Disadvantaged Youth and Alcohol Abuse Prevention

当2004年6月第一次审查这一提案时，发现了30个领域的弱点。 本订正本涉及每个薄弱领域。在这样做时，修订后的建议是 大大改善。 这项研究将扩展在一项个人和家庭干预的随机试验中开始的工作， 预防经济上处于不利地位的城市青年饮酒。在那次试验中， 来自大纽约市、新泽西和特拉华州的青少年通过合作分配 社区网站的三个武器之一：青年干预，青年干预加家长干预，或 控制两个干预组的青少年都完成了酒精滥用的初始和加强阶段 第二个干预组的青少年家长收到了 通过录像带、通讯和讲习班支持青年干预的内容。所有的年轻人都是 跟踪了3年。迄今为止的研究结果表明，青年干预的有效性，并显示适度的 为父母接受干预的青少年提供额外福利。 在这项工作的基础上，继续研究将纵向跟踪青年，因为他们进入高- 酒精使用的风险年，为青少年和家长开发和提供助推器会议，并分析 按研究组、干预剂量以及性别和种族变量列出的项目效应。的 还将探讨中介变量对干预结果的贡献。年度跟踪 继续研究中的测量将包括新的量表，以评估青少年患上糖尿病的风险增加。 酒精使用凭借他们的成熟和先前的规模管理，在前测，后测，和1，2， 和3年的随访测量。跟踪规定已到位，以保留 在第二个五年的融资过程中。

When this proposal wasfirst reviewed - inJune 2004 - weaknesses were identified in 30 areas. The present revision addresses each area of weakness. In so doing, the revised proposal is substantially improved. The research will extend work begun in a randomized trial of individual and family interventions for preventing alcohol use among economically disadvantaged urban youth. In that trial, roughly 500 early adolescents from greater New York City, New Jersey, and Delaware were assigned by collaborating community site to one of three arms: youth intervention, youth intervention plus parent intervention, or control. Youths in both intervention arms completed initial and booster sessions of an alcohol abuse prevention program delivered by CD-ROM. Parents of youths in the second intervention arm received content to support youth intervention via videotape, newsletters, and a workshop. All youths were followed for 3 years. Findings to date demonstrate the efficacy of youth intervention and show modest added benefits for youths whose parents received intervention. Building on this work, the continuation study will longitudinally track youths as they enter the high- risk years for alcohol use, develop and deliver boosters sessions for youths and parents, and analyze program effects by study arm, intervention dosage, and gender and ethnic-racial variables. The contribution of mediating variables to intervention outcomes will also be explored. Annual follow-up measurements in the continuation study will include new scales to assess youths' increased risks for alcohol use by virtue of their maturation and prior scales administered at pretest, posttest, and 1-, 2-, and 3-year follow-up measurements in the current study. Tracking provisions are in place to retain the sample throughout the second 5 years of funding.