PREVENTING ALCOHOL ABUSE AMONG NATIVE AMERICAN YOUTH

在重复测量、随机区组设计中，修订后的研究将 评估技能和家庭的单独和综合影响 美洲原住民预防酗酒的干预措施 青少年。学习地点是位于纽黑文的印度城市中心， CT，波士顿，马萨诸塞州，纽约，NY，和普罗维登斯，RI。随机、预先测试 参赛地点的美国原住民青年将被分成四组 条件：技能干预、家庭干预、技能和家庭 干预相结合，非干预对照。 技能干预将涵盖文化和生活方式的要素 酗酒方面，人际沟通技巧 自决，应对同龄人饮酒压力的策略， 解决问题的技巧，分析和抵制媒体的影响 酒精的使用和滥用。家庭干预将涵盖这些相同的 通过社区会议、海报制作练习和 比赛。将这些相同的元素整合到一个课程中， 联合干预将寻求最大限度地发挥技能和 预防性干预的家庭方法。结果衡量标准 干预前、干预后和干预后半年给药 交付将量化认知、行为和环境变量 减少酗酒风险和降低风险。拟议的研究是 与美洲原住民组织、机构、 保留地、部落会议和团体。代表这些地点， 管理人员和临床工作人员已同意参加 学习。

In a repeated measures, randomized blocks design, the revised study will evaluate the separate and combined effects of skills and family interventions for alcohol abuse prevention among Native American adolescents. Study sites are urban Indian centers located in New Haven, CT, Boston, MA, New York, NY, and Providence, RI. Randomly, pretested Native American youths at participating sites will be divided into four conditions: skills intervention, family intervention, skills and family intervention combined, and no-intervention control. Skills intervention will cover elements of cultural and life-style aspects of alcohol abuse, interpersonal communication skills for self-determination, strategies for coping with peer pressure to drink, problem solving skills, and analyzing and resisting media influences toward alcohol use and abuse. Family intervention will cover these same elements through community meetings, a poster making exercise, and a contest. Integrating these same elements into one curriculum, the combined intervention will seek to maximize the benefits of skills and family approaches to preventive intervention. Outcome measures administered before, after, and semiannually following intervention delivery will quantify cognitive, behavioral, and environmental variables of alcohol abuse risk and risk reduction. The proposed research is developed in collaboration with Native American organizations, agencies, reservations, tribal councils, and groups. Representing these sites, administrators and clinical staff have agreed to participate in the study.