Testing a Substance Abuse Prevention for Cherokee Early Adolescents

测试切罗基早期青少年的药物滥用预防措施

• 批准号: 8246409
• 负责人: John R., RN, PHD, FAAN Lowe
• 金额: $ 30.89万
• 依托单位: FLORIDA ATLANTIC UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-04-01 至 2014-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8246409
• 关键词: Accidents; Accounting; Address; Adolescence; Adolescent; Affect; Age; Alcohol abuse; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; American Indians; Behavior; Blood alcohol level measurement; Calculi; Censuses; Centers for Disease Control and Prevention (U.S.); Cessation of life; Cherokee Indian; Child Abuse; Communities; Crime; Data; Domestic Violence; Drug abuse; Drug usage; Education; Employment; Experimental Designs; Explosion; Failure; Family; Health; Home environment; Homicide; Illicit Drugs; Injury; Life; Measures; Methamphetamine; Methods; Minority; Morbidity - disease rate; National Institute of Drug Abuse; Native Americans; Navajo; Oklahoma; Pharmaceutical Preparations; Population; Preparation; Prevention; Prevention approach; Prevention program; Production; Productivity; Proliferating; Public Health; Quality of life; Questionnaires; Reporting; Research; Research Project Grants; Risk; Safety; Sales; Schools; Site; Social Interaction; Substance abuse problem; Suicide; Surveys; Testing; Time; Tobacco; Traffic accidents; Tribes; United States; United States Indian Health Service; Voice; Youth; adolescent substance abuse; adolescent substance use; authority; base; chronic liver disease; community based participatory research; cost; cultural values; drug abuse prevention; high risk; innovation; member; middle school; mortality; peer; prevent; public health relevance; research study; self reliance; standard care; substance abuse prevention; substance use prevention; trafficking; tribal community; tribal leader; tribal member

DESCRIPTION (provided by applicant): Substance abuse rates among Native American Indian youth are higher than among all other youth. Native American Indian youth are considered to be at risk for continuing life-threatening problems such as accidents, chronic liver disease, homicide, and suicide as a result of substance abuse. Native American Indian early adolescents have higher risk for substance use as they transition along the periods of adolescence than non-Native American Indian early adolescents. Among Native American Indian youth, substance use has been attributed to the large amount of social interaction and influence from older adolescent youth with their younger peers. Cherokees are the second-largest tribe in the U.S., accounting for a large percentage of alcohol and drug abuse among Native American Indians. In Oklahoma, the home of Cherokee Nation where the study will occur, it is estimated that 20,000 adolescents have alcohol and drug abuse issues. During the last several decades, the field of substance use research among Native American Indian youth has been dominated by survey approaches that fail to answer important questions about how the use of alcohol and drugs is integrated into the lives of Native American Indians. The values that serve as protective factors for Native American Indians need to be integrated, measured and thoughtfully examined for potential to influence substance use prevention. At this time, there is no research addressing the use of culturally competent substance use prevention for Native American Indian early adolescents. The overall objective of the "Testing a Substance Abuse Prevention for Cherokee Early Adolescents" study is to examine the feasibility (Specific Aim #1) of using an innovative culturally appropriate school- based substance use prevention [Cherokee Talking Circle (CTC)] for Cherokee 6th graders as they transition to middle school, a period of high vulnerability. The impact of the CTC on substance use involvement (measured by the GAIN-Q) and Cherokee self-reliance (measured by the Cherokee Self-Reliance Questionnaire) will be assessed (Specific Aim #2) using a two- condition quasi-experimental design, comparing the CTC to standard substance use education. Data from this quasi-experimental study will be used to estimate the prevention effect size (Specific Aim #3), a critical step necessary before proposing a cross-tribal, cross-age, multi-site study examining substance use prevention in Native American youth. The PI is a Native American Indian (Cherokee) tribal member who has done more than a decade of research developing and testing the CTC and the Cherokee Self-Reliance Questionnaire. PUBLIC HEALTH RELEVANCE: Substance abuse prevention studies among Native American Indian early adolescents are non- existent, despite evidence that substance abuse is an increasing problem in this population. This study will examine the feasibility of using an innovative culturally appropriate school-based substance use prevention for Cherokee 6th graders as they transition to middle school, a period of high vulnerability.

描述（由申请人提供）：美洲原住民印第安青年的药物滥用率高于所有其他青年。美洲土著印第安人青年被认为有持续威胁生命的问题的风险，如事故、慢性肝病、凶杀和药物滥用导致的自杀。美洲原住民印第安人早期青少年有较高的风险使用物质，因为他们过渡沿着青春期比非美洲原住民印第安人早期青少年。在美洲土著印第安青年中，药物使用被归因于大量的社会互动和年长青少年与年轻同龄人的影响。切罗基族是美国第二大部落在美国原住民印第安人中，酒精和药物滥用占很大比例。在俄克拉荷马州，切罗基民族的家乡，研究将在那里进行，估计有2万名青少年有酒精和药物滥用问题。在过去的几十年里，美国土著印第安人青年中的物质使用研究领域一直由调查方法主导，这些方法未能回答有关酒精和毒品的使用如何融入美国土著印第安人生活的重要问题。需要整合、衡量和仔细检查作为美洲原住民印第安人保护因素的价值观，以确定其影响预防药物使用的潜力。在这个时候，没有研究解决使用文化能力的物质使用预防美洲土著印第安人早期青少年。“测试切罗基青少年药物滥用预防”研究的总体目标是检查在切罗基六年级学生过渡到中学时（一个高度脆弱的时期）使用创新的文化上适当的基于学校的药物使用预防[切罗基谈话圈（CTC）]的可行性（具体目标1）。将使用双条件准实验设计评估CTC对物质使用参与（通过GAIN-Q测量）和切罗基自立（通过切罗基自立问卷测量）的影响（具体目标#2），将CTC与标准物质使用教育进行比较。这项准实验性研究的数据将用于估计预防效果大小（具体目标#3），这是在提出跨部落，跨年龄，多地点研究检查美洲原住民青年预防药物使用之前的关键步骤。PI是一个美洲印第安人（切罗基）部落成员，他已经做了十多年的研究，开发和测试CTC和切罗基自力更生问卷。 公共卫生关系：在美洲印第安人早期青少年中进行的药物滥用预防研究是不存在的，尽管有证据表明药物滥用在这一人群中是一个日益严重的问题。本研究将探讨使用创新的文化适当的学校为基础的物质使用预防切罗基六年级学生的可行性，因为他们过渡到中学，一个高度脆弱的时期。