The Development of a Video-Enhanced Drug Prevention Program for Rural Native Hawa

描述（由申请人提供）：研究表明，夏威夷土著青年的吸毒率明显高于非夏威夷青年（例如，Wong，Klingle，& Price，2004; Mayeda，Hishinuma，Nishimura，Garcia-圣地亚哥，& Mark，2006），这些差异在农村环境中尤为明显（Lai & Saka，2005）。尽管有这些发现，很少有专门为这些年轻人制定和评估的药物预防计划（爱德华兹，吉鲁，冈本，在新闻中; Rehuher，Hiramatsu，& Helm，2008）。因此，这项探索性研究提案的目的是为夏威夷土著农村青年开发和试点测试基于视频的，基于文化的药物预防方案的课程组成部分。这将通过三个具体目标来实现。目标1是制作3-5个视频短片，重点介绍夏威夷农村青年与毒品有关的问题。小插曲将集中在共同和困难的药物提供这些青年的情况下，以及对每种情况的反应范围，从以前的NIDA资助的研究（5 K 01 DA 019884）建立。目标2是开发相应的药物预防课程组成部分，以补充目标1中开发的视频短片。目的3是试点测试所产生的课程组成部分的方案可行性和测量，使用与利益相关者（例如，夏威夷青年，青年服务从业人员）和四所中学的选定课堂实施。将对四所注意力控制学校的干预组成部分进行比较，以估计未来大规模随机对照试验（将作为未来R 01补助金的一部分实施）的效应量。 公共卫生相关性：因为夏威夷人或部分夏威夷人代表了美国最大的太平洋岛民人口。（Harris & Jones，2005），与其他种族相比，（少数民族健康办公室，2009年），对这些人的药物预防的研究对于改善夏威夷和美国大陆的公共卫生都很重要。使农村社区参与制定夏威夷青年预防毒品干预措施的课程组成部分，促进这些组成部分的总体效用和有效性。此外，这项研究的结果将指出农村社区夏威夷青年预防干预的核心内容，这可能适用于夏威夷和环太平洋地区的其他种族青年人口，以及美国大陆的土著青年人口。

DESCRIPTION (provided by applicant): Research has indicated that Native Hawaiian youth have significantly higher rates of drug use than their non-Hawaiian counterparts (e.g., Wong, Klingle, & Price, 2004; Mayeda, Hishinuma, Nishimura, Garcia- Santiago, & Mark, 2006), and that these differences are particularly pronounced in rural settings (Lai & Saka, 2005). Despite these findings, there have been very few drug prevention programs developed and evaluated specifically for these youth (Edwards, Giroux, & Okamoto, in press; Rehuher, Hiramatsu, & Helm, 2008). Therefore, the purpose of this exploratory research proposal is to develop and pilot test curricular components of a video-based, culturally-grounded drug prevention program for rural Native Hawaiian youth. This will be accomplished through three specific aims. AIM 1 is to create 3-5 video vignettes focused on relevant drug related problem situations of rural Hawaiian youth. The vignettes will focus on common and difficult drug offer situations for these youth, as well as the range of responses to each situation, established from prior NIDA- funded research (5 K01 DA019884). AIM 2 is to develop the accompanying drug prevention curricular components to compliment the video vignettes developed in Aim 1. AIM 3 is to pilot test the resulting curricular components for program feasibility and measurement, using a combination of focus group interviews with stakeholders (e.g., Hawaiian youth, youth-serving practitioners) and selected classroom implementation within four middle schools. Comparison of the intervention components against four attentional-control schools will be conducted, in order to estimate effect sizes for a future large-scale, randomized controlled trial (to be implemented as part of a future R01 grant). PUBLIC HEALTH RELEVANCE: Because Hawaiians or part-Hawaiians represent the largest Pacific Islander population in the U.S. (Harris & Jones, 2005) and have been shown to have higher rates of alcohol consumption and smoking compared with other ethnic groups (Office of Minority Health, 2009), research focused on drug prevention of these individuals is important to improve public health both in Hawai'i and on the Mainland U.S. This study actively engages rural communities in the development of the curricular components of a drug prevention intervention for Hawaiian youth, promoting the overall utility and effectiveness of those components. Further, the findings from this study will point to the core content of prevention interventions for Hawaiian youth in rural communities, which may be applicable to other ethnic youth populations in Hawai'i and the Pacific Rim, as well as Native youth populations on the Mainland U.S.