Multisite School-Based Evaluation of a Brief Screener for Underage Drinking

未成年人饮酒简要筛查的多地点校本评估

基本信息

批准号：
8428382
负责人：
SETH J. SCHWARTZ
金额：
$ 38.45万
依托单位：
AMERICAN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-12-10 至 2017-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8428382
关键词：
20 year old Academy Address Adolescent African African American Age Alcohol abuse Alcohol consumption Alcoholic Intoxication Alcohols American Area Behavior Censuses Centers for Disease Control and Prevention (U.S.)Child County Data Disadvantaged Disease District of Columbia Driving While Intoxicated Drug usage Early Diagnosis Early Intervention Early identification Ethnic Origin Evaluation Florida Future Gender Health Health Benefit Home environment Illicit Drugs Individual Location Longitudinal Studies Maryland Measurement Measures Monitor National Institute on Alcohol Abuse and Alcoholism Neighborhoods Nicaraguan Outcome Participant Patient Self-Report Pediatrics Poverty Prevention Preventive Problem behavior Public Health Radial Reporting Research Risk Risk Behaviors Salvadoran Sampling Schools Sensitivity and Specificity Services Sex Behavior Site Students Substance abuse problem Surveys Time Tobacco Validation Vehicle crash Walking adolescent alcohol age group aged alcohol related problem alcohol risk alcohol screening alcohol use disorder base binge drinking brief alcohol screening caucasian American cohort contextual factors density density of AOD outlets design drinking externalizing behavior family structure indexing instrument longitudinal design metropolitan peer prospective public health relevance screening sex risk sixth grade social skills socioeconomics suburb tool twelfth grade underage drinking

项目摘要

DESCRIPTION (provided by applicant): The proposed study is designed to provide evidence for convergent validity, discriminant validity, predictive validity, sensitivity, and specificity fr the two-item underage drinking screening instrument designed by the National Institute on Alcohol Abuse and Alcoholism and the American Academy of Pediatrics. The study will use an accelerated longitudinal design with three cohorts (400 6th graders, 400 8th graders, and 400 10th graders). Each cohort will be assessed 7 times over a 31/2-year period, supporting longitudinal analyses across the 7-year period from 6th grade until the year after 12th grade. Participants will be sampled from public schools in Miami-Dade County, Florida, and the Maryland suburbs of Washington, DC. Students will be assessed in their classrooms twice per year. We will measure alcohol use, alcohol-related problems, alcohol use disorders, illicit drug use, sexual risk behavior, and externalizing problem behavior through well-validated self-report measures. We will also examine the extent to which the validity and effects of the screener vary according to the density of alcohol outlets within walking distance (a practical 1/4 mile radius) o each adolescent's home and school addresses, and according to Census-level poverty, affluence, residential stability, and family structure indices. Our analytic objectives will be to examine the extent to which scores on the screener items predict current and subsequent alcohol use, alcohol-related problems, diagnosable alcohol use disorders, illicit drug use, sexual risk behavior, and externalizing problem behavior - as well as to identify cutoff scores for the screener items that maximize the sensitivity and specificity of the instrument to identify adolescents at risk for alcohol problems. The present study will be the first to use the screener in a school setting, where the vast majority of adolescents can be accessed.

描述（由申请人提供）：拟议的研究旨在为融合有效性，判别有效性，预测有效性，敏感性和特异性提供证据，这是由国家饮酒和酒精中毒和酒精中毒和酒精中毒和酒精中毒设计的两项未成年饮酒筛查工具美国儿科学会。这项研究将使用三个同类的加速纵向设计（400个六年级学生，400个八年级学生和400个10年级学生）。每个队列将在31/2年的时间内进行7次评估，并支持从6年级到12年级后7年期间的纵向分析。参与者将从佛罗里达州迈阿密戴德县的公立学校和华盛顿特区的马里兰州郊区进行采样。学生将每年两次在课堂上进行评估。我们将通过经过验证的自我报告措施来衡量酒精使用，与酒精有关的问题，酒精使用障碍，非法毒品使用，性风险行为以及外在问题行为。我们还将研究筛选器在步行距离内（实际1/4英里半径）的酒精插座密度的有效性和影响的程度，每个青少年的家庭和学校地址以及人口普查一级的贫困，富裕，住宅稳定和家庭结构指数。我们的分析目标将是检查筛选器项目上的分数在多大程度上预测当前和随后的酒精饮酒，与酒精有关的问题，可诊断的酒精使用障碍，非法吸毒，性风险行为和外部化问题行为以及外部化问题 - 以及确定筛选器项目的临界分数，以最大程度地提高仪器的灵敏度和特异性，以识别有可能出现酒精问题的青少年。本研究将是第一个在学校环境中使用筛选器的研究，可以访问绝大多数青少年。