Preventing Drug Abuse in American Indian Children

预防美洲印第安儿童滥用药物

• 批准号: 6679207
• 负责人: BETSY DAVIS
• 金额: $ 53.87万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-10 至 2008-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6679207
• 关键词: Native Americans; behavioral /social science research tag; child behavior; child rearing; clinical research; disease /disorder proneness /risk; drug abuse prevention; family structure /dynamics; human subject; longitudinal human study; medically underserved population; middle childhood (6-11); parent offspring interaction; preschool child (1-5); psychological shock

DESCRIPTION (provided by applicant): American Indian youth experience extraordinary vulnerability to substance use disorders, demonstrating early onset use and abuse as well as unusually severe life consequences associated with use. Despite this, there is a virtual absence of controlled investigations of preventive interventions within this population. The current proposal represents a community-research collaboration between Oregon Research Institute (ORI) and Indian Child and Family Services (ICFS) aimed at evaluating the acceptability and effectiveness of a culturally enhanced parenting program for reducing parenting and child risk factors for substance abuse in American Indian families. As well, the proposal will examine a culturally specific model of risk factors for parenting difficulties and child conduct problems. The Incredible Years series was chosen as the basis for cultural enhancement for American Indians because, in addition to its demonstrated effectiveness, it is generalizable in both content and process across cultures. The clinical staff at ICFS has been engaged in a process of culturally enhancing the program and, in collaboration with the ORI investigators, piloting the enhanced program to render it uniquely consonant with American Indian values. Participants for the current study will be 120 4-8 year old American Indian children and their parents or permanent guardians. Families will be self-referred subsequent to an intensive and broad-based campaign to alert communities to the project. Participants will be randomly assigned to either the Incredible Years Series or facilitated usual care. Acceptability and effectiveness will be evaluated with a multi-method, multi-agent assessment of child and parent functioning conducted at pre-and post-intervention and 6 month follow-up.

描述（由申请人提供）：美国印第安青年非常容易受到药物滥用障碍的影响，表现出早期使用和滥用以及与使用相关的异常严重的生活后果。尽管如此，对该人群的预防性干预措施实际上缺乏对照调查。当前的提案代表了俄勒冈研究所 (ORI) 和印第安儿童和家庭服务中心 (ICFS) 之间的社区研究合作，旨在评估文化增强的育儿计划的可接受性和有效性，以减少美国父母和儿童滥用药物的风险因素。印度家庭。此外，该提案还将研究养育困难和儿童行为问题的特定文化风险因素模型。 《不可思议的岁月》系列被选为美洲印第安人文化提升的基础，因为除了其已证明的有效性之外，它在内容和过程上也具有跨文化的普遍性。 ICFS 的临床工作人员一直致力于在文化上增强该计划，并与 ORI 调查人员合作，试行该增强计划，使其独特地符合美洲印第安人的价值观。本研究的参与者将是 120 名 4-8 岁的美国印第安儿童及其父母或永久监护人。在开展密集且广泛的宣传活动后，家庭将进行自我推荐，以提醒社区注意该项目。参与者将被随机分配到不可思议的岁月系列或便利的常规护理。可接受性和有效性将通过在干预前后以及 6 个月的随访中对儿童和家长功能进行多方法、多主体评估来评估。