COMMUNITY INTERVENTION TRIAL TO PREVENT YOUTH DRUG USE

该项目是一个社区的随机对照试验 预防青少年吸毒。该项目比较了 以社区为基础的干预，包括以学校为基础的预防 一个以学校为基础的干预计划，使用16个小社区， 然后随机分配到不同的条件。拟议 该项目将加强和扩大社区干预项目 旨在防止青少年吸烟，该项目已经由 美国国家癌症研究所. 它将扩大NCI的重点 以烟草为导向的社区干预措施， 旨在动员社区领导人和组织， 改变影响青年使用其他药物的社会条件。 现有的研究强烈支持这一命题， 减少吸毒流行率， 为人父母的技能和学校教育的做法发生了广泛的变化。 等 反过来，变革需要动员社区的各个方面 传统上并不影响孩子的养育 实践拟议的干预将增加成员数目， 社区委员会和国家癌症研究所工作组的工作重点 社区干预。 此外，该项目将进行结构调整， 扩大以下方面的工作队：（a）养育子女，（B）媒体，（c）筛查/ 招募高危青少年;及（d）改变社区 环境，重点是在全社区减少 青少年吸毒 该项目将在2010年增设两个工作队， 每个社区-一个社区实施更有效的减少风险做法 一项是改善社区对高危青少年的支持， 家人 这一建议的一个特别优点是， 社区干预效果综合评价 由于已经获得资助的国家癌症研究所评估， 活动干预效果将通过以下方式进行评估： 七年级和九年级的横向和纵向评估 以及通过评估父母养育和教学 实践，并通过衡量社区领导人的努力， 影响高危青少年的社会环境， 家人 本研究还将探讨 青年吸毒社会背景的各个方面以及其他有针对性的 问题行为 最后，该项目将通过实验评估 父母培训计划对高危家庭的影响。 这 该项目有望成为社区干预的典范， 小社区的青少年吸毒问题。

The proposed project is a randomized control trial of a community intervention to prevent youth drug use. The project compares a community-based intervention that includes a school-based prevention program to a school-based intervention alone, using 16 small communities that are matched and then randomly assigned to condition. The proposed project will augment and extend a community intervention project designed to prevent youth tobacco use, which is already funded by the National Cancer Institute. It will expand the focus of the NCI tobacco-oriented community-based intervention to include activities directed at the mobilization of community leaders and organizations to modify the social conditions which influence youth to use other drugs. Available research strongly supports the proposition that substantial reductions in the prevalence of drug use cannot be achieved without widespread changes in parenting skills and schooling practices. Such changes in turn require the mobilization of elements of the community which have traditionally not been involved in affecting child-rearing practices. The proposed intervention would augment the membership and focus of the community board and task forces to be created in the NCI community intervention. In addition, the project would restructure and expand the task forces on (a) parenting, (b) media, (c) screening/ recruitment of high risk youth, and (d) modification of the community environment to focus on the community-wide reduction of risk factors for youth drug use. This project would create two additional task forces in each community--one to implement more effective risk reduction practices in schools and one to improve community support of high risk youth and their families. A particular strength of this proposal is that a comprehensive evaluation of the effects of the community interventions will be possible because of the already-funded NCI evaluation activities. The intervention effects will be evaluated using cross-sectional and longitudinal assessments of 7th and 9th grade-level youth, as well as through assessments of parenting and teaching practices, and by measuring efforts of community leaders and organizations to affect the social environment for high risk youth and their families. The study will also examine the relationships between aspects of the social context for youth drug use and other targeted problem behaviors. Finally, the project will experimentally evaluate the effect of a parent-training program for high-risk families. This project is expected to be a model for community interventions to prevent youth drug use in small communities.