Culturally grounded early substance use prevention for American Indian families

美洲印第安人家庭基于文化的早期药物使用预防

• 批准号: 8467933
• 负责人: NANCY Rumbaugh WHITESELL
• 金额: $ 69.5万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-06-15 至 2018-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8467933
• 关键词: Address; Adolescence; Adolescent; Adolescent Risk Behavior; Alcohol or Other Drugs use; American Indian and Alaska Native; American Indians; Behavior; Child; Cognitive deficits; Colorado; Communities; Community Psychology; Development; Driving While Intoxicated; Early identification; Education; Educational Curriculum; Effectiveness; Epidemiology; Equilibrium; Evaluation; Evaluation Research; Evidence based practice; Evidence based program; Failure; Family; Feeling suicidal; Funding; Goals; Ground Substance; Health; Imprisonment; Indian reservation; Injury; Intervention; Intervention Studies; Iowa; Knowledge; Link; Literature; Long-Term Effects; Marijuana Smoking; Mental Health; Methods; National Institute of Drug Abuse; Pattern; Population; Prevention; Prevention program; Preventive Intervention; Problem behavior; Psychopathology; Public Health; Randomized Controlled Trials; Relative (related person); Research; Research Infrastructure; Research Personnel; Reservations; Resources; Risk; Schools; Science; Sex Behavior; Sexual Partners; Social Psychology; Sociology; Staging; Substance Use Disorder; Substance abuse problem; Suicide; Suicide attempt; Testing; Translating; Universities; Unsafe Sex; Work; Youth; adolescent substance use; anti social; base; brain morphology; critical period; design; developmental psychology; disorder risk; early adolescence; early onset substance use; effective intervention; evidence base; experience; health administration; health disparity; high risk sexual behavior; innovation; northern plains; physical conditioning; prevent; programs; public health relevance; reduced substance abuse; substance use prevention; therapy development; tribal community; tribal health; vehicular accident

DESCRIPTION (provided by applicant): Problematic substance use is widespread in many American Indian communities, and early adolescence is a critical period for the development of subsequent substance problems. Efforts to prevent early substance abuse are ongoing on many reservations but often are not informed by scientific evidence of effectiveness - largely because such evidence is sorely lacking. We propose to partner with a reservation community with high rates of substance problems to adapt, implement, and rigorously evaluate a program designed to prevent early initiation of substance use and the myriad of problems that accompany early use. The identification of early substance use as a target and the selection of the particular intervention approach we propose have directly resulted from a longstanding university-tribal community relationship and, in particular, from community input within the context of two recent projects funded by NIDA (RC4DA029974, Whitesell & Beals, PIs; and R01DA027665, Whitesell, PI). A clear message arising out of both projects has been the need to engage families and culture in the prevention of early onset substance use. In this project, we will continue this partnership to translate a rigorously evaluated evidence-based practice for use with tribal families, adapting and anchoring it within a cultural practice arising from within the community. We will draw on the strengths of both university and community partners, implementing innovative intervention development methods within a community collaborative research and evaluation context. We will address three specific aims: 1. Develop a culturally grounded, family-based early substance use prevention intervention tailored to a Northern Plains American Indian Reservation. "Use an evidence-based practice approach to implement a proven program (Iowa Strengthening Families Program/ISFP) within a new context, working with community partners to translate ISFP for the local context, including deep and meaningful adaptations in how the curricular content is delivered. "Use a practice-based evidence approach to integrate a cultural curriculum (Seven Directions/SD) developed within the community into the ISFP curriculum, drawing on local knowledge of effective practices to further ground substance use prevention efforts within the cultural context. 2. Pilot the adapted Seven Directions for Stronger Families (SDSF) program to determine feasibility, refine details, and maximize fit within the community. 3. Use the principles of the Multiphase Optimization Strategy (MOST) for intervention evaluation and development, to determine the relative effect size of different intervention components and inform a final SDSF program that balances effectiveness and efficiency. 4. Set the stage for broad implementation of SDSF by the tribal health administration and a randomized controlled trial of the full intervention.

描述（由申请人提供）：有问题的物质使用在许多美国印第安人社区很普遍，青春期早期是随后物质问题发展的关键时期。许多保留地正在努力防止早期药物滥用，但往往没有有效的科学证据-主要是因为严重缺乏这种证据。我们建议与保留社区合作，以适应，实施和严格评估旨在防止早期开始使用物质和伴随早期使用的无数问题的计划。早期物质使用的目标和我们提出的特定的干预方法的选择的识别直接导致长期的大学，部落社区的关系，特别是，从社区输入的背景下，最近的两个项目由NIDA资助（RC 4DA 029974，Whitesell & Beals，PI;和R 01 DA 027665，Whitesell，PI）。这两个项目发出的一个明确信息是，必须让家庭和文化参与预防早期药物使用。在这个项目中，我们将继续这种伙伴关系，翻译一个严格评估的循证实践用于部落家庭，适应和锚定它在一个文化实践中产生的社区内。我们将利用大学和社区合作伙伴的优势，在社区合作研究和评估的背景下实施创新的干预开发方法。我们将讨论三个具体目标：1。制定一个文化接地，以家庭为基础的早期物质使用预防干预量身定制的北方平原美国印第安人保留地。 “使用基于证据的实践方法，在新的背景下实施经过验证的计划（爱荷华州加强家庭计划/ISFP），与社区合作伙伴合作，将ISFP翻译为当地环境，包括在课程内容如何交付方面进行深入而有意义的调整。 “利用基于实践的证据方法，将社区内制定的文化课程（七个方向/SD）纳入ISFP课程，利用当地对有效做法的了解，在文化背景下进一步开展地面物质使用预防工作。2.试点适应七个方向更强大的家庭（SDSF）计划，以确定可行性，完善细节，并最大限度地适应社区。3.使用多阶段优化策略（MOST）的原则进行干预评估和开发，以确定不同干预组件的相对效应大小，并为平衡有效性和效率的最终SDSF计划提供信息。4.为部落卫生管理部门广泛实施SDSF和全面干预的随机对照试验奠定基础。