RANDOMIZED TRIAL OF SECONDARY PREVENTION OF DWI

为了减少酒后驾车的频率，新墨西哥州圣胡安县最近建立了圣胡安县DWI（SJC-DWI）设施，用于治疗首次DWI罪犯。 圣胡安县表现出严重的酒后驾车问题：它在美国与酒精有关的车辆死亡率第二高，在新墨西哥州的重复和加重DWI罪行的频率中排名第一。 该项目的所在地法明顿市是纳瓦霍族的边境社区，SJC DWI的客户人口主要是纳瓦霍族（约70%）。 SJC-DWI计划将28天的监禁期与几个针对该计划主要是美洲原住民人口的干预组成部分相结合。 SJC-DWI的独特之处在于，它采用了对文化敏感的干预成分，设置在农村环境中，为主要的美洲原住民人口服务，并仅专注于首次DWI罪犯。因此，该方案解决了DWI预防文献中的几个空白。 虽然一些初步数据表明，SJC-DWI客户的DWI再逮捕大幅减少，但迄今为止尚未完成对该计划的控制和全面评估。这里提出的是一个5年的项目，将全面评估SJC DWI计划。 该项目采用的研究设计将是2组随机设计，其中一组接受SJC-DWI计划和国家授权的DWI学校，第二组仅接受28天监禁期和国家授权的DWI学校（类似于在SJC-DWI计划建立之前的DWI判决）。一个大的参与者队列将在三年的时间内跟踪DWI累犯，而随机选择的参与者亚组将在两年的时间内集中跟踪，在此期间将收集干预相关的数据。拟议的项目将明确确定SJC-DWI计划的预防影响，为酒精和DWI预防研究文献做出重大贡献，并指出预防实践中的重要创新。

In an effort to decrease the frequency of alcohol-impaired driving, San Juan County, New Mexico recently established the San Juan County DWI (SJC-DWI) Facility for treatment of first time DWI offenders. San Juan County exhibits a severe drinking and driving problem: it has the second highest rate of alcohol-related vehicle fatalities in the United states, and ranks first in counties in New Mexico for frequency of repeat and aggravated DWI offenses. The City of Farmington, the program's location, is a border community to the Navajo Nation, and the SJC-DWI's client population is predominantly (approximately 70 percent) Navajo. The SJC-DWI program blends a 28-day period of incarceration with several intervention components that are tailored to the program's predominantly Native American population. The SJC-DWI is distinctive in that it employs intervention components that are culturally sensitive, is set in a rural setting, serves a predominantly Native American population, and is focused solely on first-time DWI offenders. As such, the program addresses several gaps in the DWI prevention literature. While some preliminary data suggest that there has been a large reduction in DWI re-arrest for SJC-DWI clients, no controlled and comprehensive evaluations of the program have been accomplished to date. Proposed here is a 5-year project that would comprehensively evaluate the SJC-DWI program. The research design to be employed in the project will be a 2-group randomized design, with one group receiving the SJC-DWI program and the state-mandated DWI school, and the second receiving a 28-day period of incarceration only and the state mandated DWI school (a condition similar to DWI sentencing before the establishment of the SJC-DWI program). A large cohort of participants will be followed over a three-year time period for DWI recidivism, while a randomly selected subgroup of participants will be followed intensively for a two-year time period during which intervention-related data will be collected. The proposed project will definitively determine the preventive impact of the SJC-DWI program, make a significant contribution to the alcohol and DWI prevention research literature, and point towards important innovations in prevention practice.