Active Involvement in Creating High School Substance Use Prevention Messages

描述（由申请人提供）：来自新研究者的R21提案的目标是（1）完善简短的干预成分，以积极参与青少年分析和规划物质使用预防信息，（2）进行干预的可行性研究，（3）为未来的随机对照试验制定程序和措施。拟议的研究采用了一个媒体扫盲框架，探讨如何积极让青年参与制定预防信息，作为一项战略，最大限度地发挥预防干预措施的影响。分析支持药物（酒精）的信息和创建反ATOD信息促进青少年的观点，为什么同龄人使用或不使用酒精。我们假设这一过程会影响规范和ATOD预期，并最终减少物质使用。该提案响应NIDA PA-08-218药物滥用预防干预研究（R21），呼吁调查解决1）新的预防方法的开发，2）新的和适应的预防干预方法的测试，以及3）阐明与经验验证的干预措施的选择，采用，适应，实施，可持续性和融资相关的过程。 在第一阶段，访谈，焦点小组，初步研究和文献综述将被用来开发一个干预课程，青年信息发展（YMD）。干预措施旨在简短，并通过积极参与预防信息来教授媒体素养。在第2阶段，将进行可行性研究，其中参加宾夕法尼亚州领导力课程的高中生（N = 310）被随机分配到分析研讨会或分析加规划研讨会，并与对照组进行比较。领导力项目人员、教师和项目工作人员（N = 55）对研讨会的评估也将用于评估可行性。除了检查可行性外，结果评估（前测、干预后的中间后测和延迟后测）将提供对假设的初步检验，即分析加计划组比仅分析干预组产生更好的结果，并且两种干预均上级对照组。该研究的结果将作为更大规模随机临床试验的基础。这种创新的简短干预组件的额外好处之一是，虽然可能影响单独或与综合干预相结合的物质使用，但它鼓励在许多州的现行教学标准下发展高中课程中重视的高阶批判性思维技能，这应该促进传播。 公共卫生相关性：青少年药物滥用仍然是一个重大的公共卫生问题，基于媒体扫盲的干预措施似乎是解决这一问题的一个有希望的办法，值得严格评价。本研究提供了一个可行性测试的媒介素养干预和初步了解它是如何运作的，有什么影响，以及如何在更广泛的范围内实施。该项目的长期目标是制定一个有效的简短的学校为基础的预防计划，以减少青少年药物使用的随机临床试验的一个组成部分。

DESCRIPTION (provided by applicant): The goals of this R21 proposal from a new investigator are to (1) refine a brief intervention component to actively involve youth in analyzing and planning substance use prevention messages, (2) conduct a feasibility study for the intervention, and (3) develop procedures and measures for a future randomized control trial. The proposed study applies a media literacy framework to explore how actively involving youth in developing prevention messages functions as a strategy for maximizing the impact of prevention interventions. Analysis of pro-drug (alcohol) messages and creation of anti-ATOD messages promotes adolescents' perspective taking about why peers do or do not use alcohol. We hypothesize that this process impacts norms and ATOD expectancies and ultimately reduces substance use. The proposal responds to NIDA PA-08-218 Drug Abuse Prevention Intervention Research (R21) calling for investigations addressing 1) the development of novel prevention approaches, 2) the testing of novel and adapted prevention intervention approaches, and 3) the elucidation of processes associated with the selection, adoption, adaptation, implementation, sustainability, and financing of empirically validated interventions. In phase 1, interviews, focus groups, preliminary studies, and literature reviews will be used to develop an intervention curriculum, Youth Message Development (YMD). The intervention is intended to be brief and teach media literacy through active engagement with prevention messages. In phase 2, a feasibility study will be conducted in which high school students (N = 310) attending a leadership program in Pennsylvania are randomly assigned to an analysis workshop or an analysis plus planning workshop, and both compared to a control group. Assessments of the workshops by leadership program personnel, teachers, and project staff (N = 55) will also be used to evaluate feasibility. In addition to examining feasibility, outcome assessment (pretest, intermediate posttest after intervention, and a delayed posttest) will provide a preliminary test of the hypothesis that the analysis plus planning group produces better outcomes than the analysis only intervention and that both interventions are superior to the control group. Results from the study will serve as a foundation for a larger randomized clinical trial. One of the added benefits of this innovative brief intervention component is that while potentially impacting substance use alone or in combination with a comprehensive intervention, it encourages the development of higher order critical thinking skills valued in high school curricula under current teaching standards in many states which should foster dissemination. PUBLIC HEALTH RELEVANCE: Adolescent substance abuse remains a significant public health concern and media literacy-based interventions appear to be a promising approach to addressing this problem that deserves to be evaluated rigorously. This study provides a feasibility test of a media literacy intervention and a preliminary look at how it functions, with what effects, and how it may be implemented on a broader scale. The long-term objective of this project is to develop a component of an effective brief school-based prevention program to reduce adolescent substance use for testing in a randomized clinical trial.