COUNTERING PRESSURES OF ADOLESCENT ALCOHOL MISUSE

申请者摘要：这个项目的总体目标是进行 参与研究的两组学生的长期随访研究 在以学校为基础的青少年酒精滥用预防研究中 小学和初中年级，以测试远程 预防方法的有效性，并进一步检验 青少年饮酒和误用影响因素的理论模型。 第一个队列(AMPS1)由大约1700名学生组成，他们 参加前测/不试，治疗组/对照组纵向 1984-85年从五年级和六年级开始学习。这些学生现在在 高中毕业后12年级或一年。第二组(AMPS2) 参与了一项强化干预研究，通过干预 在1989-1992年间发生在6年级、7年级和8年级。这些 (大约3000名)学生现在正在读8年级。具体的 拟议项目的目标是：1)跟踪和收集有关酒精的数据 使用和误用以及原始变量中的主要中介变量 AMPS1调查对象)邮寄的调查问卷 和电话访谈；2)跟踪和收集早期年级的数据 11学年，按班级向仍在学习的学生发放问卷 在AMPS2学习学校，通过邮寄问卷和电话 就AMPS2的所有研究变量，对那些没有参与的人进行采访 受试者；3)对AMPS2学生的家长进行面谈 居住在家中，以提供有关家庭的额外数据源 理论模型中包含的变量；4)进行数据分析 两个队列分别确定联合治疗的长期有效性 基于学校的拒绝/社会技能干预--对照治疗 和对照组，并根据经验进行分层 干预前饮酒情况；5)进行纵向结构性 进行方程模型测试，以评估和比较 两者的理论模型的构建和预测有效性 队列，通过高中后三年的第一个队列和 到第二个队列的11年级早期，这包括 个人内部、同伴人际关系、同伴饮酒和父母饮酒 用于队列和家族潜在变量(例如 关于酒精使用，父母监督，养成， 放纵和兄弟姐妹饮酒)，用于第二个队列，以及6) 分别对干预效果和理论模型进行检验 每种性别。设计效果校正将应用于 计算因变量的组内相关程度。

APPLICANT'S ABSTRACT: The overall goal of this project is to conduct long range follow-up studies of two cohorts of students who participated in school-based adolescent alcohol misuse prevention studies in the elementary and junior high school grades, in order to test the long-range efficacy of the prevention approach and to further test the validity of theoretical models of antecedents of adolescent alcohol use and misuse. The first cohort (AMPS1) consists of about 1,700 students who participated in a pretest/no test, treatment/control group longitudinal study beginning in grades 5 and 6 in 1984-85. These students are now in grade 12 or one year post-high school. The second cohort (AMPS2) participated in an enhanced intervention study, with the intervention taking place in their grades 6, 7, and 8 during 1989-1992. These (approximately 3,000) students are now finishing grade 8. The specific aims of the proposed project are to:1) track and collect data on alcohol use and misuse and the primary intervening variables from the original AMPS1 subjects on three years post-high school) in a mailed questionnaire and telephone interview; 2) track and collect data during the early grade 11 school year, by classroom administered questionnaires for those still in the AMPS2 study schools, and by mailed questionnaires and telephone interviews for those who are not, on all study variables from the AMPS2 subjects; 3) conduct in-person interviews with parents of AMPS2 students living at home to provide an additional data source concerning the family variables included in the theoretical model; 4) conduct data analyses for both cohorts separately to determine the long-range effectiveness of the school-based refusal/social skills intervention by comparing treatment and control groups, and by stratifying according to experience with alcohol use prior to the intervention; 5) conduct longitudinal structural equation model tests to assess and compare the long-term stability of the constructs and predictive validity of the theoretical model for both cohorts, through three years post-high school for the first cohort and through early grade 11 for the second cohort, that includes intrapersonal, peer interpersonal, peer alcohol use, and parental alcohol use for the both cohorts, and family latent variables (e.g., such as norms regarding alcohol use, parental monitoring, nurturance, permissiveness, and sibling alcohol use) for the second cohort, and 6) test the intervention effectiveness and theoretical models separately for each gender. Design effect corrections will be applied to take into account the degree of intraclass correlation on the dependent variables.