PARTNER

杜克大学、杜克临床研究所和杜克大学卫生系统提出 小学能力建设伙伴项目(预防未成年人饮酒方法) 保健系统，设计、测试和提供干预措施，以解决农村未成年人饮酒问题。目标县 合作伙伴是达勒姆县、珀恩县、万斯县、格兰维尔县、富兰克林县、沃伦县和 哈利法克斯位于北卡罗来纳州的皮埃蒙特地区。合作伙伴将为大约45,000人提供服务 青年，包括18,000名非裔美国青年。合作伙伴将专注于在公爵内部建设能力 附属医生(DUAP)是目标县的一个完善的初级保健实践网络。 具体目标1建议在初级方案内开展基础设施建设和能力建设 医疗保健提供者(PCP)网络。调查员团队将与7个PCP合作伙伴核心合作 建立协作联盟，支持干预和预防工作。这一联盟将与 与学校、社会服务机构、以信仰为基础的组织、执法部门和实体的PCP 虐待服务提供者，更重要的是虐待青少年和父母。 具体目标2提出了基于以下内容的未成年人饮酒纵向生态流行病学 青少年危险行为调查(YRBS)在学校的年度管理和估计到2000年 入读社区大学的学生。 具体目标3将是准备实施干预和预防办法。 将进行两项试验性研究。具体目标3a将审查短暂干预的可行性 在初级保健环境中。具体目标3b将测试个人/系统级别的方法 最大限度地增加未成年青年的数量，特别是非洲裔美国人 干预。 该项目对公众健康的好处有三个方面：第一，该项目将扩大初级卫生保健机构的作用 保健网络在干预和预防农村未成年人饮酒中的作用。第二，它将建立一个 社区合作伙伴之间的协作沟通和合作模式，以开发和 继续努力解决未成年人饮酒问题，特别是在非洲裔美国农村社区。 最后，它可以表明将针对未成年人饮酒的循证干预纳入初级保健。 练习一下。

Duke University, Duke Clinical Research Institute and Duke University Health System propose the PARTNER project (Prevention Approaches To UNdERage Alcohol Use) for capacity building in the primary care system to design, test and deliver interventions to address rural underage drinking. The target counties for PARTNER are the seven rural counties of Durham, Person, Vance, Granville, Franklin, Warren and Halifax in the piedmont region of North Carolina. PARTNER will serve a population of approximately 45,000 youth including 18,000 African-American youth. PARTNER will focus on building capacity within the Duke Affiliated Physicians (DUAP) a well-established network of Primary Care Practices in the target counties. Specific Aim 1 proposes infrastructure development and capacity building within the primary health care provider (PCP) network. The investigator team will work with a core of 7 PCP partners to establish a collaborative alliance to support intervention and prevention efforts. This alliance will link with PCPs with schools, social service agencies, faith based organizations, law enforcement, and substance abuse service providers, and importantly youth and parents. Specific Aim 2 proposes a longitudinal ecological epidemiology of underage drinking based on annual administration of the Youth Risk Behavior Survey (YRBS) in schools and to the estimated 2000 students enrolled in community colleges. Specific Aim 3 will be the preparation to implement interventional and prevention approaches. Two pilot studies will be undertaken. Specific Aim 3a will examine the feasibility of a brief intervention within the primary care setting. Specific Aim 3b will test an individual/ system level approach to maximize the number of underage youth, particularly African-Americans who can be accessed for intervention. The public health benefits of the project are three fold: First the project will broaden the role of primary health care networks in the intervention and prevention of rural underage drinking. Second it will establish a collaborative model of communication and cooperation among the community partners to develop and sustain efforts to address underage drinking, in particular among the rural African-American community. Finally it can indicate integrate evidence-based interventions for underage drinking into primary care practice.