The Development and Evaluation of a Culturally Grounded ENDS Intervention for Rural Hawaiian Youth

项目摘要/摘要 自2017年以来，年轻人使用电子尼古丁传递系统的数量呈指数级增长 (完)，全国和夏威夷[1，2]。最近的监测数据表明，18%的 夏威夷的初中生目前使用的是电子蒸汽产品，在全国排名第一 在所有收集中学青年数据的州中[1]。在这些年轻人中，30%是夏威夷土著或 太平洋岛民血统，是#年主要种族群体中使用末端的最高比例 尽管有这些令人震惊的趋势，但还没有制定和实施任何预防方案 评估对象为夏威夷青年或夏威夷原住民青年[3]。因此，这项研究的目的是 提案是为夏威夷农村人开发和评估有文化基础的END预防干预措施 青春年华。这将通过两个具体目标来实现。目标1(1-3年级)侧重于预干预 和干预性发展。在第一年，我们会举办青少年专题小组，以评估环境 夏威夷农村地区与终端使用有关的需求。在第二年，与终端有关的具体问题情况(即， 增加终端使用风险的情况)将从第一年重点小组中提取出来，并按优先顺序排列 通过调查方法，对16个不同地区的200-250名夏威夷原住民青年进行了调查 夏威夷岛上的中学/中学。在第三年，发现最常见的五种情况 在第二年接受调查的年轻人有经验和/或难以管理的人将作为 叙事性剧本的发展。其中三个剧本将在夏威夷选角和拍摄，由 一位专业的电影导演，并将被剪辑成三个短片，6-8个视频片段，6-8个专业 照片或制作剧照。类似于我们之前在夏威夷农村的药物预防研究[4]，以课堂为基础 将创建课程来支持短片。其他课程和视频来自基于证据的 面向夏威夷青年的基于文化的物质滥用预防课程(Ho‘ouna Pono)[5] 用于创建模块化课堂课程。视频剪辑和专业摄影/制作剧照 将嵌入预防信息，并将用于社交和印刷媒体活动，以 加强课堂课程设置。目标2(第4-5年)是评估END预防干预措施 (课堂课程加上社交/印刷媒体活动)覆盖所有中等/中级公众或公众- 特许学校(N=16)和夏威夷岛上最多11所不同的文化沉浸式特许学校，使用 动态等待列表控制组设计[6]。

PROJECT SUMMARY/ABSTRACT Since 2017, there has been an exponential growth in youths’ use of electronic nicotine delivery systems (ENDS), both nationally and in the state of Hawai‘i [1, 2]. Recent surveillance data has indicated that 18% of all middle school youth in the state of Hawai‘i currently use an electronic vapor product, ranking first nationally among all states collecting data on middle school youth [1]. Of these youth, 30% are of Native Hawaiian or Pacific Islander ancestry, representing the highest percentage of ENDS use among major ethnic groups in Hawai‘i. Despite these alarming trends, there have been no ENDS prevention programs developed and evaluated for youth in Hawai‘i or for Native Hawaiian youth [3]. Therefore, the purpose of this research proposal is to develop and evaluate a culturally grounded, ENDS prevention intervention for rural Hawaiian youth. This will be accomplished through two specific aims. AIM 1 (Years 1-3) are focused on pre-intervention and intervention development. In Year 1, youth focus groups will be conducted to assess the environmental demands related to ENDS use in rural Hawai‘i. In Year 2, specific ENDS-related problem situations (i.e., situations that increase risk for ENDS use) will be extracted from the Year 1 focus groups and prioritized through survey methods with 200-250 predominately Native Hawaiian youth across 16 different middle/intermediate schools on Hawai‘i Island. In Year 3, five situations found to be the most frequently experienced and/or difficult to manage by youth surveyed in Year 2 will serve as the foundation for the development of narrative scripts. Three of these scripts will be cast and filmed on location on Hawai‘i Island by a professional film director, and will be edited into three short films, 6-8 video clips, and 6-8 professional photos or production stills. Similar to our prior drug prevention research in rural Hawai‘i [4], classroom-based lessons will be created to support the short films. Additional lessons and videos from an evidence-based, culturally grounded substance abuse prevention curriculum for Hawaiian youth (Ho‘ouna Pono) [5] will be used to create a modular classroom curriculum. The video clips and professional photography/production stills will be embedded with prevention messaging, and will be used for a social and print media campaign to reinforce the classroom curriculum. AIM 2 (Years 4-5) is to evaluate the ENDS prevention intervention (classroom curriculum plus social/print media campaign) across all middle/intermediate public or public- charter schools (N = 16) and up to 11 different cultural immersion charter schools on Hawai‘i Island using a dynamic wait-listed control group design [6].