The Development of a Video-Enhanced Drug Prevention Program for Rural Native Hawa

描述（由申请人提供）：研究表明，夏威夷土著青年的吸毒率明显高于非夏威夷青年（例如，Wong, Klingle, & Price, 2004; Mayeda, hisinuma, Nishimura, Garcia- Santiago, & Mark, 2006），这些差异在农村环境中尤为明显（Lai & Saka, 2005）。尽管有这些发现，但专门针对这些青少年制定和评估的药物预防计划很少（Edwards, Giroux, & Okamoto, in press; Rehuher, Hiramatsu, & Helm, 2008）。因此，这项探索性研究提案的目的是开发和试点测试一个基于视频的、基于文化的夏威夷土著农村青年毒品预防计划的课程组成部分。这将通过三个具体目标来实现。目标1是制作3-5个视频短片，重点关注夏威夷农村青年的相关毒品问题情况。这些小插曲将侧重于这些年轻人的常见和困难的药物提供情况，以及根据先前NIDA资助的研究（5 K01 DA019884）建立的每种情况的反应范围。目标2是编写相应的预防毒品课程内容，以补充目标1中编写的视频短片。目标3是通过与利益相关者（例如，夏威夷青年、青年服务从业者）的焦点小组访谈和四所中学内选定的课堂实施相结合，对项目可行性和测量结果的课程组成部分进行试点测试。将进行干预成分与四所注意力控制学校的比较，以估计未来大规模随机对照试验的效应大小（将作为未来R01拨款的一部分实施）。

DESCRIPTION (provided by applicant): Research has indicated that Native Hawaiian youth have significantly higher rates of drug use than their non-Hawaiian counterparts (e.g., Wong, Klingle, & Price, 2004; Mayeda, Hishinuma, Nishimura, Garcia- Santiago, & Mark, 2006), and that these differences are particularly pronounced in rural settings (Lai & Saka, 2005). Despite these findings, there have been very few drug prevention programs developed and evaluated specifically for these youth (Edwards, Giroux, & Okamoto, in press; Rehuher, Hiramatsu, & Helm, 2008). Therefore, the purpose of this exploratory research proposal is to develop and pilot test curricular components of a video-based, culturally-grounded drug prevention program for rural Native Hawaiian youth. This will be accomplished through three specific aims. AIM 1 is to create 3-5 video vignettes focused on relevant drug related problem situations of rural Hawaiian youth. The vignettes will focus on common and difficult drug offer situations for these youth, as well as the range of responses to each situation, established from prior NIDA- funded research (5 K01 DA019884). AIM 2 is to develop the accompanying drug prevention curricular components to compliment the video vignettes developed in Aim 1. AIM 3 is to pilot test the resulting curricular components for program feasibility and measurement, using a combination of focus group interviews with stakeholders (e.g., Hawaiian youth, youth-serving practitioners) and selected classroom implementation within four middle schools. Comparison of the intervention components against four attentional-control schools will be conducted, in order to estimate effect sizes for a future large-scale, randomized controlled trial (to be implemented as part of a future R01 grant). PUBLIC HEALTH RELEVANCE: Because Hawaiians or part-Hawaiians represent the largest Pacific Islander population in the U.S. (Harris & Jones, 2005) and have been shown to have higher rates of alcohol consumption and smoking compared with other ethnic groups (Office of Minority Health, 2009), research focused on drug prevention of these individuals is important to improve public health both in Hawai'i and on the Mainland U.S. This study actively engages rural communities in the development of the curricular components of a drug prevention intervention for Hawaiian youth, promoting the overall utility and effectiveness of those components. Further, the findings from this study will point to the core content of prevention interventions for Hawaiian youth in rural communities, which may be applicable to other ethnic youth populations in Hawai'i and the Pacific Rim, as well as Native youth populations on the Mainland U.S.