Strategies for Preventing Underage Drinking and Other Substance Use in Native American Tribal Communities

防止美洲原住民部落社区未成年人饮酒和其他药物使用的策略

• 批准号: 9053839
• 负责人: Roland S Moore
• 金额: $ 30万
• 依托单位: PACIFIC INSTITUTE FOR RES AND EVALUATION
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-06-01 至 2016-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9053839
• 关键词: 20 year old; Accident and Emergency department; Address; Adult; Alcohol abuse; Alcohol or Other Drugs use; Alcohols; American Indian and Alaska Native; American Indians; Area; Automobile Driving; Awareness; California; Catchment Area; Clinic; Collaborations; Communities; Complement; County; Data; Data Analyses; Data Collection; Data Sources; Documentation; Drug usage; Ensure; Ethnic Origin; Evaluation; Evaluation Research; Event; Extended Family; Family member; Goals; Health; Health Personnel; Health Promotion; Heavy Drinking; Indian reservation; Individual; Institution; Institutionalization; Intervention; Law Enforcement; Laws; Medical; Minor; Native Americans; Outcome; Patient Self-Report; Pharmaceutical Preparations; Population Research; Pre-Post Tests; Prevention Research; Prevention program; Prevention strategy; Primary Health Care; Process; Program Effectiveness; Protocols documentation; Research; Research Institute; Research Personnel; Reservations; Rewards; Risk; Rural; Schools; Series; Services; Site; Students; Substance abuse problem; Surveys; Techniques; Testing; Tobacco; Tobacco use; Tribes; Youth; alcohol and other drug; alcohol availability; alcohol demand; base; brief intervention; cohort; disorder prevention; drinking; driving under influence; high risk; motivational enhancement therapy; prevent; programs; public health research; response; screening; social; therapy design; tribal community; underage drinking; underage drinking prevention; underage drinking reduction; university student

 DESCRIPTION (provided by applicant): The goal of this proposed research program is to implement and evaluate complementary interventions designed to address underage alcohol and other substance use and abuse among Native American youth residing in and around nine contiguous Indian reservations in rural San Diego County. The application directly builds upon the successful collaboration between Indian Health Council, Inc., Prevention Research Center, and The Scripps Research Institute, with pilot and demonstration studies focusing on reducing the supply of and demand for alcohol by Native American youth through a series of environmental and individual interventions that have shown efficacy and have gained acceptability in the communities served by the clinics. The overall goal of the present proposal will be accomplished through two complementary efforts, one aimed at the community (supply) level and the other at the individual (demand) level. The community-based environmental prevention program will focus on (a) reducing underage access to alcohol and tobacco through a reward and reminder program for off-premise retail clerks and (b) tailoring, implementing and evaluating a community mobilization and awareness intervention aimed at reducing the social availability of alcohol, tobacco, and other drugs from adults, including extended family members. These community-level programs will be complemented with interventions at the individual level; including implementing and evaluating a culturally tailored motivational interviewing brief intervention to reduce demand for alcohol and other drugs for American Indian youth 13-20 years of age who are substance users. These individual level interventions will be culturally tailored to appropriately address substance use by Native American youths from the nine tribes. We will evaluate the effectiveness of these programs by analyzing multiple data sources: (a) outcome data from the Motivational Interviewing trial among tribal youth, (b) data from school and community youth surveys on youths' self-reported substance use and related problems including driving under the influence, (c) emergency room discharge data, and (d) law enforcement data on alcohol/drug-related events. For the purposes of evaluation, these data from the Indian Health Council catchment area will be compared to data from surveys of both non-Native and Native American youth who were not involved in the intervention activities. The research will continue to build cohorts of expert Native American research staff and student interns for actualizing the proposed research and interventions. The team will create intervention workbooks for standardized application of the intervention techniques in other Native American communities.

 描述(由申请人提供)：这项拟议的研究计划的目标是实施和评估旨在解决居住在圣地亚哥县农村地区九个毗邻印第安人保留地及其周围的美国原住民青年中未成年酒精和其他物质的使用和滥用的补充干预措施。这项申请直接建立在印度健康理事会、预防研究中心和斯克里普斯研究所之间的成功合作基础上，试点和示范研究的重点是通过一系列环境和个人干预措施减少美洲原住民青年对酒精的供应和需求，这些干预措施已经显示出有效性，并在诊所所服务的社区获得了接受。本提案的总体目标将通过两项相辅相成的努力来实现，一项针对社区(供应)层面，另一项针对个人(需求)层面。以社区为基础的环境预防计划将侧重于(A)通过为非现场零售店员提供奖励和提醒计划来减少未成年人饮酒和吸烟的机会，以及(B)量身定做、实施和评估旨在减少成年人(包括大家庭成员)酒精、烟草和其他药物的社会可获得性的社区动员和意识干预措施。这些社区一级的方案将辅之以个人一级的干预措施；包括实施和评估根据文化定制的励志访谈和简短干预措施，以减少13-20岁吸毒者美国印第安人青年对酒精和其他药物的需求。这些个人层面的干预措施将在文化上量身定做，以适当解决来自九个部落的美洲原住民青年使用物质的问题。我们将通过分析多个数据来源来评估这些方案的有效性：(A)部落青年激励性访谈试验的结果数据；(B)学校和社区青年调查中关于青年自我报告的药物使用情况和相关问题(包括酒后驾车)的数据；(C)急诊室出院数据；以及(D)关于酒精/毒品相关事件的执法数据。出于评估的目的，这些来自印度卫生理事会集水区的数据将与对没有参与干预活动的非土著和美洲土著青年的调查数据进行比较。这项研究将继续建立美国原住民研究人员和学生实习生的专家队列，以实施拟议的研究和干预措施。该团队将为干预技术在其他美洲原住民社区中的标准化应用创建干预工作簿。