MEDIA INTERVENTION TO PREVENT YOUTH ALCOHOL USE

酒精的使用和滥用在我们的社会中是如此普遍，以至于大多数人 年轻人在合法饮酒前几年就开始饮酒了。AS 到八年级时，多达30%的人(每月或更频繁地)成为经常饮酒的人， 在5年级和7年级之间增幅最大。这些年轻人成为 青春期后期的一大群饮酒者的核心，他们中的许多人 酒精问题，损害他们的发育，并可能变得更多 成人生活中的严酷。 预防酗酒互动项目(IPAP)的目的是 开发和测试全面且经济高效的 支持年轻人的大众媒体和社区干预 养成健康的生活方式，阻止饮酒。这些 干预措施将与现有的学校课程从 4-5年级到7-8年级。 干预方法是基于非常年轻的人饮酒的证据 青少年，确定可修改的个人内在的理论模型， 社会、环境和行为因素，以及公认的大众媒体和 社区健康行为模式的改变。 一项大众媒体运动将针对年轻人，以减少对 酒精通过不饮酒的生活方式的积极形象；这些信息 将从4-5年级开始，持续四年。媒体 将开发报文并接受初步有效性测试 在配套的IPAP提案中。这些年轻人的父母也将成为 以大众媒体活动为目标，模拟支持父母的行为。一个 社区干预计划将侧重于减少可获得性 通过父母的合作行动为青少年提供酒精， 学校官员、酒类零售商、执法人员和当地居民 政府官员。 干预措施将以受控设计进行评估，共有8项 接受干预的佛蒙特州农村学区和八个 仅接收测量数据。某市2800名学生的横断面调查 来自干预和对照地区的7-8年级将在 基线并在四年干预后立即确定 饮酒及相关行为的盛行率。一个全面的理论-- 基于一套措施将评估干预措施对 饮酒行为的调停者。据推测，经常饮酒 在学区，7-8年级的学生将减少三分之一 接受这种强有力的干预的组合。流程评估 将评估干预组件对 以学生、他们的家长和其他关键成年人为目标 社区。

Alcohol use and misuse is so prevalent in our society that a majority of young people begin drinking years before it is legal for them to do so. As many as 30% become regular drinkers (monthly or more often) by grade 8, with the steepest increases between grades 5 and 7. These youth become the core of a larger group of drinkers in later adolescence, many of whom have problems with alcohol which impair their development and may become more severe in adult life. The purpose of the Interactive Projects for Alcohol Prevention (IPAP) is to develop and test a comprehensive, yet cost-efficient, combination of mass media and community interventions supporting young people in developing healthy lifestyles and deterring alcohol use. These interventions will be coordinated with existing school curricula from grades 4-5 through grades 7-8. The intervention approach is based on evidence of drinking by very young adolescents, theoretical models identifying modifiable intrapersonal, social, environmental and behavioral factors, and proven mass media and community models for health behavior change. A mass media campaign will target young people to reduce the demand for alcohol through positive images of non-drinking lifestyles; these messages will begin in grades 4-5 and continue over a four-year period. Media messages will be developed and receive preliminary effectiveness testing in the companion IPAP proposal. Parents of these young people also will be targeted by a mass media campaign modeling supportive parent behaviors. A community intervention program will be focused on reducing availability of alcohol for young adolescents through cooperative actions of parents, school officials, alcohol retailers, law enforcement officers, and local government officials. The interventions will be evaluated in a controlled design with eight rural Vermont school districts receiving the interventions and eight receiving measurement only. Cross-sectional surveys of 2800 students in grades 7-8 from intervention and comparison districts will be conducted at baseline and immediately after the four-year interventions to determine prevalence of alcohol use and related behaviors. A comprehensive theory- based set of measures will assess the impact of the interventions on mediators of drinking behavior. It is hypothesized that regular drinking among grade 7-8 students will be reduced by one-third in districts receiving this combination of powerful interventions. Process evaluation will assess the immediate impact of intervention components on the targeted students, their parents, and other key adults in their communities.