Preventing Drug Abuse in American Indian Children

描述（由申请人提供）：美国印第安青年特别容易受到物质使用障碍的影响，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，在这一人群中实际上缺乏对预防性干预措施的对照调查。目前的提案代表了俄勒冈研究所（ORI）和印第安儿童和家庭服务（ICFS）之间的社区研究合作，旨在评估文化增强的养育计划的可接受性和有效性，以减少美国印第安家庭中养育和儿童滥用药物的风险因素。此外，该提案还将研究一种文化特有的模型，以确定养育子女困难和儿童行为问题的风险因素。《不可思议的岁月》系列被选为美国印第安人文化增强的基础，除了其已证明的有效性之外，它在内容和过程上都可以跨文化推广。ICFS的临床工作人员参与了在文化上加强该方案的过程，并与ORI调查员合作，对加强后的方案进行试点，使其独特地符合美国印第安人的价值观。目前研究的参与者将是120名4-8岁的美国印第安儿童及其父母或永久监护人。在开展密集和基础广泛的运动以提醒社区注意该项目之后，家庭将自我介绍。参与者将被随机分配到不可思议的岁月系列或促进常规护理。在干预前后和6个月的随访中，通过多方法、多主体的儿童和家长功能评估来评估可接受性和有效性。

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.