Substance use Prevention Campaign for American Indian Youth

美洲印第安人青少年药物使用预防运动

• 批准号: 9040915
• 负责人: KATHLEEN J KELLY
• 金额: $ 56.94万
• 依托单位: COLORADO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-04-15 至 2019-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9040915
• 关键词: Adolescent; Age; American Indians; Area; Bayesian Analysis; Communication; Communities; Creativeness; Cultural Anthropology; Data; Data Analyses; Development; Effectiveness; Elderly; Enrollment; Expectancy; Focus Groups; Funding; Future; Goals; Grant; Health; High School Student; Inhalant dose form; Intervention; Life; Longitudinal Surveys; Measurement; Measures; Monitor; National Institute of Drug Abuse; Native Americans; Outcome; Parents; Personal Autonomy; Pharmaceutical Preparations; Population; Prevalence; Prevention; Prevention program; Principal Investigator; Printing; Race; Randomized; Recruitment Activity; Reservations; Risk; Schools; Site; Social Marketing; Social Psychology; Spottings; Students; Surveys; Testing; Training; United States Indian Health Service; Universities; Voice; Work; Youth; base; cohort; community based participatory research; community intervention; design; expectation; flexibility; high school; inhalation drug abuse; intervention effect; junior high school; member; multilevel analysis; peer; posters; primary outcome; reduce school violence; reduced substance use; reservation-based; secondary outcome; seventh grade; social media; substance use prevention; teacher; trend; tribal member; twelfth grade; uptake; web site

DESCRIPTION (provided by applicant): Inhalants pose a particularly dangerous risk to middle-school youth, and American Indian (AI) youth are at particular risk for inhalant use. We have found over the course of more than three decades that inhalant use among AI youth is consistently higher than that of other ethnic/racial groups. Although inhalant use rates for AI youth gradually declined from a peak of 31% in 1984 through 2004, our data show a substantial increase in lifetime prevalence of inhalants among AI 7th - 12th grade youth -- from 10% to 25%. Schools are often the site for adolescent drug prevention efforts, but results from these efforts are often modest or even disappointing. This intervention adapts an existing campaign (Be under Your Own Influence; BUYOI) that has been found to be effective in reducing substance use and that uses campaign messages that are congruent with AI culture. The intervention will be adapted using significant contributions from tribal members, including youth, teachers, parents, elders, and other community members. This proposal includes active involvement of local advisory boards, hiring of a local AI liaison, focus groups, a youth photo voice component, and use of AI staff from our Center and from the Native American Cultural Center at our university. The adapted anti-inhalant communications campaign will be delivered by selected high school students to 7th grade students. A distinguishing feature of the BUYOI campaign is a message that targets outcome expectations related to aspirations, autonomy, and physical harms. The campaign will use multiple channels of communication including print (e.g., posters and fliers), video and audio spots, presentations, and social media to deliver messages that are designed to alter outcome expectancies, intentions, and ultimately inhalant use among targeted youth. The campaign will be delivered to two cohorts of 7th graders, with 4 longitudinal measurement occasions for each cohort. Seven middle schools (and their corresponding high schools) have been recruited for the study, where four of these will be randomly assigned to the intervention condition and three to the control condition. Multilevel data analysis will test for effects of campaign exposure on autonomy, aspirations, perceived harm, and intentions to use. Because of the heavy involvement of the school and community in the development and delivery of the intervention, we will be able to incorporate sustainability into the design of all integrated components. Ultimately, our goal is to develop a turnkey package for the broader population of reservation-based AI youth and schools and to develop components that can incorporate flexibility and creativity in their delivery. For example, a school or local group may implement the campaign in its original form or they may modify aspects to make them more pertinent to their community.

描述（由申请人提供）：吸入剂对中学生青少年构成特别危险的风险，美国印第安人（AI）青少年使用吸入剂的风险特别高。我们发现，在30多年的过程中，AI青年的吸入剂使用始终高于其他民族/种族群体。虽然吸入剂使用率从1984年至2004年的31%的峰值逐渐下降，但我们的数据显示，吸入剂在AI 7 - 12年级青少年中的终生患病率大幅增加，从10%增加到25%。学校通常是青少年毒品预防工作的场所，但这些努力的结果往往是适度的，甚至令人失望。这种干预调整了现有的活动（在你自己的影响下；BUYOI），该活动已被发现在减少物质使用方面有效，并且使用与AI文化一致的活动信息。将利用部落成员，包括青年、教师、家长、长老和其他社区成员的大量贡献来调整干预措施。该提案包括积极参与当地咨询委员会，雇用当地人工智能联络员，焦点小组，青年照片语音组件，以及使用我们中心和我们大学美国原住民文化中心的人工智能工作人员。经过调整的抗吸入剂宣传活动将由选定的高中生向七年级学生进行。BUYOI活动的一个显著特点是，它所传递的信息针对的是与愿望、自主和身体伤害相关的结果预期。该运动将利用多种沟通渠道，包括印刷品（如海报和传单）、视频和音频广告、演示文稿和社交媒体，传递旨在改变目标青年对结果的预期、意图和最终吸入剂使用情况的信息。该活动将在两个七年级队列中进行，每个队列有4个纵向测量场合。本研究招募了七所中学（及其对应的高中），其中四所将被随机分配到干预组，三所被分配到对照组。多层次数据分析将测试活动曝光对自主性、抱负、感知伤害和使用意图的影响。由于学校和社区在开发和交付干预措施方面的大量参与，我们将能够将可持续性纳入所有集成组件的设计中。最终，我们的目标是为更广泛的基于保留地的人工智能青年和学校开发一个交钥匙包，并开发能够在交付过程中融入灵活性和创造力的组件。例如，一个学校或地方团体可能会以其原始形式实施该活动，或者他们可能会修改某些方面，使其更符合他们的社区。