ALCOHOL TREATMENT TARGETING ADOLESCENTS IN NEED

针对有需要的青少年的酒精治疗

• 批准号: 6371545
• 负责人: ERIC F WAGNER
• 金额: $ 53.33万
• 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/6371545
• 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.

ATTAIN 是一个为期五年的研究项目，旨在确定对患有酒精和其他药物问题的青少年罪犯进行短暂干预的效果。 青少年犯罪者的药物使用问题发生率比非犯罪者高得多。与没有药物使用问题的青少年罪犯相比，有药物使用问题的青少年罪犯表现出更高的犯罪率、更多的暴力犯罪和更多的长期药物使用问题。 目前，人们对青少年罪犯药物滥用治疗的有效性知之甚少，但在迄今为止进行的少数研究中，行为、家庭和动机干预措施显示出最大的希望。 拟议的研究是一项随机临床试验，比较个人引导的自我改变治疗（GSC-I）与家庭参与引导的自我改变治疗（GSC-F）对有酒精问题的西班牙裔/拉丁裔和非裔美国青少年罪犯的疗效。 参与者 (n = 704) 将被随机分配到四种治疗条件：GSC-I、GSC-F、选择和等待名单 (WL)。 选择参与者将接受他们选择的治疗（即 GSC-I 或 GS​​C-F）； WL 参与者将在 8 周的等待期后接受他们选择的治疗。 参与者将在治疗前、治疗后以及一个月和六个月的随访中接受评估。主要假设包括： 1. 分配到积极 GSC 治疗的青少年将比分配到 WL 的青少年表现出显着更大的酒精和其他药物参与减少； 2. 分配到 GSC-F 的青少年将比分配到 GSC-I 的青少年有更好的结果； 3. 在西班牙裔参与者中，文化适应因素会调节治疗效果； 4. 在非裔美国人参与者中，感知到的歧视和文化不信任会降低治疗效果。 第二个目的是检查代表青少年重要亚组的变量，这些变量可以预测不同的治疗反应（例如犯罪类型、虐待史、家庭凝聚力和支持）。 拟议研究的最终目的是为有酗酒问题的青少年，特别是少数族裔少年罪犯制定更有效的干预措施。