Inhalant Prevention Campaign for American Indian Youth

美洲印第安人青少年吸入预防运动

• 批准号: 8662054
• 负责人: KATHLEEN J KELLY
• 金额: $ 62.68万
• 依托单位: COLORADO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-04-15 至 2019-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8662054
• 关键词: Adolescent; Age; American Indians; Area; Bayesian Analysis; Communication; Communities; Creativeness; Cultural Anthropology; Data; Data Analyses; Development; Effectiveness; Elderly; Enrollment; Expectancy; Focus Groups; Funding; Future; Goals; Grant; High School Student; Inhalant dose form; Intervention; Life; Longitudinal Surveys; Measurement; Measures; Monitor; National Institute of Drug Abuse; Native Americans; Outcome; Parents; Personal Autonomy; Pharmaceutical Preparations; Population; Prevalence; Prevention; Prevention program; Principal Investigator; Printing; Race; Randomized; Recruitment Activity; Reservations; Risk; Schools; Site; Social Marketing; Social Psychology; Spottings; Students; Surveys; Testing; Training; United States Indian Health Service; Universities; Voice; Work; Youth; base; cohort; community based participatory research; community intervention; design; expectation; flexibility; high school; inhalation drug abuse; intervention effect; junior high school; member; multilevel analysis; peer; posters; primary outcome; public health relevance; reduce school violence; reduced substance use; reservation-based; secondary outcome; seventh grade; social; substance use prevention; teacher; trend; tribal member; twelfth grade; uptake; web site

DESCRIPTION (provided by applicant): Inhalants pose a particularly dangerous risk to middle-school youth, and American Indian (AI) youth are at particular risk for inhalant use. We have found over the course of more than three decades that inhalant use among AI youth is consistently higher than that of other ethnic/racial groups. Although inhalant use rates for AI youth gradually declined from a peak of 31% in 1984 through 2004, our data show a substantial increase in lifetime prevalence of inhalants among AI 7th - 12th grade youth -- from 10% to 25%. Schools are often the site for adolescent drug prevention efforts, but results from these efforts are often modest or even disappointing. This intervention adapts an existing campaign (Be under Your Own Influence; BUYOI) that has been found to be effective in reducing substance use and that uses campaign messages that are congruent with AI culture. The intervention will be adapted using significant contributions from tribal members, including youth, teachers, parents, elders, and other community members. This proposal includes active involvement of local advisory boards, hiring of a local AI liaison, focus groups, a youth photo voice component, and use of AI staff from our Center and from the Native American Cultural Center at our university. The adapted anti-inhalant communications campaign will be delivered by selected high school students to 7th grade students. A distinguishing feature of the BUYOI campaign is a message that targets outcome expectations related to aspirations, autonomy, and physical harms. The campaign will use multiple channels of communication including print (e.g., posters and fliers), video and audio spots, presentations, and social media to deliver messages that are designed to alter outcome expectancies, intentions, and ultimately inhalant use among targeted youth. The campaign will be delivered to two cohorts of 7th graders, with 4 longitudinal measurement occasions for each cohort. Seven middle schools (and their corresponding high schools) have been recruited for the study, where four of these will be randomly assigned to the intervention condition and three to the control condition. Multilevel data analysis will test for effects of campaign exposure on autonomy, aspirations, perceived harm, and intentions to use. Because of the heavy involvement of the school and community in the development and delivery of the intervention, we will be able to incorporate sustainability into the design of all integrated components. Ultimately, our goal is to develop a turnkey package for the broader population of reservation-based AI youth and schools and to develop components that can incorporate flexibility and creativity in their delivery. For example, a school or local group may implement the campaign in its original form or they may modify aspects to make them more pertinent to their community.

描述（由申请人提供）：吸入剂对中学生构成特别危险的风险，美洲印第安人（AI）青年使用吸入剂的风险特别大。我们发现，在三十多年的时间里，人工智能青少年的吸入剂使用率一直高于其他种族/种族群体。尽管人工智能青少年的吸入剂使用率从1984年的31%的峰值到2004年逐渐下降，但我们的数据显示，人工智能7 - 12年级青少年的吸入剂终生患病率大幅增加-从10%增加到25%。 学校往往是青少年毒品预防工作的场所，但这些工作的结果往往是有限的，甚至令人失望。这种干预适应了现有的运动（在你自己的影响下; BUYOI），该运动已被发现在减少物质使用方面有效，并使用与人工智能文化一致的运动信息。干预措施将利用部落成员的重要贡献进行调整，包括青年、教师、父母、长者和其他社区成员。该提案包括当地咨询委员会的积极参与，雇用当地人工智能联络员，焦点小组，青年照片语音组件，以及使用我们中心和我们大学美洲土著文化中心的人工智能工作人员。 经过调整的防吸入剂宣传活动将由选定的高中生向七年级学生提供。BUYOI运动的一个显著特点是针对与愿望、自主权和身体伤害相关的结果预期的信息。该活动将使用多种沟通渠道，包括印刷品（例如，海报和传单）、视频和音频点、演示文稿和社交媒体，以传递旨在改变目标青年对结果的预期、意图和最终吸入剂使用的信息。 该活动将针对两个七年级学生群体，每个群体有4次纵向测量机会。七所中学（及其相应的高中）已被招募的研究，其中四个将被随机分配到干预条件和控制条件。多层次数据分析将测试活动曝光对自主性、愿望、感知伤害和使用意图的影响。 由于学校和社区大量参与干预措施的制定和实施，我们将能够将可持续性纳入所有综合组成部分的设计中。最终，我们的目标是为更广泛的人工智能青年和学校开发一个交钥匙包，并开发能够在交付中融入灵活性和创造力的组件。例如，一所学校或当地团体可以以其原始形式实施运动，或者他们可以修改某些方面，使其更适合其社区。