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

说明(申请人提供)：研究表明，夏威夷原住民青年的吸毒率明显高于他们的非夏威夷青年(例如，Wong，Klingle&Price，2004；Mayeda，Hishinuma，Nishimura，Garcia-Santiago，&Mark，2006)，这些差异在农村环境中尤其明显(Lai&Saka，2005)。尽管有这些发现，但专门为这些年轻人开发和评估的药物预防计划很少(Edwards，Giroux和Okamoto，正在出版；Rehuher，Hiramatsu，和Helm，2008)。因此，这项探索性研究提案的目的是为夏威夷原住民农村青年开发和试行以视频为基础、以文化为基础的毒品预防方案的课程组成部分。这将通过三个具体目标来实现。目标1是创建3-5个视频片段，重点关注夏威夷农村青年与毒品有关的问题情况。这些小插曲将集中于这些年轻人常见和困难的药物提供情况，以及根据先前由NIDA资助的研究(5 K01 DA019884)确定的对每种情况的反应范围。目标2是开发相应的药物预防课程内容，以补充在目标1中开发的视频片段。目标3是使用与利益相关者(例如，夏威夷青年、青年服务从业者)的焦点小组访谈和在四所中学内选定的课堂实施相结合的方式，试行测试所产生的课程组成部分的计划可行性和衡量标准。为了估计未来大规模随机对照试验的效果大小(将作为未来R01拨款的一部分实施)，将对干预部分与四所注意控制学校进行比较。 公共卫生相关性：由于夏威夷人或部分夏威夷人代表了美国最大的太平洋岛民人口(Harris&Jones，2005)，并且与其他种族群体相比，他们的饮酒率和吸烟率更高(少数民族健康办公室，2009)，因此针对这些人的毒品预防研究对于改善夏威夷和美国本土的公共健康都很重要。这项研究积极让农村社区参与为夏威夷青少年制定药物预防干预课程的内容，促进这些内容的整体效用和有效性。此外，这项研究的结果将指出针对农村社区夏威夷青年的预防干预的核心内容，这可能适用于夏威夷和环太平洋地区的其他少数民族青年人口，以及美国本土的土著青年人口。

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.