Preventing Drug Abuse in American Indian Children

描述(由申请者提供)：美国印第安人青少年对药物使用障碍有极大的脆弱性，表现出早期使用和滥用，以及与使用相关的异常严重的生活后果。尽管如此，在这一人群中，几乎没有关于预防性干预的受控调查。目前的提案代表了俄勒冈州研究所(ORI)和印度儿童和家庭服务(ICFS)之间的社区研究合作，旨在评估文化增强的育儿计划的可接受性和有效性，以减少美国印第安人家庭中的育儿和儿童滥用药物的风险因素。此外，该提案还将研究育儿困难和儿童行为问题的风险因素的文化特定模型。令人难以置信的岁月系列被选为美国印第安人文化提升的基础，因为除了它被证明的有效性外，它在内容和过程中都可以在不同文化中推广。ICFS的临床工作人员一直在致力于加强该计划的文化，并与ORI调查人员合作，试行增强计划，使其独特地与美国印第安人的价值观保持一致。本次研究的参与者将是120名4-8岁的美国印第安人儿童和他们的父母或永久监护人。家庭将在一场密集和广泛的运动之后自我转介，以提醒社区注意该项目。参与者将被随机分配到令人难以置信的年数系列或促进日常护理。可接受性和有效性将通过在干预前、干预后和6个月随访时进行的儿童和父母功能的多方法、多代理评估来评估。

DESCRIPTION (provided by applicant): American Indian youth experience extraordinary vulnerability to substance use disorders, demonstrating early onset use and abuse as well as unusually severe life consequences associated with use. Despite this, there is a virtual absence of controlled investigations of preventive interventions within this population. The current proposal represents a community-research collaboration between Oregon Research Institute (ORI) and Indian Child and Family Services (ICFS) aimed at evaluating the acceptability and effectiveness of a culturally enhanced parenting program for reducing parenting and child risk factors for substance abuse in American Indian families. As well, the proposal will examine a culturally specific model of risk factors for parenting difficulties and child conduct problems. The Incredible Years series was chosen as the basis for cultural enhancement for American Indians because, in addition to its demonstrated effectiveness, it is generalizable in both content and process across cultures. The clinical staff at ICFS has been engaged in a process of culturally enhancing the program and, in collaboration with the ORI investigators, piloting the enhanced program to render it uniquely consonant with American Indian values. Participants for the current study will be 120 4-8 year old American Indian children and their parents or permanent guardians. Families will be self-referred subsequent to an intensive and broad-based campaign to alert communities to the project. Participants will be randomly assigned to either the Incredible Years Series or facilitated usual care. Acceptability and effectiveness will be evaluated with a multi-method, multi-agent assessment of child and parent functioning conducted at pre-and post-intervention and 6 month follow-up.