The Development and Evaluation of a Culturally Grounded ENDS Intervention for Rural Hawaiian Youth

针对夏威夷农村青年的基于文化的 ENDS 干预措施的制定和评估

• 批准号: 10651788
• 负责人: Scott Kiyoshi Okamoto
• 金额: $ 55.42万
• 依托单位: UNIVERSITY OF HAWAII AT MANOA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-01 至 2027-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10651788
• 关键词: Address; Affect; Age; American Indians; Area; Asthma; Behavior; COVID-19 susceptibility; Clip; Communities; Complement; Control Groups; Coupled; Data; Development; Disparity; Drug usage; Education; Educational Curriculum; Electronic Nicotine Delivery Systems; Electronic cigarette; Electronics; Environment; Epidemic; Ethnic Population; Evaluation; Film; Focus Groups; Foundations; Funding; Ground Substance; Growth; Guam; Hawaii; Hawaiian; Health; High School Student; Immersion; Indigenous; Intervention; Interview; Island; Light; Link; Location; Marshall Islands; Media Campaign; Middle School Student; National Institute of Drug Abuse; Native Hawaiian; Native Hawaiian or Other Pacific Islander; Pacific Islands; Parents; Pharmaceutical Preparations; Photography; Policies; Population; Prevalence; Prevention; Prevention Research; Prevention program; Prevention strategy; Printed Media; Production; Randomized, Controlled Trials; Reporting; Research Personnel; Research Proposals; Risk; Rural; Rural Community; Schools; Social Environment; Students; Survey Methodology; Surveys; Treatment Efficacy; United States; United States National Institutes of Health; Waiting Lists; Youth; age group; alcohol tobacco and other drug use; combustible cigarette; design; efficacy evaluation; electronic cigarette use; electronic cigarette user; epidemiology study; evidence base; experience; follow-up; high risk; junior high school; peer influence; population based; prevent; prevent ATOD use; preventive intervention; racial population; school environment; social; social media; statistics; substance abuse prevention; surveillance data; teacher; therapy development; trend; vape pens; vaping; vaping associated lung injury; vapor

PROJECT SUMMARY/ABSTRACT Since 2017, there has been an exponential growth in youths’ use of electronic nicotine delivery systems (ENDS), both nationally and in the state of Hawai‘i [1, 2]. Recent surveillance data has indicated that 18% of all middle school youth in the state of Hawai‘i currently use an electronic vapor product, ranking first nationally among all states collecting data on middle school youth [1]. Of these youth, 30% are of Native Hawaiian or Pacific Islander ancestry, representing the highest percentage of ENDS use among major ethnic groups in Hawai‘i. Despite these alarming trends, there have been no ENDS prevention programs developed and evaluated for youth in Hawai‘i or for Native Hawaiian youth [3]. Therefore, the purpose of this research proposal is to develop and evaluate a culturally grounded, ENDS prevention intervention for rural Hawaiian youth. This will be accomplished through two specific aims. AIM 1 (Years 1-3) are focused on pre-intervention and intervention development. In Year 1, youth focus groups will be conducted to assess the environmental demands related to ENDS use in rural Hawai‘i. In Year 2, specific ENDS-related problem situations (i.e., situations that increase risk for ENDS use) will be extracted from the Year 1 focus groups and prioritized through survey methods with 200-250 predominately Native Hawaiian youth across 16 different middle/intermediate schools on Hawai‘i Island. In Year 3, five situations found to be the most frequently experienced and/or difficult to manage by youth surveyed in Year 2 will serve as the foundation for the development of narrative scripts. Three of these scripts will be cast and filmed on location on Hawai‘i Island by a professional film director, and will be edited into three short films, 6-8 video clips, and 6-8 professional photos or production stills. Similar to our prior drug prevention research in rural Hawai‘i [4], classroom-based lessons will be created to support the short films. Additional lessons and videos from an evidence-based, culturally grounded substance abuse prevention curriculum for Hawaiian youth (Ho‘ouna Pono) [5] will be used to create a modular classroom curriculum. The video clips and professional photography/production stills will be embedded with prevention messaging, and will be used for a social and print media campaign to reinforce the classroom curriculum. AIM 2 (Years 4-5) is to evaluate the ENDS prevention intervention (classroom curriculum plus social/print media campaign) across all middle/intermediate public or public- charter schools (N = 16) and up to 11 different cultural immersion charter schools on Hawai‘i Island using a dynamic wait-listed control group design [6].

项目总结/摘要 自2017年以来，青少年使用电子尼古丁输送系统的人数呈指数级增长 （二）在全国范围内和在夏威夷州[1]。最近的监测数据表明， 夏威夷州的中学生目前使用电子蒸汽产品，在全国排名第一 在收集中学生数据的所有国家中[1]。在这些年轻人中，30%是夏威夷原住民或 太平洋岛民血统，在2010年主要族裔群体中使用ENDS的百分比最高。 夏威夷尽管有这些令人担忧的趋势，但尚未制定ENDS预防方案， 在夏威夷或夏威夷原住民青年评估[3]。因此，本研究的目的 一项建议是为夏威夷农村居民制定和评估一项基于文化的ENDS预防干预措施， 青年这将通过两个具体目标来实现。目标1（1-3年级）侧重于干预前 干预发展。在第一年，我们将组织青年焦点小组， 与夏威夷农村使用ENDS有关的需求。在第二年，具体的ENDS相关问题情况（即， 增加ENDS使用风险的情况）将从第1年重点小组中提取并优先考虑 通过调查方法，在16个不同的地区，200-250名主要是夏威夷土著青年 夏威夷岛上的中学。第三年，发现最常见的五种情况 在第二年接受调查的年轻人中，经验丰富和/或难以管理的人将作为 叙事剧本的发展。其中三个剧本将在夏威夷岛拍摄， 一个专业的电影导演，并将被编辑成三个短片，6-8视频剪辑，6-8专业 照片或制作剧照。与我们之前在夏威夷农村进行的药物预防研究类似[4]， 将制作课程以支持短片。其他课程和视频来自一个基于证据的， 夏威夷青少年基于文化的药物滥用预防课程（Ho'ouna Pono）[5]将被 用于创建模块化课堂课程。视频剪辑和专业摄影/制作剧照 将嵌入预防信息，并将用于社会和印刷媒体运动， 加强课堂教学。目的2（4-5年）是评估ENDS预防干预 （课堂课程加社会/印刷媒体运动）在所有中级/中级公共或公共- 特许学校（N = 16）和多达11个不同的文化沉浸特许学校在夏威夷岛使用一个 动态等待控制组设计[6]。