden the role of primary health care networks in the intervention and prevention of rural underage drinking. Second it will establish a collaborative model of communication and cooperation among the community partners to develop and sustain efforts to address underage drinking, in particular among the rural African-American community. Finally it can indicate integrate evidence-based interventions for underage drinking into primary care practice.