Preventing Alcohol Use Disorders and Alcohol-Related Harms in Pacific Islander Young Adults
预防太平洋岛民年轻人的酒精使用障碍和酒精相关危害
基本信息
- 批准号:10804296
- 负责人:
- 金额:$ 60.54万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2023
- 资助国家:美国
- 起止时间:2023-09-18 至 2028-08-31
- 项目状态:未结题
- 来源:
- 关键词:AdoptionAffectAlcohol abuseAlcohol consumptionAlcoholsArkansasAsian AmericansAttentionCommunitiesConsensusCountryCountyDecision MakingDisparityFeedbackFundingGeneral PopulationHealthHealth Care CostsHomeInterventionIntervention StudiesLos AngelesManualsManuscriptsMethodologyModelingNational Institute on Alcohol Abuse and AlcoholismNative HawaiianPacific IslanderPatternPolicy MakerPolynesianPre-Post TestsPreventionPrevention ResearchPrevention strategyProviderPublic HealthRandomizedRandomized, Controlled TrialsReportingResearchResearch MethodologyRiskRuralScienceShapesSocial DevelopmentSubgroupSubstance Use DisorderTestingUnited States National Institutes of HealthWorkactive controlalcohol preventionalcohol related problemalcohol researchalcohol use disorderbinge drinkingcommunity based participatory researchcommunity engaged researchcommunity interventiondesigndeter alcohol usedisorder preventiondisorder riskeffective interventionefficacy evaluationefficacy testingempowermentevidence baseexperiencefeasibility testingfollow-uphazardous drinkinghigh riskhigh risk drinkinghigh risk populationimplementation studyinnovationmigrationmodel developmentmulti-component interventionnovelpilot testpreventpreventive interventionprimary outcomeprotective factorsracial populationreduced alcohol usesocialtherapy designtreatment servicestrial designyoung adult
项目摘要
Abstract
Native Hawaiians/Pacific Islanders (NPI) in the U.S. are a rapidly growing racial group that suffers severe
alcohol-related disparities. In NPI communities, young adults (18-30 years) endure the greatest burden of alcohol
use disorders (AUD) and alcohol-related harms with our earlier NIAAA R21 study revealing that almost 50% of
community-dwelling NPI young adults are at heavy risk for, or have, AUDs with 40% experiencing alcohol-related
harms (e.g., health, social, work). Despite this, NPI young adults have received minimal alcohol research
attention, leading to a lack of effective interventions to prevent or reduce their extreme AUD risk.
Guided by the findings of our NIAAA R21, this resubmitted R01 study will respond to this public health gap
by refining and efficacy testing SPEAR (Strategies for Pacific Empowerment and Alcohol Reduction): a novel
culturally grounded AUD prevention intervention for NPI young adults. Building on our R21-developed Model of
SPEAR intervention components for NPI young adults (previously chosen and shaped in our R21 by NPIs from
existing AUD prevention interventions), in Aim 1, we will assemble our treatment manual from our NPI-shaped
R21 AUD prevention components. To assemble the manual, we will use our culturally congruent intervention
design methodology for NPIs involving an Advisory Council of community experts and citizens’ panels—an
innovative research approach that mirrors NPI collective decision-making practices—to obtain critical feedback
for refining SPEAR content/components from NPI young adults with high AUD risk and informal NPI providers.
In Aim 2, we will review and refine our treatment components and manual through expert review by 3 leading
alcohol research experts and feasibility pilot test the manual with 36 NPI young adults with high AUD risk for
feasibility, acceptability, and impact, using our findings to finalize SPEAR for our randomized controlled trial. In
Aim 3, we will test the efficacy of SPEAR by conducting a full-scale randomized controlled trial with 240 NPI
young adults with high AUD risk in two large NPI communities in Los Angeles County and Northwest Arkansas
for generalizability. Aligning with community research principles, we will share study findings with the NPI
community through public reports and presentations, and to the scientific community through academic
presentations and manuscripts.
