In-school and community media prevention

学校和社区媒体预防

• 批准号: 7237922
• 负责人: MICHAEL D. SLATER
• 金额: $ 58.28万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-09-30 至 2009-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7237922
• 关键词: Advertising; Alcohol or Other Drugs use; Alcohols; Attitude; Behavior; Behavioral; Class; Climate; Communities; Condition; Cost Savings; Data; Development; Diffuse; Dimensions; Educational Curriculum; Effectiveness of Interventions; Equipment; Financial Support; Future; Intervention; Lead; Life; Marijuana; Measures; Media Intervention; Mediating; Mediator of activation protein; Numbers; Outcome; Perception; Performance; Prevention; Randomized; Readiness; Relative (related person); Research; Research Personnel; Resources; Schools; Standards of Weights and Measures; Substance abuse problem; Teenagers; Testing; Time; Treatment outcome; Youth; adolescent drug use; base; community intervention; cost; cost effectiveness; design; experience; field study; improved; pressure; scale up; skills; success; treatment effect; uptake; volunteer

DESCRIPTION (provided by applicant): This proposal is a competing continuation intended to extend our initial findings in order to provide a firm basis for future dissemination efforts. In the prior project, a combined community- and school-based media prevention effort significantly reduced alcohol and marijuana use among middle-school youth (assessed in 8 treatment vs. 8 control communities in a RGT). Several questions need to be answered before moving to large-scale dissemination. First, can we replicate our findings, and what is the cost-effectiveness of the intervention, as a basis for informed decision by potential users of the interventions? Second, is the school-based media intervention sufficient alone to show significant reduction in substance uptake or key mediators, and what is the associated cost-effectiveness? The potential for widespread dissemination due to low costs and simplicity of implementation of in-school media is extremely promising. Third, what is the incremental contribution of the community-based media effort, and the cost-effectiveness associated with that effort? In addition, we can examine with greater precision, based on our experience with the prior study, the mediators that lead to the behavioral impacts of these media-based interventions. This study will use a randomized group trial employing 24 communities to provide increased sensitivity to examine these research questions. Two schools will participate in each community, one of which will be randomly assigned to the school media treatment and one of which will serve as control. Half of the communities will be randomly assigned to the community media treatment. As a result, the school and community treatments are crossed and can each be assessed within an HLM framework. Cost-effectiveness data will also be collected and assessed.

描述（由申请人提供）：本提案是一个竞争性的延续，旨在扩展我们的初步发现，以便为未来的传播工作提供坚实的基础。在之前的项目中，以社区和学校为基础的联合媒体预防工作显著减少了中学生的酒精和大麻使用（在RGT中对8个治疗社区和8个对照社区进行了评估）。在进行大规模传播之前，需要回答几个问题。首先，我们能否复制我们的发现，干预的成本效益如何，作为干预潜在用户知情决策的基础？其次，仅以学校为基础的媒体干预是否足以显示物质摄取或关键介质的显著减少，相关的成本效益是什么？由于校内媒体的低成本和简单的实施，广泛传播的潜力是非常有希望的。第三，以社区为基础的媒体努力的增量贡献是什么，以及与该努力相关的成本效益是什么？此外，根据我们先前研究的经验，我们可以更精确地检查导致这些基于媒体的干预行为影响的中介因素。本研究将采用24个社区的随机分组试验，以提高对这些研究问题的敏感性。每个社区将有两所学校参与，其中一所将随机分配给学校媒体处理，另一所将作为对照。一半的社区将被随机分配到社区媒体治疗。因此，学校和社区的治疗是交叉的，可以在HLM框架内进行评估。还将收集和评估成本效益数据。