Diffusion of Project Towards No Drug Abuse (TND)

杜绝药物滥用项目（TND）的传播

• 批准号: 7070556
• 负责人: LOUISE A ROHRBACH
• 金额: $ 55.46万
• 依托单位: UNIVERSITY OF SOUTHERN CALIFORNIA
• 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 2008-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7070556
• 关键词: Internet; clinical research; computer assisted instruction; drug abuse education; drug abuse prevention; education evaluation /planning; outcomes research; peer group; programmed instruction; questionnaires; secondary schools; substance abuse related behavior; substance abuse related disorder; training

DESCRIPTION (provided by applicant): As a result of decades of research, numerous school-based drug abuse prevention programs have been demonstrated to be effective in reducing drug use among adolescents. However, to date the public health impact of these programs has been limited. The majority of the nation's schools are not using evidence-based drug abuse prevention programs. The question of how to best bridge the gap between research on prevention programs and practice in schools has received limited scientific attention, and there is an urgent need for studies that evaluate strategies designed to increase the adoption, implementation, and maintenance of evidence-based programs. This study will evaluate a comprehensive training and consultation approach to increase implementation and maintenance of Project Towards No Drug Use (TND), an evidence-based drug abuse prevention program for high school students. Project TND has shown positive one-year outcomes over three experimental replication trials, in regular and continuation (high-risk) high school settings, and is considered a model or exemplary program by NIDA, CSAP, and Health Canada, as well as several state and local agencies. Schools within a national sample of school districts that have recently adopted (purchased) Project TND will be randomly assigned to one of three conditions: (1) a standard TND training condition, in which teachers will receive a pre-implementation training workshop only; (2) a comprehensive Implementation Support condition in which teachers will receive the standard pre-implementation training workshop, plus web-based interactive feedback, on-site peer coaching, and off-site technical assistance, and school and school district administrators will receive consultation and technical assistance to assist them in developing organizational capacity for program maintenance; and (3) a delayed intervention control condition. We will determine the relative effectiveness of the two interventions on fidelity of program implementation and program maintenance. We will also examine the effects of the two intervention groups, relative to the control group, on student use of tobacco, alcohol, marijuana, and other drugs. We hypothesize that both of the training conditions will result in greater reductions in student drug use relative to the delayed-intervention control condition. Furthermore, the comprehensive-implementation support condition will produce greater fidelity of implementation, program maintenance, and reductions in student drug use relative to the teacher training workshop-only condition. The goal of this research is to develop and evaluate a prototype for a training system that can be used to facilitate rapid research-to practice technology transfer of evidence-based substance abuse prevention programs, thereby increasing the public health impact of these programs.

描述（由申请人提供）： 经过数十年的研究，已经证明许多基于学校的滥用药物预防计划可有效减少青少年的药物使用。但是，迄今为止，这些计划的公共卫生影响一直受到限制。美国大多数学校没有使用基于证据的预防药物预防计划。如何最好地弥合预防计划研究与学校实践之间的差距的问题受到了有限的科学关注，并且迫切需要研究评估旨在增加基于证据计划的采用，实施和维护的策略。这项研究将评估一种全面的培训和咨询方法，以提高项目的实施和维护不使用药物使用（TND），这是针对高中生的基于证据的预防药物滥用计划。在定期和延续（高风险）高中环境中，项目TND在三项实验复制试验中表现出了积极的一年结果，并被NIDA，CSAP和加拿大卫生部以及几个州和地方机构视为模型或模范计划。最近采用（购买）项目的全国学区样本中的学校将被随机分配给三个条件之一：（1）标准的TND培训条件，其中教师将仅接受一次预知培训研讨会； （2）一种全面的实施支持条件，教师将获得标准的实施前培训研讨会，以及基于Web的互动反馈，现场同伴教练和异地技术援助，学校和学区管理人员将获得咨询和技术援助，以帮助他们开发组织的计划维护组织的组织能力； （3）延迟干预控制条件。我们将确定两种干预措施对计划实施和程序维护的保真度的相对有效性。我们还将研究两个干预组相对于对照组的影响，对学生使用烟草，酒精，大麻和其他药物的影响。我们假设两种训练条件都将导致相对于延迟干预控制条件，学生使用药物的使用量更大。此外，全面的实施支持条件将产生更大的实施，计划维护和学生吸毒相对于只有教师培训研讨会的条件的保真度。这项研究的目的是为培训系统开发和评估一个原型，该系统可用于促进基于证据的药物滥用预防计划的快速研究实践技术转移，从而增加了这些计划的公共卫生影响。