School Wide Prevention of Risk Factors for Drug Abuse

学校范围内预防药物滥用的危险因素

• 批准号: 6659694
• 负责人: Edward Michael Foster
• 金额: $ 56.18万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-01 至 2006-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6659694
• 关键词: aggression; behavioral /social science research tag; curriculum; drug /alcohol abstinence; drug abuse prevention; elementary school; human subject; longitudinal human study; middle childhood (6-11); patient oriented research; social adjustment; training

DESCRIPTION: (provided by applicant) The proposed research would complement and extend a recently funded evaluation of a preventive intervention that targets aggressive/noncompliant behavior in first grade. Entitled "Low Cost Prevention of Conduct Disorders" (DA 12202), the currently funded study experimentally evaluates a low-cost, comprehensive intervention consisting of a one-year teacher-led children's social problem solving skills program (Webster-Stratton & Hammond, 1997) and training for teachers in classroom behavior management (Webster Stratton & Reid, 1999). In addition, a 12-week parent training program is provided to parents of children showing early behavior problems. Funding for that project covers the full costs of assessing intervention effects on teachers and 162 children who are already exhibiting problem behaviors. The proposed project has three aims: (1) To experimentally evaluate the efficacy of the two universal components of this intervention (social skills curriculum and teacher training) on a representative sample of first-grade children; (2) To estimate the full costs of the intervention, including the implicit costs for participants and their families; and (3) To perform a full economic evaluation of the universal and indicated components of the intervention. That evaluation will have two components. The first is a benefit-cost analysis capturing any averted costs generated by the intervention, including special education, mental health services, medical services, and social services. To capture the benefits of the intervention more fully, we also propose a cost-effectiveness analysis of key child and family outcomes, including a measure of health-related quality of life. Analyses of this measure represent cost-utility analysis, the first time this method has been applied in research on substance-abuse prevention. To fully address these aims, this proposal requests additional funding to accomplish the following tasks: (1) To provide a basis for evaluating the universal intervention, expand data collection to include 648 children (n=12 in each of the 54 study classrooms) who were not identified as high risk at baseline; (2) To improve the accuracy of key data for the benefit-cost study, supplement parental reports of service use with reviews of agency and provider records (for both the at-risk and universal samples); (3) To better support the long-term analyses of intervention impact and economic effectiveness, add two years of follow-up data collection for at-risk children in the currently funded study (grades 3 and 4 - two- and three-year follow-up); (4) Calculate the full costs of the intervention, including implicit costs (e.g. the time costs of parental participation); (5) Obtain supplemental data necessary to convert data on service use into expenditures or costs (e.g., special education budgets from school districts); (6) Conduct detailed economic analyses, including the calculation of net benefits and cost-effectiveness ratios and the analyses of the variation in net benefits across sub-groups of participants.

描述：（申请人提供） 拟议的研究将补充并扩展最近资助的评估 针对攻击性/不合规行为的预防干预措施 一年级。标题为“低成本预防行为障碍”（DA 12202）， 当前资助的研究实验评估了低成本，全面的 由一年的教师领导的儿童社会问题组成的干预措施 解决技能计划（Webster-Stratton＆Hammond，1997年）和培训 课堂行为管理的老师（Webster Stratton＆Reid，1999）。在 此外，向孩子的父母提供了为期12周的家长培训计划 显示早期行为问题。该项目的资金涵盖了全部费用 评估对教师和162个已经是的儿童的干预影响 表现出问题行为。 拟议的项目具有三个目标：（1）实验评估 这种干预的两个通用组成部分的功效（社交技能 课程和教师培训）对一年级的代表样本 孩子们; （2）估计干预的全部成本，包括 参与者及其家人的隐性成本； （3）执行完整 对普遍和指示的组成部分的经济评估 干涉。该评估将有两个组成部分。第一个是 利益成本分析捕获了由 干预，包括特殊教育，心理健康服务，医疗 服务和社会服务。更多地捕获干预的好处 完全，我们还建议对关键儿童和家庭进行成本效益分析 结果，包括衡量与健康相关的生活质量的度量。分析 该措施代表成本效用分析，该方法首次具有 被应用于有关滥用物质预防的研究。 为了充分解决这些目标，该提案要求额外的资金 完成以下任务：（1）提供评估的基础 普遍干预，将数据收集扩展到包括648名儿童（n = 12 in 54个学习教室中的每一个）未被确定为高风险 基线； （2）为提高福利成本研究的关键数据的准确性， 补充父母关于服务使用的报告，以及代理商和提供者的评论 记录（对于高危和通用样品）； （3）更好地支持 长期分析干预影响和经济有效性，添加两个 目前资助的高危儿童的多年后续数据收集 研究（3年级和4-两年和三年的随访）； （4）计算完整 干预的成本，包括隐式费用（例如 父母参与）； （5）获取转换数据所需的补充数据 将服务用于支出或费用（例如，特殊教育预算 学区）； （6）进行详细的经济分析，包括 计算净福利和成本效益比和分析 参与者子群体之间的净益处的变化。