People Awakening Resilience Program (PARP)

描述(由申请人提供)： 酗酒对阿拉斯加土著来说是一个巨大的公共卫生问题，也是阿拉斯加排名最高的行为健康问题(阿拉斯加土著委员会；1994年)。人民觉醒复原力项目(PARP)的主要目标是为12至18岁的尤普伊克爱斯基摩人儿童编制一份特定文化、多因素、以阿拉斯加农村为基础的酒精滥用预防干预手册，这些儿童的理论基础是在先前对该部落群体进行的研究中开发的启发式模型，并对其可行性、可接受性和文化兼容性进行试点测试。该项目是一项长期研究议程的第一阶段，目的是为以后的预防试验奠定基础，以减少Yup‘ik Eskimo村青年的未成年饮酒。R21应用程序的具体目标是完成基于启发式模型的干预措施的手动开发，并对其可行性、可接受性、文化兼容性和保真度进行试点测试。对每个模块的相关数据进行分析将有助于进一步完善模块。PARP还将管理家庭和个人层面变量的中间结果衡量标准，并在阿拉斯加西南部的一个尤皮克·爱斯基摩社区完成中间结果的探索性测试。该模型建议的干预措施将在家庭和个人层面上进行。手册开发的设计通过与文化专家的小组规划会议利用了关键的信息提供方法论。社区成员将审查根据焦点小组的意见开发的模块。一个由来自A村和其他村庄的7名主要线人组成的规划小组将作为共同研究人员编制该手册。这将确保包括当地背景，并发展参与和合作。与其他村成员组成的重点小组将就单元的可行性和文化适当性提供反馈。该手册将在A村进行测试，抽样调查父母(n=16)和来自这些家庭的青年(n=16)，并与没有参加干预的同等数量的父母和青年进行对照。将完成对中期结果影响的探索性分析，以确定人工预防性干预对参与者的影响方式。

DESCRIPTION (provided by applicant): Alcohol abuse constitutes a public health problem of immense proportions for Alaska Natives and is the highest ranked behavioral health problem in Alaska (Alaska Natives Commission; 1994). The primary goal of the People Awakening Resilience Project (PARP) is to develop a manual of culture-specific, multi-factorial, rural Alaska village-based alcohol abuse preventive interventions for Yup'ik Eskimo children ages 12 through 18 that have their theoretical basis in a heuristic model developed in previous research done with this tribal group and to pilot test them for feasibility, acceptability, and cultural compatibility. The project is the first stage of a long-term research agenda to develop a foundation for a later prevention trial to reduce underage drinking among Yup'ik Eskimo village youth. The specific aims of the R21 application are to complete manual development for interventions based upon the heuristic model and to pilot test them for feasibility, acceptability, cultural compatibility, and fidelity. Analysis of data related to each will allow for further refinement of modules. PARP will also administer intermediate outcome measures on family and individual level variables and complete an exploratory testing of intermediate outcomes in one Yup'ik Eskimo community in Southwestern Alaska. Interventions suggested by the model will take place at the family and the individual levels. The design of the manual development utilizes a key informant methodology through group planning sessions with cultural experts. Community members will review modules that are developed with input from focus groups. A planning group consisting of 7 key informants from Village A and other villages will serve as co-researchers to develop the manual. This will insure that local context is included and engagement and collaboration are developed. Focus groups with other village members will provide feedback on the feasibility and cultural appropriateness of the modules. The manual will be tested in Village A with a sample of parents (n=16) and youth who are from these families (n=16) matched with a control of equal numbers of parents and youth who do not take part in the interventions. Exploratory analyses of the effects on intermediate outcomes will be completed to determine ways that the manualized preventive intervention affects participants.