Cuqyun: Predictors of Alaska Native Adolescent Sobriety and Reasons for Living

描述(由申请者提供)：阿拉斯加原住民(AN)青年面临着与酒精和自杀有关的严重健康差距。Cuqyun(测量工具)是一个发展项目，其长期目标是进行纲领性研究，开展预防青少年酗酒和自杀试验，以解决这些健康差距问题。该项目建立在之前与成年人的工作基础上，这些成年人使用了基于社区的参与性研究(CBPR)方法和基于优势的积极心理学重点来研究戒酒。库克云建议将这项研究扩展到青少年酗酒和自杀的重要变量。该项目有三个具体目标： (1)在文化上适应青少年对与戒酒和生活原因相关的变量的衡量，使用CBPR方法来衡量适应。(2)以475名3-18岁青少年为样本，检验了这些自适应测量工具的心理测量学特性。(3)在先前CBPR所建议的清醒程度和生活理由的经验推导模型中，检验这些测量的预测有效性。这一最终目标还将对戒酒的多水平途径模型进行实证检验，该模型是拟议的预防干预研究计划的基础。Cuqyun寻求在文化上适应的措施是被认为是预防试验中特定干预成分的近期结果的变量。另外两个变量被认为是最终结果变量。这项发展工作将(1)为在阿拉斯加土著青年中进行预防试验提供必要的基础；(2)在衡量发展方面推进部落社区的CBPR方法；(3)加强我们对阿拉斯加土著和其他少数民族群体中特定文化保护因素的了解，以解决健康差距问题。

DESCRIPTION (provided by applicant): Alaska Native (AN) youth face significant health disparities associated with alcohol and suicide. Cuqyun (measuring tool) is a developmental project whose long term objective is programmatic research leading to an AN youth alcohol and suicide prevention trial to address these health disparities. The project builds on previous work with AN adults that used a community based participatory research (CBPR) methodology and a strengths-based, positive psychology focus in study of AN sobriety. Cuqyun proposes to extend this research to important variables in AN adolescent alcohol abuse and suicide. The project has three specific aims: (1) Culturally adapt for AN adolescents measures of variables associated with sobriety and reasons for living using a CBPR approach to measurement adaptation. (2) Test these adapted measures' psychometric properties with a sample of 475 AN adolescents age 3-18. (3) Test the predictive validity of these measures in an emically-derived model of AN sobriety and reasons for living suggested by previous CBPR. This final aim will also provide an empirical test of the multilevel pathway model of sobriety on which the proposed preventive intervention program of research is based. The measures that Cuqyun seeks to culturally adapt are variables conceived as proximal outcomes for specific intervention components within a prevention trial. Two additional variables are conceived as ultimate outcome variables. This developmental work will (1) provide necessary foundations for a prevention trial with Alaska Native youth, (2) advance CBPR methods with tribal communities in the area of measurement development, and (3) enhance our understanding of culture specific protective factors among Alaska Native and other ethnic minority groups to address health disparities.