ALCOHOL TREATMENT TARGETING ADOLESCENTS IN NEED

针对有需要的青少年的酒精治疗

• 批准号: 6168487
• 负责人: ERIC F WAGNER
• 金额: $ 51.93万
• 依托单位: FLORIDA INTERNATIONAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-01 至 2004-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6168487
• 关键词: African American; adolescence (12-20); alcoholism /alcohol abuse therapy; audiotape; behavior modification; behavior prediction; behavioral /social science research tag; breath tests; choice; clinical research; clinical trials; culture; ethnic group; family therapy; human subject; human therapy evaluation; interview; juvenile delinquency; longitudinal human study; motivation; prejudice; prognosis; social perception; substance abuse related behavior; urinalysis

ATTAIN is a five-year research project designed to determine the efficacy of brief intervention for juvenile offenders with alcohol and other drug problems. Juvenile offenders demonstrate much higher rates of substance use problems than non-offenders. Juvenile offenders with substance use problems show higher rates of offending, more violent offenses, and more chronic substance use problems than juvenile offenders without substance use problems. Currently, little is known about the effectiveness of substance abuse treatment for juvenile offenders, however behavioral, family, and motivational interventions show the greatest promise in the few studies performed to date. The proposed study is a randomized clinical trial comparing the efficacy of Individual Guided Self-Change Treatment (GSC-I) with Family-Involved Guided Self-Change Treatment (GSC-F) for Hispanic/Latino and African-American juvenile offenders with alcohol problems. Participants (n = 704) will be randomly assigned to four treatment conditions: GSC-I, GSC-F, Choice, and Waiting List (WL). Choice participants will receive the treatment of their choice (i.e., GSC-I or GSC-F); WL participants will receive the treatment of their choice after an 8-week waiting period. Participants will be evaluated at pre-treatment, posttreatment, and one-month and six-month follow-ups. Primary hypotheses include: 1. adolescents assigned to active GSC treatment will demonstrate significantly greater reductions in alcohol and other drug involvement than adolescents assigned to WL; 2. adolescents assigned to GSC-F will have better outcomes than those assigned to GSC-I; 3. among Hispanic participants, acculturation factors will moderate treatment effectiveness; 4. among African-American participants, perceived discrimination and cultural mistrust will moderate treatment effectiveness. A secondary aim is to examine variables, representing significant subgroups of adolescents, that may predict differential treatment response (e.g., delinquency type, history of abuse, family cohesion and support). The ultimate aim of the proposed study is to develop more effective interventions for adolescents, and particularly minority juvenile offenders, with alcohol problems.

ACTAIN是一个为期五年的研究项目，旨在确定对酒精和其他毒品问题的少年罪犯的简短干预效果。 少年罪犯比非犯罪者表现出的物质使用问题率要高得多。与没有药物使用问题的少年罪犯相比，患有药物使用问题的少年罪犯显示出更高的犯罪率，更多的暴力犯罪和更多的慢性药物使用问题。 目前，对于少年罪犯的药物滥用治疗的有效性知之甚少，但是在迄今为止所做的少数研究中，行为，家庭和动机干预措施表明的最大前景。 拟议的研究是一项随机临床试验，该试验比较了个人指导性自我改变治疗（GSC-I）与对西班牙裔/拉丁裔和非裔美国人少年少年罪犯与酒精有关的家庭引导的自我改变治疗（GSC-F）的疗效。 参与者（n = 704）将随机分配到四个治疗条件：GSC-I，GSC-F，选择和等待名单（WL）。 选择参与者将获得他们选择的治疗方法（即GSC-I或GSC-F）； WL参与者将在等待8周后获得他们选择的治疗。 参与者将在治疗，治疗后以及一个月和六个月的随访中进行评估。主要假设包括：1。分配给主动GSC治疗的青少年将表明，与分配给WL的青少年相比，酒精和其他药物参与的减少明显更大。 2。分配给GSC-F的青少年将比分配给GSC-I的青少年具有更好的结果； 3。在西班牙裔参与者中，适应性因素将适应治疗效果； 4。在非洲裔美国人的参与者中，感知的歧视和文化不信任将适应治疗效果。 第二个目的是检查代表青少年的重要亚组的变量，这些变量可能预测了差异治疗反应（例如，犯罪类型，滥用史，家庭凝聚力和支持）。 拟议的研究的最终目的是针对青少​​年，尤其是少数少年罪犯制定更有效的干预措施，存在酒精问题。