Addressing High School Marijuana Use in Context of Increasing Social Acceptance

在提高社会接受度的背景下解决高中大麻的使用问题

基本信息

批准号：
8849886
负责人：
Bettina Marga Friese
金额：
$ 23.3万
依托单位：
PACIFIC INSTITUTE FOR RES AND EVALUATION
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-07-01 至 2017-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8849886
关键词：
Address Administrator Adolescent Adolescent Development Adolescent marijuana use Adoption Adult Alcohol consumption Alcohols Area Automobile Driving Awareness Behavior Behavioral California Car Phone Cellular Phone Communication Communities Crime Crossover Design Custom Data Decision Making Development District of Columbia Drug Addiction Effectiveness Emotional Environment Feasibility Studies Focus Groups Frequencies Glosso-Sterandryl Health High School Student Intervention Interview Knowledge Link Longitudinal Studies Marijuana Mediating Medical Medical Marijuana Movement Multiple Partners Outcome Performance Personal Autonomy Prevalence Prevention Randomized Reaction Reporting Research Resources Risk Safe Sex San Francisco Schools Self Medication Site Surveys Technology Testing Text Time Treatment Efficacy Vehicle crash Work Youth alcohol use initiation base condoms driving under influence efficacy testing experience high risk high risk sexual behavior high school impaired driving performance innovation intimate partner violence marijuana decriminalization marijuana legalization marijuana use novel strategies prevent psychologic psychosocial public health intervention randomized trial reduce marijuana use reduced alcohol use social teacher trend

项目摘要

DESCRIPTION (provided by applicant): Marijuana use among adolescents is associated with a variety of negative health and psychosocial outcomes. The rapidly changing normative context surrounding marijuana use, however, raises significant challenges for prevention. To date, 20 states and the District of Columbia have legalized marijuana for medical use, 17 states have decriminalized marijuana possession, and two states have legalized marijuana for recreational use. Given the momentum towards normalization of marijuana use, new approaches are needed to intervene with youth to reduce marijuana use and risks associated with marijuana use. Aims: This feasibility study will develop an intervention, using a combination of traditional media and mobile technologies to reduce marijuana use among high school students by increasing knowledge and concern regarding high-risk use and raising awareness of the inconsistency of such behaviors with personal autonomy and agency. Specific aims are (1) adapting previously-tested marijuana communication approaches for use in high schools; (2) testing feasibility of use of smartphone technology to deliver appropriate messages proximate to time of behavioral decision; (3) conducting an efficacy test regarding potential of such a campaign to reduce the prevalence of use and quantity and frequency of marijuana use among high school students, via increasing knowledge and concern regarding high-risk use, and the inconsistency of such behaviors with personal autonomy; (4) assessing whether these approaches have a positive effect on alcohol-use related outcomes. Approach: We will conduct focus groups to develop the messages and materials for the intervention. Following message development, we will work collaboratively with Klein Buendel (KB), a multi-media development firm that specializes in mobile phone applications for public health interventions, to develop a smartphone app and text messaging platform. The intervention will be implemented in a total of six schools in the San Francisco Bay Area using a cross-over design. The California Healthy Kids Survey, a state-wide survey that allows custom questions, will occur in each school in Years 1 - 3 of the study, and will be used to assess the efficacy of the intervention. Following the implementation of the intervention in the schools, face-to- face interviews with school administrators will be conducted to ascertain their reactions to and experiences with the intervention. Innovation: This feasibility study will explore the use of smartphone technology and text messaging as a way to extend the effectiveness of traditional school-based media approaches and disseminate prevention messages to youths at a time and place proximal to behavioral decision regarding marijuana use. This media- based approach does not require classroom or teacher time, making it viable for widespread adoption in an era of growing demands for school academic performance and decreased available school resources for prevention. If successful, this feasibility study will provide the basis for a larger randomized tral.

描述（由申请人提供）：青少年中使用大麻与各种负面健康和社会心理结局有关。然而，围绕大麻使用的迅速变化的规范背景为预防带来了重大挑战。迄今为止，有20个州和哥伦比亚特区已将大麻合法化以供医疗用途，有17个州已将大麻占有，两个州已将大麻合法化以供娱乐使用。鉴于大麻使用标准化的动力，需要采取新的方法来干预青年以减少大麻使用和与大麻使用相关的风险。目的：这项可行性研究将使用传统媒体和移动技术的结合来开发干预措施，从而通过增加对高风险使用的知识和关注，并提高对这种行为与个人自治和代理机构的不一致的认识，从而减少高中生的大麻使用。具体目的是（1）调整以前经过测试的大麻通信方法，以便在高中使用；（2）测试使用智能手机技术以传达与行为决策时间紧密相关的信息的可行性；（3）通过越来越多的知识和关注对高风险使用的知识和关注，以及这种行为与个人自治的不一致之处，对高中生使用大麻使用的使用，数量和频率进行效力进行有效测试；（4）评估这些方法是否对酒精使用相关结果有积极影响。方法：我们将进行焦点小组开发干预的信息和材料。随着消息开发，我们将与多媒体开发公司Klein Buendel（KB）合作，专门研究公共卫生干预措施的手机应用程序，以开发智能手机应用程序和文本消息平台。该干预措施将使用跨界设计在旧金山湾区的六所学校中实施。加州健康儿童调查是一项允许自定义问题的全州调查，将在研究的第1-3年内进行，并将用于评估干预措施的功效。在学校中实施干预后，将对学校管理员进行面对面的访谈，以确定他们对干预的反应和经验。创新：这项可行性研究将探讨智能手机技术和文本消息的使用，以此作为扩展传统基于学校的媒体方法的有效性，并在一次和位置向年轻人传播预防信息，以与大麻使用有关的行为决策。这种基于媒体的方法不需要课堂或教师时间，因此在对学校学习成绩的需求不断增长并减少了可用的学校资源以预防的时代，因此可以广泛采用。如果成功，此可行性研究将为较大的随机TRAL提供基础。