SCHOOL-BASED PREVENTION OF ANABOLIC STEROID USE

以学校为基础预防合成代谢类固醇的使用

• 批准号: 2119836
• 负责人: LINN GOLDBERG
• 金额: $ 59.58万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1993
• 资助国家: 美国
• 起止时间: 1993-07-01 至 1998-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2119836
• 关键词: adolescence (12-20); androgen analog; body physical characteristic; drug abuse; drug abuse education; exercise; health behavior; human subject; nutrition; psychological reinforcement; questionnaires

APPLICANT'S ABSTRACT: Anabolic steroid (AS) use has many detrimental health effects. Nevertheless, adolescent use, especially among those engaged in high school (HS) football, is increasing. AS availability has varied between 32 and 60%, with use increasing from 1.1% to 5.7% during the period 1987-1991 in the Portland, Oregon metropolitan area. During 1987, for every 36 HS football players claiming steroid availability, one student used AS. This increased to one player using AS for every 6 reporting availability in 1991. Over 250,000 adolescents are using or have used AS in the United States. The aim of this proposal is to develop and evaluate a school-based AS prevention program designed to prevent initiation and use of AS and other drugs among high risk adolescents. The intervention is based on five years of prospective prevention research and uses a multidimensional, cognitive-behavioral approach, including knowledge of AS, promoting AS alternatives (nutrition and exercise), and resistance and communication skill training. The program intervenes at the individual, peer, adult and environmental levels. In study years 02, 03, 04, and 05 all students engaged in football at 36 high schools will be randomly assigned by school to one of two groups: 1) a 20 session intervention: 12 in a classroom setting and 8 weekly exercise training periods or 2) a minimum information control. Intervention components will be delivered by coaches, peers and certified athletic trainers. The intervention will be repeated annually for new players, with additional yearly booster sessions for returning athletes during years 03, 04 and 05. Coaches, parents and peer educators will receive instruction on program objectives and implementation. Questionnaires will be administered prior to and after the intervention and at year-end follow-up, to assess availability, knowledge, attitudes, intent to use and use of AS and other drugs. Attitudes and behaviors concerning nutrition and exercise will be examined, along with demographics, resistance skills, environmental factors, intrapsychic constructs, peer influences and anthropometric measures. Program implementation and its effects will be assessed by audiotape, observation and surveys. The link between mediators targeted by the program components and reduction of drug use will be studied. The relationship of intervention components with positive and negative outcomes (knowledge, attitudes, intent and behaviors) will be determined. The study will identify protective and risk factors for AS use and provide an understanding of how and under what conditions AS use can be prevented.

申请人摘要： 使用合成代谢类固醇 (AS) 对健康有许多不利影响。 然而，青少年的使用，尤其是那些从事高强度工作的人 学校（HS）足球正在增加。 AS 可用性各不相同 32% 和 60%，期间使用率从 1.1% 增加到 5.7% 1987年至1991年在俄勒冈州波特兰都会区。 1987 年期间，对于 每 36 名高中足球运动员中，有一名学生声称可以使用类固醇 用过AS。 每 6 次报告增加到一名使用 AS 的玩家 1991 年推出。超过 250,000 名青少年正在使用或已经使用 AS在美国。 该提案的目的是开发和 评估以学校为基础的 AS 预防计划，旨在预防 高危青少年开始和使用 AS 和其他药物。 该干预措施基于五年的前瞻性预防 研究并使用多维的认知行为方法， 包括 AS 知识、推广 AS 替代品（营养和 练习），以及抵抗和沟通技巧训练。 该计划 在个人、同伴、成人和环境层面进行干预。 在 02、03、04 和 05 年的学习中，所有学生在 36 岁时都参加了足球活动 高中将被学校随机分配到以下两组之一： 1) 20 次干预：12 次在教室进行，8 次每周进行 锻炼训练期或 2) 最低限度的信息控制。 干预部分将由教练、同伴和经过认证的人员提供 运动教练。 该干预措施将每年针对新的 运动员，并为回归运动员提供额外的年度强化课程 在 03、04 和 05 年期间。教练、家长和同伴教育者将 接受有关计划目标和实施的指导。 将在干预之前和之后进行调查问卷 并在年终跟进时评估可用性、知识、态度、 意图使用和使用 AS 和其他药物。 态度和行为 将检查有关营养和运动的问题，以及 人口统计、抵抗技能、环境因素、内心 结构、同伴影响和人体测量。 程序 将通过录音、观察来评估实施情况及其效果 和调查。 该计划所针对的调解员之间的联系 将研究药物使用的成分和减少。 关系 具有积极和消极结果的干预措施 （知识、态度、意图和行为）将被确定。 这 研究将确定 AS 使用的保护因素和风险因素，并提供 了解如何以及在什么条件下可以使用 AS 阻止了。