Evaluation of an optimized intervention to prevent early substance use among American Indian youth: Examination of expanded impacts on youth and parents

评估防止美洲印第安青年过早吸毒的优化干预措施：检查对青年和父母的扩大影响

• 批准号: 10224964
• 负责人: NANCY Rumbaugh WHITESELL
• 金额: $ 29.05万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-04-01 至 2024-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10224964
• 关键词: Address; Adolescent; Adoption; Adult; Alaska Native; Alcohol or Other Drugs use; American Indians; Attention; Child; Child Rearing; Colorado; Communication; Communities; Country; Discipline; Educational process of instructing; Effectiveness; Ethnic group; Evaluation; Family; Feeling suicidal; Health; Heroin; Home environment; Intervention; Link; Measures; Mental Health; Monitor; Motivation; Outcome; Oxycodone; Parents; Pattern; Personal Satisfaction; Plant Roots; Population; Prevention; Prevention program; Prevention strategy; Process; Program Appropriateness; Public Health Schools; Race; Reporting; Research; Research Personnel; Resources; Risk; Risk Behaviors; Risk Factors; Science; Substance Use Disorder; Suicide; Suicide attempt; System; Testing; Time; United States; Universities; Work; Youth; adolescent substance use; base; design; directed attention; early onset substance use; effectiveness testing; effectiveness trial; evidence base; improved; member; multiphase optimization strategy; northern plains; opioid epidemic; opioid use; peer; prevent; programs; protective factors; randomized controlled design; reduced substance use; response; skills; substance use prevention; suicidal risk; suicide rate; therapy development; tool; trend; tribal community

PROJECT SUMMARY/ABSTRACT The recent opioid crisis across the United States has drawn national attention and resulted in the allocation of significant federal resources to substance use treatment and prevention efforts. American Indian (AI) communities, however, have faced a substance use crisis of similar scope for many years, without the benefit of proportionate attention and resources. Disparities in substance use disorder impacting AI populations are well-documented, and the roots of these disparities can be traced to significantly higher adolescent substance use among AIs compared to other ethnic groups in the U.S. AI youth report earlier initiation of substance use than their non AI peers. National trends of escalating opioid use are evident among AI populations as well, and appear, in fact, to be even more pronounced, reflecting the overall pattern of disparities observed across substances, with AI youth reporting greater heroin and OxyContin use than youth from other racial and ethnic groups. The imperative remains strong to direct attention and resources to focus on early prevention efforts for AI youth. In response to this need, researchers at the Centers for American Indian and Alaska Native Health in the Colorado School of Public Health at the University of Colorado have recently completed an intensive community-engaged process to rigorously adapt the Strengthening Families Program for Parents and Youth 10-14 for the cultural context of a Northern Plains AI community, creating a program optimized for AI families, Thiwáhe Gluwáš'akapi (TG, sacred home in which family is made strong). The current study will test the effectiveness of TG for delaying the onset of substance use among young adolescents. Based on evidence that the original Strengthening Families program may impact risk behaviors beyond substance use, and in response to requests from participating families and community partners to help address suicide risk among their youth, the current study will also test the impact of TG on suicidal ideation among youth. In addition, in recognition of the potential of for the TG program to have a reciprocal influence on the adults participating in the program with their children, capitalizing on parents' motivation to protect their youth and make concomitant positive changes in their own lives, the current study will examine effects on adult substance use as well. Examining effects on adult substance use is especially timely as the opioid epidemic rages in in this community, as around the country. In summary, this study will address three specific aims, testing effectiveness of the TG prevention program on three distinct sets of outcomes: (1) Substance use among youth: delaying the onset of use and reducing use among youth who initiated prior to program participation; (2) Suicide risk among youth: reducing suicidal ideation and other risk factors for suicide and increasing protective factors; and (3) Substance use among adults: Reducing use among adults participating in the program with their children who report problematic levels of use at program entry.

项目总结/摘要 最近美国各地的阿片类药物危机引起了全国的关注，并导致 大量的联邦资源用于药物使用治疗和预防工作。美国印第安人（AI） 然而，社区多年来一直面临着类似规模的物质使用危机， 有足够的注意力和资源。影响AI人群的物质使用障碍的差异是 这些差异的根源可以追溯到青少年物质的显著增加， 与美国其他族裔群体相比，人工智能青少年更早开始使用药物 比他们的非人工智能同行。阿片类药物使用不断升级的国家趋势在AI人群中也很明显， 事实上，这种差距似乎更加明显，反映了在全球范围内观察到的总体差距格局。 物质，AI青年报告海洛因和奥施康定的使用量高于其他种族和民族的青年， 组当务之急仍然是将注意力和资源集中于早期预防工作， 人工智能青年。为了满足这一需求，美国印第安人和阿拉斯加土著健康中心的研究人员在 科罗拉多大学的科罗拉多公共卫生学院最近完成了一项密集的 社区参与的进程，以严格调整《父母和青年加强家庭方案》 10-14为一个北方平原AI社区的文化背景，创建一个为AI家庭优化的程序， Thiwáhe Gluwá 'akapi（TG，神圣的家园，家庭在其中变得强大）。目前的研究将测试 TG对延迟青少年物质使用发作的有效性。基于证据 最初的强化家庭计划可能会影响物质使用以外的风险行为， 回应参与计划的家庭及社区伙伴的要求，协助处理 为了了解青少年的自杀意念，本研究亦会测试TG对青少年自杀意念的影响。另外在 认识到TG计划对参与的成年人产生相互影响的潜力 该方案与他们的孩子，利用父母的动机，以保护他们的青少年， 为了使他们自己的生活发生积极的变化，目前的研究还将审查对成年人使用药物的影响。 检查对成人物质使用的影响是特别及时的，因为阿片类药物的流行在这一领域肆虐。 社区，如全国各地。总之，这项研究将解决三个具体目标，测试 TG预防计划对三组不同结果的有效性：（1） 青少年：延迟开始使用并减少在参与计划之前开始使用的青少年的使用;（2） 青年人的自杀风险：减少自杀意念和其他自杀风险因素， 因素;和（3）成年人的物质使用：减少参与该计划的成年人的使用， 他们的孩子谁报告有问题的使用水平在程序入口。