Preventing Drug Abuse in American Indian Children

描述（由申请人提供）：美国印第安青年经历了异常脆弱的物质使用障碍，表现出早发性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干预措施的对照调查。目前的提案代表了俄勒冈州研究所（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育儿计划的可接受性和有效性，以减少美国印第安家庭中药物滥用的育儿和儿童风险因素。此外，该提案还将审查养育困难和儿童行为问题的风险因素的文化特定模式。《不可思议的岁月》系列被选为增强美洲印第安人文化的基础，因为除了其已证明的有效性外，它在内容和过程上都可在不同文化中推广。ICFS的临床工作人员一直在从事文化增强计划的过程，并与ORI调查人员合作，试行增强计划，使其与美国印第安人的价值观保持独特的一致。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。在开展一场深入和广泛的宣传运动，提醒社区注意该项目之后，家庭将自我推荐。参与者将被随机分配到难以置信的岁月系列或促进常规护理。在干预前后和6个月随访时，将通过对儿童和父母功能的多方法、多因素评估来评价可接受性和有效性。

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.