Drug Abuse, Adolescent Girls, and Prevention: YMCA Community Collaboration

描述(由申请人提供)：这份修订后的R21研究资助申请代表了大纽约基督教青年会(YNY)和哥伦比亚大学之间的合作伙伴关系。在两年的时间里，这项计划中的研究将调整父母参与的计划，将其与之前为女孩测试的RealTeen计划结合使用。由此产生的综合方案将在参加YNY课外方案的青春期女孩和这些女孩的母亲中进行测试。除了测试这两个预防计划的结果外，计划中的研究还将检查对女孩应对反应、拒绝技能、情绪管理技能、冲突解决能力、解决问题的能力、避免使用药物的自我效能、身体尊重、关于药物滥用的规范信念、社会支持、纪律和犯罪行为以及行为问题等中介变量的干预效果。其他研究措施将检查干预计划对女孩母亲使用家庭仪式、禁止使用药物的规则以及母女情感的影响程度。其他研究的目的是将女孩和母亲测量的中介变量与女孩的药物使用联系起来，测试剂量-反应干预效果，并确定干预是否对女孩的民族-种族群体概况产生不同的影响。女孩和她们的母亲将在前测、后测和6个月的随访中在网上完成所有研究测量。将通过互联网和光盘提供干预服务。纽约办事处的工作人员和管理人员充分参与了计划进行的研究的所有方面，包括分析和解释数据、传播调查结果以及请求后续支助。通过R01研究资助机制，后续支持将赞助一项大规模的家长参与和RealTeen预防计划测试，对象是参加YNY课后计划的女孩和这些女孩的母亲。在后续测试中，我们不仅将衡量终端药物使用结果，还将检查计划实施变量的保真度和参与者反馈，以及与YNY社区内预防计划的采用和维护相关的参数。YNY管理人员致力于通过纽约市和全国范围内的22个YNY中心营销经过测试的项目。 公共卫生相关性：为了应对美国青春期女孩日益增长的药物使用率，这份修订并重新提交的拨款申请描述了一项合作研究，以完善和试点针对性别和家长参与的预防药物滥用的方法。研究参与者将是从大纽约(YNY)基督教青年会中心招募的少女及其母亲。在通过互联网完成预试措施后，女孩和她们的母亲将被分为干预和控制两部分。干预部门的女孩和母亲将与预防方案在线互动，所有参与者将在线完成后测和后续测量。一旦预防方法在大规模临床试验中经过仔细测试，它们将通过基督教青年会中心在全国范围内传播。

DESCRIPTION (provided by applicant): This revised R21 research grant application represents a partnership between the YMCA of Greater New York (YNY) and Columbia University. Over 2 years, the planned study will adapt a parent-involvement program for combined use with a previously tested program for girls called RealTeen. The resulting combined programs will be tested with a sample of adolescent girls enrolled in YNY after-school programs and the mothers of these girls. Besides testing the outcomes of both prevention programs, the planned research will examine intervention effects on mediator variables of girls' coping responses, refusal skills, mood management skills, conflict resolution abilities, problem-solving skills, self-efficacy to avoid substance use, body esteem, normative beliefs about drug abuse, social supports, disciplinary and delinquency behaviors, and conduct problems. Additional study measures will examine the extent to which the intervention programs affected girls' mothers' use of family rituals, rules against substance use, and mother-daughter affect. Other study aims are to relate girls' and mothers' measured mediator variables to girls' drug use, to test dose-response intervention effects, and to determine whether intervention exerted differential effects related to girls' ethnic-racial group profiles. Girls and their mothers will complete all study measurements online at pretest, posttest, and 6-month follow- up. Intervention delivery will occur via the Internet and CD-ROM. YNY staff and administrators are full participants in all aspects of the planned research, including the analysis and interpretation of data, the dissemination of findings, and requests for follow-on support. Through the R01 research grant mechanism, that follow-on support will sponsor a large- scale test of parent-involvement and RealTeen prevention programs with girls enrolled in YNY after- school programs and the mothers of these girls. In the follow-on test, not only will we measure end- point substance use outcomes, but also we will examine program implementation variables of fidelity and participant feedback and parameters relevant to the adoption and maintenance of the prevention programs within the YNY community. YNY administrators are committed to marketing the tested programs through the 22 YNY centers in New York City and nationwide. PUBLIC HEALTH RELEVANCE: In response to growing rates of substance use among American adolescent girls, this revised and resubmitted grant application describes a collaborative study to refine and pilot test gender- specific and parent-involvement approaches to drug abuse prevention. Study participants will be adolescent girls and their mothers recruited from YMCA centers of Greater New York (YNY). After completing pretest measures via the Internet, girls and their mothers will be divided into intervention and control arms. Girls and mothers in the intervention arm will interact online with prevention programming, and all participants will complete posttests and follow-up measurements online. Once the prevention approaches are carefully tested in a large-scale clinical trial, they will be disseminated nationally through YMCA centers.