TESTING A METHOD FOR INCREASING RURAL PREVENTION EFFORTS

描述：(申请人？S摘要) 该项目旨在确定全州范围内的 干预可以增加农村社区的预防工作。 以及这些预防努力是否会导致减少 甲基苯丙胺的使用和其他毒品的使用。怀俄明州正在遭受一场 农村青少年甲基苯丙胺使用情况严重。问题是 不限于甲基苯丙胺，因为90%使用甲基苯丙胺的人 上个月还使用了大麻和至少一种其他毒品 甲基苯丙胺在那个月。一项全州范围的预防倡议将 动员农村社区制定和实施药物滥用预防 政策和计划。在怀俄明州的每个农村社区，都有一个预防小组 将会形成。该团队将接受社区准备模式的培训，并 将被帮助使用该模式来推动他们的社区实施、维护 并评估当地的预防工作。培训模式是推荐的 并在NIDA出版物97-4112中进行了描述。将对当地球队进行监控 每月通过电话，每季度通过个人面谈，并将提供 通过鼓励、支持、有关方案和政策的信息，以及 为期四年的再培训。这些社区将与 来自周边州的一组社区与怀俄明州的每个 人口、乡村和甲基苯丙胺使用社区。第一个目标 是确定这一倡议是否会导致社区政策的变化 以及实施农村预防方案。基准关键告密者 实验社区和对比社区的访谈正在进行中 确定预防准备情况(包括政策和预防 计划到位、领导力、当地知识和社区支持)。 这些关键线人面谈将在三年后和之后重复进行 五年，获得有关政策和计划变化的完整数据。 第二项任务是确定政策和预防方案是否 当地团队制定的政策导致了药物使用的变化。基线 青少年药物使用数据收集自 怀俄明州农村社区和所有匹配的对比社区。 所有社区的学生将在三年后重新进行评估 干预开始了，干预开始五年后。

DESCRIPTION: (Applicant?s Abstract) This project is designed to determine whether a state-wide intervention can lead to increases in prevention efforts in rural communities in that state and whether those prevention efforts lead to reductions in methamphetamine use and the use of other drugs. Wyoming is suffering from a serious epidemic of methamphetamine use among rural adolescents. The problem is not limited to methamphetamines, since 90% of those who used methamphetamine in the last month also used marijuana and at least one drug other than methamphetamine during that month. A state-wide prevention initiative will mobilize rural communities to develop and implement drug abuse prevention policies and programs. In each rural community in Wyoming a prevention team will be formed. That team will be trained in the community readiness model and will be helped to use that model to move their community to implement, maintain and evaluate local prevention efforts. The training model is that recommended and described in NIDA publication 97-4112. Local teams will be monitored monthly by phone and quarterly by personal interviews, and will be provided with encouragement, support, information on programs and policies, and retraining over a four year period. These communities will be compared with a set of communities from surrounding states matched with each of the Wyoming communities for population, rurality, and methamphetamine use. The first goal is to determine whether this initiative leads to changes in community policies and to implementation of rural prevention programs. Baseline key informant interviews in the experimental and comparison communities are now in progress to determine readiness for prevention (including policies and prevention programs now in place, leadership, local knowledge and community support). These key informant interviews will be repeated after three years and after five years, obtaining complete data on the changes in policies and programs. The second task is to determine whether the policies and prevention programs instituted by the local teams have led to changes in drug use. Baseline adolescent drug use data have been collected from the experimental group of rural Wyoming communities and from all of the matched comparison communities. Students in all communities will be resurveyed three years after the intervention starts and five years after the intervention starts.