Drug Abuse Prevention for High Risk Emerging Adults

描述（由申请人提供）：本申请侧重于提供助推器编程在早期出现的成年人，并扩展了对项目的研究走向没有药物滥用（TND），一个以学校为基础的药物滥用预防计划资助的国家药物滥用研究所自1992年以来。该计划被许多政府机构视为典范或示范计划。我们正在进行的研究的主要目标人群是青年从替代学校系统（继续高中，CHSs）在加州。虽然在以前的试验中已经获得了有希望的课堂计划效果，但只有一些效果在一年的随访中得以维持（主要影响是硬毒品使用和吸烟，但不是大麻使用或酒精使用）。一般而言，在药物滥用预防研究中很少完成加强剂规划的系统测试，而且从未与TND项目一起进行过。此外，目前的数据表明，药物使用和滥用在青春期后期和成年期初达到高峰，但针对青春期后期和成年期初制定的药物滥用预防举措很少。因此，为了维持和可能提高项目TND的长期成果，在过渡到早期出现的成年期，我们建议开发，实施和测试一个精心策划的，多年的，动机面试为基础的，电话提供助推器程序在CHS教室TND课程实施后。在三个条件的实验设计中，我们将操纵是否年轻人接受简短的TND电话助推器会议，除了12届TND课堂课程。将这两种情况（仅TND或TND加加强剂组分）与标准治疗进行比较。在这个项目中，我们检查是否增加助推器组件将提供一个增量的影响，对药物使用行为。我们还将探讨TND项目和药物使用结果之间潜在的调节和中介关系。这一应用解决了药物滥用的预防问题，这是一个严重的公共卫生问题。我们建议测试的助推器干预的有效性，针对替代高中的青年，谁是在更高的风险发展药物滥用比普通高中的青年。

DESCRIPTION (provided by applicant): This application focuses on provision of booster programming in early emerging adulthood and extends the research on Project Towards No Drug Abuse (TND), a school-based drug abuse prevention program funded by the National Institute on Drug Abuse since 1992. This program is considered a model or exemplary program by numerous government agencies. The primary target population of our ongoing research is youth from the alternative school system (continuation high schools, CHSs) in California. While promising classroom program effects have been obtained in previous trials, only some effects have been maintained past a one-year follow-up (main effects on hard drug use and cigarette smoking, but not for marijuana use or alcohol use). A systematic test of booster programming seldom has been completed in drug abuse prevention research in general, and has never been conducted with Project TND. Further, current data indicate that drug use and abuse peak during late adolescence and emerging adulthood, yet few drug abuse prevention initiatives have been developed targeting late adolescence and emerging adulthood. Thus, to sustain and possibly enhance long-term outcomes of Project TND during the transition into early emerging adulthood, we propose to develop, implement, and test a carefully planned, multi-year, motivational-interview-based, telephone-delivered booster program following implementation of the TND curriculum in the CHS classroom. In a three condition experimental design, we will manipulate whether or not youth receive brief TND telephone boosters sessions in addition to the 12-session TND classroom curriculum. These two conditions (TND only or TND plus the booster component) will be compared to standard care. In this project, we examine if the addition of a booster component will provide an incremental effect on drug use behavior. We will also explore potential moderating and mediating relationships of Project TND and drug use outcomes. This application addresses prevention of drug abuse, a critical public health problem. We propose to test the efficacy of a booster intervention targeting alternative high school youth, who are at higher risk for development of drug abuse than are youth in regular high schools.