Active Involvement in Creating High School Substance Use Prevention Messages

描述(由申请人提供)：这份R21提案的目标是(1)改进一个简短的干预部分，让年轻人积极参与分析和规划药物使用预防信息，(2)进行干预的可行性研究，以及(3)为未来的随机对照试验制定程序和措施。拟议的研究采用媒体扫盲框架，探讨如何让青年积极参与制定预防信息，以此作为最大限度地发挥预防干预作用的战略。支持毒品(酒精)信息的分析和反ATOD信息的创建促进了青少年对同龄人为什么饮酒或不饮酒的看法。我们假设，这一过程会影响规范和ATOD预期，并最终减少物质使用。该提案响应了NIDA PA-08-218《药物滥用预防干预研究》(R21)的要求，呼吁开展调查，解决1)开发新的预防方法，2)测试新的和适应的预防干预方法，以及3)阐明与选择、采用、适应、实施、可持续性和资助经经验验证的干预措施相关的过程。在第一阶段，将使用访谈、焦点小组、初步研究和文献回顾来开发干预课程--青年信息发展(YMD)。干预的目的是简短，并通过积极参与预防信息来传授媒体素养。在第二阶段，将进行一项可行性研究，将参加宾夕法尼亚州领导力课程的高中生(N=310)随机分配到分析研讨会或分析加规划研讨会，并将两者与对照组进行比较。领导力计划人员、教师和项目工作人员(N=55)对研讨会的评估也将用于评估可行性。除了检查可行性外，结果评估(前测、干预后的中间后测和延迟后测)将提供对以下假设的初步检验：分析+计划组产生比仅分析干预更好的结果，并且两种干预措施都优于对照组。这项研究的结果将为更大规模的随机临床试验奠定基础。这一创新的短暂干预组成部分的额外好处之一是，虽然可能单独影响物质使用或与全面干预结合使用，但它鼓励发展在许多州现行教学标准下被视为高中课程的更高顺序的批判性思维技能，这应该会促进传播。 公共卫生相关性：青少年药物滥用仍然是一个重大的公共卫生问题，基于媒体扫盲的干预措施似乎是解决这一问题的一种有希望的方法，值得严格评估。这项研究提供了媒体素养干预的可行性测试，并初步了解了它是如何发挥作用的，有什么效果，以及如何在更广泛的范围内实施。该项目的长期目标是开发有效的、简短的以学校为基础的预防计划的一个组成部分，以减少青少年在随机临床试验中测试的物质使用。

DESCRIPTION (provided by applicant): The goals of this R21 proposal from a new investigator are to (1) refine a brief intervention component to actively involve youth in analyzing and planning substance use prevention messages, (2) conduct a feasibility study for the intervention, and (3) develop procedures and measures for a future randomized control trial. The proposed study applies a media literacy framework to explore how actively involving youth in developing prevention messages functions as a strategy for maximizing the impact of prevention interventions. Analysis of pro-drug (alcohol) messages and creation of anti-ATOD messages promotes adolescents' perspective taking about why peers do or do not use alcohol. We hypothesize that this process impacts norms and ATOD expectancies and ultimately reduces substance use. The proposal responds to NIDA PA-08-218 Drug Abuse Prevention Intervention Research (R21) calling for investigations addressing 1) the development of novel prevention approaches, 2) the testing of novel and adapted prevention intervention approaches, and 3) the elucidation of processes associated with the selection, adoption, adaptation, implementation, sustainability, and financing of empirically validated interventions. In phase 1, interviews, focus groups, preliminary studies, and literature reviews will be used to develop an intervention curriculum, Youth Message Development (YMD). The intervention is intended to be brief and teach media literacy through active engagement with prevention messages. In phase 2, a feasibility study will be conducted in which high school students (N = 310) attending a leadership program in Pennsylvania are randomly assigned to an analysis workshop or an analysis plus planning workshop, and both compared to a control group. Assessments of the workshops by leadership program personnel, teachers, and project staff (N = 55) will also be used to evaluate feasibility. In addition to examining feasibility, outcome assessment (pretest, intermediate posttest after intervention, and a delayed posttest) will provide a preliminary test of the hypothesis that the analysis plus planning group produces better outcomes than the analysis only intervention and that both interventions are superior to the control group. Results from the study will serve as a foundation for a larger randomized clinical trial. One of the added benefits of this innovative brief intervention component is that while potentially impacting substance use alone or in combination with a comprehensive intervention, it encourages the development of higher order critical thinking skills valued in high school curricula under current teaching standards in many states which should foster dissemination. PUBLIC HEALTH RELEVANCE: Adolescent substance abuse remains a significant public health concern and media literacy-based interventions appear to be a promising approach to addressing this problem that deserves to be evaluated rigorously. This study provides a feasibility test of a media literacy intervention and a preliminary look at how it functions, with what effects, and how it may be implemented on a broader scale. The long-term objective of this project is to develop a component of an effective brief school-based prevention program to reduce adolescent substance use for testing in a randomized clinical trial.