抽象的
美国的夏威夷原住民/太平洋岛民 (NPI) 是一个快速增长的种族群体,遭受着严重的
与酒精相关的差异。在 NPI 社区中,年轻人(18-30 岁)承受着最大的酒精负担
我们早期的 NIAAA R21 研究表明,近 50% 的人使用障碍 (AUD) 和酒精相关的危害
居住在社区的 NPI 年轻人面临 AUD 的严重风险或患有 AUD,其中 40% 的人经历过与酒精相关的经历
危害(例如健康、社会、工作)。尽管如此,NPI 年轻人接受的酒精研究很少
的关注,导致缺乏有效的干预措施来预防或降低其极端澳元风险。
在我们的 NIAAA R21 研究结果的指导下,这项重新提交的 R01 研究将应对这一公共卫生差距
通过改进和功效测试SPEAR(太平洋赋权和酒精减少战略):一种新颖的
针对 NPI 年轻人的基于文化的 AUD 预防干预。基于我们 R21 开发的模型
针对 NPI 年轻人的 SPEAR 干预组成部分(之前由来自以下国家的 NPI 在我们的 R21 中选择和塑造)
现有的 AUD 预防干预措施),在目标 1 中,我们将从我们的 NPI 形状中汇编我们的治疗手册
R21 AUD 预防组件。为了编写手册,我们将使用文化一致的干预措施
涉及社区专家咨询委员会和公民小组的非营利机构的设计方法——
反映 NPI 集体决策实践的创新研究方法——获取关键反馈
用于提炼来自具有高 AUD 风险的 NPI 年轻人和非正式 NPI 提供商的 SPEAR 内容/组件。
在目标 2 中,我们将通过 3 位领先的专家评审来审查和完善我们的治疗组件和手册。
酒精研究专家和可行性试点对 36 名具有高 AUD 风险的 NPI 年轻人测试了该手册
可行性、可接受性和影响,利用我们的研究结果最终确定 SPEAR 的随机对照试验。在
目标3,我们将通过240个NPI进行全面随机对照试验来测试SPEAR的功效
洛杉矶县和阿肯色州西北部两个大型 NPI 社区中 AUD 风险较高的年轻人
为了具有普遍性。符合社区研究原则,我们将与 NPI 分享研究结果
通过公开报告和演示向社区提供信息,并通过学术界向科学界提供信息
演示文稿和手稿。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Andrew Makoto Subica其他文献
Andrew Makoto Subica的其他文献
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{{ truncateString('Andrew Makoto Subica', 18)}}的其他基金
Engaging Pacific Islanders in Mental Health Treatment Services
让太平洋岛民参与心理健康治疗服务
- 批准号:
10440351 - 财政年份:2020
- 资助金额:
$ 60.54万 - 项目类别:
Intervention Development and Pilot Study to Prevent Untreated Native Hawaiian and Pacific Islander Opioid Use Disorders
预防未经治疗的夏威夷原住民和太平洋岛民阿片类药物使用障碍的干预措施开发和试点研究
- 批准号:
10376586 - 财政年份:2020
- 资助金额:
$ 60.54万 - 项目类别:
Intervention Development and Pilot Study to Prevent Untreated Native Hawaiian and Pacific Islander Opioid Use Disorders
预防未经治疗的夏威夷原住民和太平洋岛民阿片类药物使用障碍的干预措施开发和试点研究
- 批准号:
10411964 - 财政年份:2020
- 资助金额:
$ 60.54万 - 项目类别:
Engaging Pacific Islanders in Mental Health Treatment Services
让太平洋岛民参与心理健康治疗服务
- 批准号:
10197755 - 财政年份:2020
- 资助金额:
$ 60.54万 - 项目类别:
Intervention Development and Pilot Study to Prevent Untreated Native Hawaiian and Pacific Islander Opioid Use Disorders
预防未经治疗的夏威夷原住民和太平洋岛民阿片类药物使用障碍的干预措施开发和试点研究
- 批准号:
10213686 - 财政年份:2020
- 资助金额:
$ 60.54万 - 项目类别:
Intervention Development and Pilot Study to Prevent Untreated Native Hawaiian and Pacific Islander Opioid Use Disorders
预防未经治疗的夏威夷原住民和太平洋岛民阿片类药物使用障碍的干预措施开发和试点研究
- 批准号:
10057426 - 财政年份:2020
- 资助金额:
$ 60.54万 - 项目类别:
Intervention Development and Pilot Study to Prevent Untreated Native Hawaiian and Pacific Islander Opioid Use Disorders
预防未经治疗的夏威夷原住民和太平洋岛民阿片类药物使用障碍的干预措施开发和试点研究
- 批准号:
10616870 - 财政年份:2020
- 资助金额:
$ 60.54万 - 项目类别:
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