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: 6798713
• 负责人: Edward Michael Foster
• 金额: $ 64.13万
• 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/6798713
• 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：（由申请人提供） 拟议的研究将补充和扩展最近资助的评估 针对攻击性/不顺从行为的预防性干预 一年级。题为“行为障碍的低成本预防”（DA 12202）， 目前资助的研究通过实验评估了一种低成本、全面的 干预措施包括为期一年的教师主导的儿童社会问题 解决技能计划（Webster-Stratton & Hammond，1997）和培训 课堂行为管理中的教师（Webster Stratton & Reid，1999）。在 此外，还为孩子的家长提供为期12周的家长培训课程 表现出早期的行为问题。该项目的资金涵盖全部费用 评估干预措施对教师和 162 名儿童的影响 表现出问题行为。 该项目有三个目标：（1）通过实验评估 该干预措施的两个普遍组成部分（社交技能 课程和教师培训）以一年级的代表性样本为基础 孩子们; (2) 估计干预的全部成本，包括 参与者及其家庭的隐性成本； (3) 执行完整的 对普遍和指定组成部分进行经济评估 干涉。该评估将有两个组成部分。第一个是 效益成本分析捕获由项目产生的任何可避免的成本 干预，包括特殊教育、心理健康服务、医疗 服务和社会服务。为了更多地获得干预的好处 充分地，我们还提出了对关键儿童和家庭的成本效益分析 结果，包括与健康相关的生活质量的衡量标准。分析 该措施代表成本效用分析，这是该方法第一次 已应用于预防药物滥用的研究。 为了充分实现这些目标，该提案要求提供额外资金 完成以下任务： （一）为评估提供依据 普遍干预，扩大数据收集范围，将 648 名儿童纳入其中（n=12 54 个学习教室中的每一个）在 基线； （2）提高效益成本研究关键数据的准确性， 通过对机构和提供者的审查来补充家长的服务使用报告 记录（针对有风险的样本和通用样本）； （三）更好支持 干预影响和经济效果的长期分析，增加两项 目前资助的高危儿童的后续数据收集年数 研究（三年级和四年级 - 两年和三年的随访）； (4) 计算全 干预的成本，包括隐性成本（例如，干预的时间成本） 家长参与）； (5) 获取转换数据所需的补充数据 将服务使用纳入支出或成本（例如，特殊教育预算 学区）； (6) 进行详细的经济分析，包括 净效益和成本效益比的计算和分析 参与者子群体之间净收益的差异。