REACHING AND MOTIVATING CHANGE IN TEEN MARIJUANA SMOKERS

描述：(申请人提供) 要求提供资金，以支持编写和试行一份简要的 不寻求治疗的干预(青少年大麻体检) 青少年吸食大麻。这种干预是一种激励增强。 治疗包括三个单独的疗程，所有这些都是提供的 在学校的背景下。参与者首先被评估使用 大麻、酒精和其他毒品，以及相关的态度和目标。 在第二和第三次会议上，一份个性化的反馈报告包含 来自参与者评估的信息，以及规范比较 对数据进行了回顾，健康教育者采用了激励性访谈 旨在增强减少或停止以下行为的动力的战略 吸食大麻。改变和行为改变战略的具体目标是 与希望获得支持以改变大麻使用情况的与会者进行讨论。这个 主要目的将是确定这种干预的疗效试验是否 这是正当的。因此，这项建议包括以下具体目标：(1) 修订和制作为期三次的动机强化干预措施 用于在高中向经常吸食大麻的青少年提供服务；(2) 修订参与者招募机制并使之具体化；(3)制定和 为此，对计算机辅助自访评估系统进行预测试 (4)修改有关人口的过程和结果措施 实验干预的假想效果；(5)开发 实验干预的培训方案；(6)制定措施 健康教育者的能力和忠诚度；(7)制定措施 干预保真度；(8)进行一项初步研究，在该研究中， 确定关键结果；(9)描述自我推荐参与者与 其他人提到的：基线大麻、酒精和 其他药物使用模式；有问题后果的基线指标 使用；共病指标；干预完成情况；研究 保留；(10)衡量参与者对研究招募的评价， 评估和干预部分；以及(11)按关键指标衡量评价 学校人员(例如，辅导员、干预专家) 在参与学校内部的实施和影响。

DESCRIPTION: (provided by applicant) Funds are requested to support the development and pilot testing of a brief intervention (The Teen Marijuana Check-Up) with non-treatment seeking adolescent marijuana users. The intervention is a motivational enhancement treatment consisting of three individual sessions, all of which are delivered in the school setting. The participant is first assessed regarding use of marijuana, alcohol, and other drugs, as well as pertinent attitudes and goals. In the second and third sessions, a personalized feedback report containing information from the participant's assessment, as well as normative comparison data, is reviewed, with the health educator employing motivational interviewing strategies intended to enhance motivation for reduction or cessation of marijuana use. Specific goals for change and behavior change strategies are discussed with participants who wish support to change their marijuana use. The primary aim will be to determine if an efficacy trial with this intervention is warranted. As such, this proposal includes the following as specific aims: (1) to revise and manualize a three-session motivational enhancement intervention for delivery in high schools to adolescents who smoke marijuana frequently; (2) to revise and manualize participant recruitment mechanisms; (3) to develop and pre-test a computer-assisted self-interviewing assessment system for this population; (4) to modify process and outcomes measures concerning the hypothesized effects of the experimental intervention; (5) to develop a training protocol for the experimental intervention; (6) to develop measures of health educator competence and adherence; (7) to develop measures of intervention fidelity; (8) to conduct a pilot study in which effect sizes for key outcomes are determined; (9) to describe self-referred participants vs. those referred by others with reference to: baseline marijuana, alcohol, and other drug use patterns; baseline indicators of problematic consequences of use; indicators of comorbidity; intervention completion; and research retention; (10) to measure participant evaluations of the study's recruitment, assessment, and intervention components; and (11) to measure evaluations by key school personnel (e.g., counselors, intervention specialists) of the study's implementation and impact within the participating schools.