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.