Prevention of Young Adult Drug Use in Club Settings

摘要 这是对一项专注于预防药物使用和相关风险的研究的更新(竞争延续) 以电子音乐舞蹈活动(EMDE)为特色的俱乐部设置中的行为。我们的第一项研究提供了 有证据表明参加此类活动的吸毒者人数足够多，足以保证下一次 步骤，即测试在扶轮社实施先前证明有效的环境预防战略的可行性。 拟议的研究将实施和测试实施环境保护策略的可行性。 旨在减少吸毒和俱乐部中的其他危险行为(例如，在俱乐部中存在吸毒和吸毒者 俱乐部和其他与毒品有关的危险行为，如醉酒驾驶、吸毒过量、性行为冒险、 攻击性行为)。我们的具体目标如下：具体目标1：衡量环境 实施环境变化之前的指标、东道主政策、赞助人特征和行为 俱乐部里的策略。具体目标2：在俱乐部内实施环境干预措施，并评估和 跟踪实施这些战略的可行性和实施的保真度。具体目标3： 检查干预前和干预后药物使用水平和药物相关风险的变化，说明 采取环境预防战略的变化。共有四个俱乐部将被纳入这一计划 进行可行性研究，以测试环境保护策略。两个俱乐部将被随机分配到 在第二年开始接受干预，而其他两个俱乐部将被要求等待 干预的额外一年。这种改进的交叉设计将在我们的分析部分进行讨论。我们的 数据收集时间框架包括5个主要的数据收集浪潮，大约相隔6个月 从干预前的基线措施开始。每个主要数据波都将包括多个来源 数据：对俱乐部的观察、东道主/工作人员访谈(每波20次访谈)和门户网站收集的数据 顾客(n=2000)。广告评估也将按月收集。对俱乐部的补充观察 将在主要数据波收集和广告评估之间进行，每月进行一次。 计划了我们先前研究中的措施以及一些其他问题(例如，东道主和工作人员 关于环境战略实施中遇到的障碍的访谈)。因此，总体上， 此竞争性更新的设计基于我们在先前研究中测试过的措施(请参见 附录)以及根据干预和我们所了解到的情况实施新的措施 来自先前的工作(参见下面的测量部分)。建议的应用不是疗效研究， 而是一项可行性研究，旨在测试俱乐部的环境战略是否可以实施， 评估实施的障碍和障碍，并在较小的范围内展示变化 可以保证在随后的申请中对多个地点进行全面疗效研究的俱乐部数量。

ABSTRACT This is a renewal (competing continuation) for a study that focuses on preventing drug use and related risky behavior in club settings that feature electronic music dance events (EMDEs). Our first study provided evidence that the number of drug users attending this type of event was sufficiently large to warrant the next step, i.e., to test the feasibility of implementing previously-proven environmental prevention strategies in clubs. The proposed study will implement and test the feasibility of implementing environmental prevention strategies designed to reduce drug use and other risky behaviors in clubs (e.g., presence of drug use and drug users in the clubs and drug-related and other risky behaviors such as drugged driving, overdoses, sexual risk-taking, aggressive behaviors). Our specific aims are as follows: Specific Aim 1: To measure environmental indicators, host policies, and patron characteristics and behaviors prior to implementing environmental change strategies in clubs. Specific Aim 2: To implement environmental interventions in the clubs and to assess and track the feasibility of implementing these strategies and fidelity of this implementation. Specific Aim 3: To examine the changes from pre- to post-intervention levels of drug use and drug related risks, accounting for the changes in the adoption of environmental prevention strategies. A total of four clubs will be included in this feasibility study to test the environmental prevention strategies. Two clubs will be randomly assigned to receive the intervention at the start of the second year, while the other two clubs will be required to wait an additional year for the intervention. This modified crossover design is discussed in our analyses section. Our data collection timeframe includes 5 major waves of data collection approximately six months apart and beginning with baseline measures prior to intervention. Each major data wave will include multiple sources of data: Observations of clubs, Host/staff interviews (20 interviews per wave) and Portal data collections from patrons (n=2000). Advertising assessments also will be collected monthly. Additional observations of clubs will occur halfway between the major data wave collection and advertising assessments will occur monthly. Measures from our prior studies as well as some additional questions are planned (e.g., host and staff interviews about barriers encountered in the implementation of environmental strategies). Hence, the overall design for this competitive renewal builds upon the measures we have tested in the prior studies (see appendices) as well as implementing new measures based upon the intervention and what we have learned from the prior work (see measurement section below). The proposed application is not an efficacy study, rather a feasibility study designed to test whether the environmental strategies for clubs can be implemented, to assess the barriers and impediments to the implementation and to demonstrate change within a small number of clubs that can warrant a full-scale efficacy study across numerous sites in a subsequent application.