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: 9906832
• 负责人: Roland S Moore
• 金额: $ 68.97万
• 依托单位: PACIFIC INSTITUTE FOR RES AND EVALUATION
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-07-10 至 2022-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9906832
• 关键词: 20 year old; ATOD; Address; Adult; Alaska Native; Alcohol abuse; Alcohol or Other Drugs use; Alcohols; American; American Indians; Automobile Driving; Awareness; California; Catchment Area; Clinic; Collaborations; Communities; Community Surveys; Complement; Country; County; Data; Data Collection; Drug abuse; Drug usage; Effectiveness; Ensure; Ethnic Origin; Evaluation; Event; Extended Family; Family member; Goals; Health; Health Personnel; Health Promotion; Health Service Area; Indian reservation; Individual; Institution; Internships; Intervention; Law Enforcement; Laws; Marijuana; Medical; Minor; Native American Research Center for Health; Native Americans; Outcome; Patient Self-Report; Pharmaceutical Preparations; Population Research; Prevention Research; Prevention program; Prevention strategy; Primary Health Care; Program Effectiveness; Protocols documentation; Research; Research Institute; Research Personnel; Reservations; Rewards; Risk; Rural; Schools; Series; Site; Standardization; Students; Surveys; Techniques; Tobacco; Tribes; Youth; alcohol and other drug; alcohol availability; alcohol demand; alcohol, tobacco, and other drug use; base; brief intervention; cohort; disorder prevention; drinking; driving under influence; drug misuse; effectiveness evaluation; high risk; motivational enhancement therapy; multiple data sources; native youth; non-Native; prevent; prevention evaluation; programs; psychoeducation; public health relevance; public health research; response; rural Americans; school district; 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, marijuana, tobacco and other drug 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, marijuana, tobacco, and other drugs from adults, including 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. We will evaluate the effectiveness of these programs by analyzing multiple data sources: (a) outcome data from a Motivational Interviewing-Psychoeducation 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) anonymous norms and intervention awareness surveys from adults from each of the communities; 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 Natie 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未成年人酒精，大麻，烟草和其他药物使用和滥用美洲原住民青年居住在和周围九个连续的印第安保留地在农村圣地亚哥县的补充干预措施。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（包括家庭成员）获得酒精、大麻、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动机性访谈简短干预措施，以减少13-20岁的美洲印第安青年对酒精和其他药物的需求。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）来自部落青年动机访谈-心理教育试验的结果数据，（B）来自学校和社区青年调查的数据，这些调查涉及青年自我报告的物质使用和相关问题，包括酒后驾车，（c）来自每个社区成年人的匿名规范和干预意识调查;以及（d）关于酒精/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一个由美国研究人员和实习生组成的专家小组，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。