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）：这项拟议研究计划的目标是实施和评估补充干预措施，旨在解决居住在圣地亚哥农村九个连续印第安保留地及其周围的美国原住民青年中未成年酒精和其他药物使用和滥用问题。县。该应用程序直接建立在印度卫生理事会，公司，预防研究中心和斯克里普斯研究所开展了试点和示范研究，重点是通过一系列环境和个人干预措施减少美洲土著青年对酒精的供应和需求，这些干预措施已显示出效力，并在诊所服务的社区获得接受。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）一级，另一项针对个人（需求）一级。 基于社区的环境预防方案将侧重于：（a）通过对场外零售员的奖励和提醒方案，减少未成年人获得酒精和烟草的机会;（B）定制、实施和评估社区动员和提高认识的干预措施，旨在减少成年人（包括大家庭成员）获得酒精、烟草和其他毒品的机会。 这些社区一级的方案将辅之以个人一级的干预措施，包括实施和评估一项文化上有针对性的激励性访谈简短干预措施，以减少13-20岁的美洲印第安人吸毒者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进行调整，以适当解决来自九个部落的美洲土著青年使用药物的问题。 我们将通过分析多个数据来源来评估这些项目的有效性：（a）部落青年动机访谈试验的结果数据，（B）学校和社区青年关于青年自我报告的物质使用和相关问题（包括酒后驾车）的调查数据，（c）急诊室出院数据，以及（d）酒精/毒品相关事件的执法数据。为了评价的目的，将把印第安人卫生理事会服务区的这些数据与未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洲土著研究人员和实习生专家队伍，以实现拟议的研究和干预措施。该小组将为其他美洲土著社区的干预技术的标准化应用创建干预工作手册。