Preventing Underage Drinking by Southwest California Indians

防止西南加州印第安人未成年人饮酒

• 批准号: 8137774
• 负责人: Roland S Moore
• 金额: $ 67.85万
• 依托单位: PACIFIC INSTITUTE FOR RES AND EVALUATION
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8137774
• 关键词: Accident and Emergency department; Address; Advocacy; Affect; Age; Alcohol abuse; Alcohols; American Indians; Area; Automobile Driving; Awareness; Back; Belief; California; Catchment Area; Clinic; Collaborations; Communities; Complement; Control Groups; County; Data; Data Sources; Evaluation; Event; Family; Goals; Health; Human; Human Resources; Indian reservation; Individual; Intervention; Law Enforcement; Laws; Leadership; Minor; Morbidity - disease rate; Native Americans; Outcome; Patient Self-Report; Perception; Population; Prevention; Prevention Research; Prevention program; Prevention strategy; Principal Investigator; Process; Program Effectiveness; Program Evaluation; Protocols documentation; Reporting; Research; Research Institute; Research Personnel; Reservations; Rewards; Rural; Sales; Schools; Screening procedure; Services; Surveys; Training; Tribal Council; Tribes; Work; Youth; adolescent alcohol; alcohol availability; alcohol involvement; alcohol related problem; base; brief intervention; comparison group; control trial; design; drinking; environmental intervention; intervention effect; motivational enhancement therapy; programs; public health relevance; therapy design; tribal leader; underage drinker; underage drinking; underage drinking prevention; underage drinking reduction

DESCRIPTION (provided by applicant): The goal of the proposed five-year program of research is to implement and evaluate interventions designed to address underage alcohol consumption among Native American youth residing in and around 9 contiguous Indian reservations in rural San Diego County. The application directly builds upon the successful collaboration between Indian Health Center, Inc. (the clinics serving these tribes), the Prevention Research Center, and The Scripps Research Institute. This team assessed the extent of alcohol-related problems in these underage populations of Southwest California Indians and established the groundwork for selecting, implementing, and evaluating appropriate prevention and treatment interventions to reduce drinking among its youth. The overall goal of the present proposal will be accomplished through two complementary efforts, one aimed at the community level and the other at the individual level. The community-based environmental prevention program will focus on a) reducing underage access to alcohol through a reward and reminder program for off-premise retail clerks, backed by increased compliance checks and b) preventing underage drinking and driving through highly publicized low-manpower checkpoints by tribal, local, and state law enforcement. To mobilize the community, these programs will be supported by Indian Health Council doctors and tribal leaders and local community coalitions. These community-level programs will be complemented with interventions at the individual level, including a) screening tribal youth for alcohol involvement and b) offering brief interventions by clinic staff in the form of a controlled trial of motivational interviewing with youths who report underage drinking. These individual level interventions will be culturally tailored to appropriately address drinking by Native American youths from the nine tribes. We will evaluate the effectiveness of these programs by analyzing multiple data sources: a) outcome data from the Motivational Interviewing trial among tribal youth, b) data from school and community youth surveys on youths' self-reported drinking and drinking problems, c) emergency room discharge data, and d) law enforcement data on alcohol-related events. For the purposes of evaluation, these data from the Indian Health Council catchment area will be compared to data from surveys of Native American youth who were not involved in the intervention activities. Once the project is completed, the results will be reported to representatives of the nine tribes as well as the comparison groups and other community stakeholders such as law enforcement and agencies serving youths and families. PUBLIC HEALTH RELEVANCE: Building upon successful capacity building efforts, the proposed 5 year study will implement and evaluate interventions designed to address underage alcohol consumption and problems in and around 9 Indian reservations in rural San Diego County. The proposed interventions integrate community based environmental underage alcohol access and DUI prevention programs with individual screening and motivational interviewing in a culturally appropriate way. This project offers significant potential reductions in immediate as well as long-term harm resulting from underage drinking among rural Native Californians.

拟议的五年研究计划的目标是实施和评估旨在解决居住在圣地亚哥县农村9个相邻印第安人保留区的美国土著青年中未成年人饮酒问题的干预措施。该应用程序直接建立在印度健康中心，公司之间的成功合作。(the为这些部落服务的诊所），预防研究中心和斯克里普斯研究所。该小组评估了西南加州印第安人未成年人群中酒精相关问题的程度，并为选择、实施和评估适当的预防和治疗干预措施以减少青少年饮酒奠定了基础。本提案的总体目标将通过两项相辅相成的努力来实现，一项针对社区一级，另一项针对个人一级。基于社区的环境预防方案将侧重于：a）通过对场外零售店员的奖励和提醒方案，减少未成年人获得酒精的机会，并增加合规检查; B）通过部落、地方和州执法部门高度宣传的低人力检查站，防止未成年人饮酒和驾车。为了动员社区，这些项目将得到印度卫生理事会医生和部落领袖以及当地社区联盟的支持。这些社区一级的方案将辅之以个人一级的干预措施，包括a）筛查部落青年是否饮酒，以及B）由诊所工作人员以对照试验的形式提供简短的干预措施，对报告未成年人饮酒的青年进行动机访谈。这些个人层面的干预措施将在文化上进行调整，以适当解决来自九个部落的美洲土著青年的饮酒问题。我们将通过分析多个数据源来评估这些项目的有效性：a）部落青年动机访谈试验的结果数据，B）学校和社区青年关于青年自我报告的饮酒和饮酒问题的调查数据，c）急诊室出院数据，d）酒精相关事件的执法数据。为了评价的目的，将把印第安人卫生理事会服务区的这些数据与未参与干预活动的美洲土著青年的调查数据进行比较。项目完成后，将向九个部落的代表以及比较组和其他社区利益攸关方，如执法部门和为青年和家庭服务的机构报告结果。 公共卫生关系：在成功的能力建设工作的基础上，拟议的5年研究将实施和评估旨在解决未成年人饮酒问题的干预措施，以及圣地亚哥县农村9个印第安人保留地周围的问题。拟议的干预措施将基于社区的环境未成年人饮酒机会和DUI预防计划与文化上适当的个人筛查和动机访谈相结合。该项目提供了显着的潜在减少直接以及长期的伤害造成的未成年人饮酒之间的农村土著加州人。