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.

描述（由申请人提供）：拟议的五年研究计划的目的是实施和评估旨在解决圣地亚哥县农村地区居住在9个连续的印度预订中的美洲原住民青年中未成年饮酒的干预措施。该应用程序直接建立在印度健康中心公司（为这些部落服务的诊所），预防研究中心和Scripps研究所之间的成功合作。该团队评估了西南加利福尼亚印第安人这些未成年人口中与酒精有关的问题的程度，并为选择，实施和评估适当的预防和治疗干预措施为减少年轻人的饮酒而建立了基础。本提案的总体目标将通过两项互补的努力来实现，一个针对社区层面，另一个针对个人层面。基于社区的环境预防计划将着重于a）通过增加合规性检查和b）防止未成年人饮酒和通过部落，地方和州执法部门的高度宣传的低人类大力检查点来减少奖励和提醒计划的未成年人对酒精的机会。为了动员社区，这些计划将得到印度卫生委员会的医生，部落领导人和当地社区联盟的支持。这些社区级的计划将在个人一级的干预措施中进行补充，包括a）筛查部落青年的酒精参与和b）诊所工作人员的简短干预措施以对未成年人饮酒的年轻人进行的激励访谈的对照试验形式进行。这些个人级别的干预措施将在文化上量身定制，以适当解决九个部落中美国原住民青年的饮酒。我们将通过分析多个数据来源来评估这些计划的有效性：a）部落青年的动机访谈试验的结果数据，b）学校和社区青年对青年人自我报告的饮酒和饮酒问题的调查，c）急诊室出院数据，d）与酒精相关事件的执法数据。出于评估目的，将将来自印度卫生委员会集水区的这些数据与未参与干预活动的美国原住民青年调查的数据进行比较。该项目完成后，结果将报告给九个部落的代表以及比较小组和其他社区利益相关者，例如执法和为年轻人和家庭服务的机构。 公共卫生相关性：拟议的5年研究将在成功建立能力的努力下进行，并评估旨在解决圣地亚哥县农村地区9个印度预订及其境内未成年饮酒和问题的干预措施。拟议的干预措施将基于社区的环境未成年酒精访问和DUI预防计划与个人筛查和动机采访以适当的方式结合在一起。该项目可大大减少因未成年人饮酒而直接和长期损害的潜在减少和长期损害。