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酒后驾车设施(SJC-DWI)，用于治疗酒后驾车初犯。圣胡安县表现出严重的酒后驾车问题：该县与酒精有关的车辆死亡率在美国排名第二，在新墨西哥州的县中重复和严重酒后驾车犯罪的频率排名第一。该项目的所在地法明顿市是纳瓦霍民族的边境社区，SJC-DWI的客户人口主要(约70%)是纳瓦霍人。SJC-DWI计划将28天的监禁时间与几个干预部分相结合，这些部分是为该计划的主要美国原住民人口量身定做的。SJC-DWI的独特之处在于，它采用了对文化敏感的干预组件，以农村为背景，服务于以美国原住民为主的人口，并仅关注首次DWI违法者。因此，该计划解决了DWI预防文献中的几个空白。虽然一些初步数据表明，对SJC-DWI客户的DWI重新逮捕已经有了很大的减少，但到目前为止，还没有完成对该计划的受控和全面评估。这里提出的是一个为期5年的项目，将全面评估SJC-DWI计划。项目中采用的研究设计将是两组随机设计，一组接受SJC-DWI计划和州强制DWI学校，第二组只接受28天的监禁和国家强制DWI学校(类似于SJC-DWI计划建立之前的DWI判刑)。将对大量参与者进行为期三年的再犯跟踪调查，同时将对随机选择的参与者亚组进行为期两年的密集跟踪调查，期间将收集与干预相关的数据。拟议的项目将最终确定SJC-DWI计划的预防影响，对酒精和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.