Cherokee Nation Prevention Trial: Interactive Effects of Environment & SBIRT
切罗基族预防试验:环境的交互影响
基本信息
- 批准号:8693880
- 负责人:
- 金额:$ 102.76万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2011
- 资助国家:美国
- 起止时间:2011-09-15 至 2016-06-30
- 项目状态:已结题
- 来源:
- 关键词:Accident and Emergency departmentAddressAdolescentAgeAlcohol consumptionAlcoholsAmerican IndiansAreaCherokee IndianClinicClinical Trials DesignCommunitiesCommunity ActionsCommunity TrialCountryData CollectionDiffusionDisadvantagedDrug AddictionEffectivenessElementsEnvironmentEvaluationFamilyFamily history ofFutureGatekeepingGenderGoalsHealth ServicesHealth Services for the AgedHigh School StudentIndividualInformation SystemsInternetInterventionIntervention StudiesLeadLeadershipLifeMeasurementMeasuresMedia CampaignMentorsMentorshipMethodsModelingOklahomaOutcomeOutcome MeasureParticipantPopulationPovertyPreventionPrevention ResearchPreventivePreventive InterventionProtocols documentationRandom AllocationRecordsResearchResearch DesignResearch PersonnelResearch Project GrantsRiskRisk FactorsRuralRural CommunitySamplingSampling StudiesSchoolsScienceScientistSeriesSocioeconomic StatusSourceSurvey MethodologySurveysSystemTechnologyTestingTimeTrainingUnited States National Institutes of HealthWorkYouthalcohol availabilityalcohol preventionbasebehavioral healthbrief interventioncohortcommunity based participatory researchcommunity interventioncomparison groupcontrol trialcostdata managementdesignenvironmental changeenvironmental interventionevidence basehealth disparityhigh riskinnovationintervention effectmotivational enhancement therapypeerprogramsrandomized trialresearch studyscreeningscreening and brief interventionscreening, brief intervention, referral, and treatmentsocialsocioeconomicstherapy designunderage drinkingunderage drinking preventionyouth access to alcohol
项目摘要
DESCRIPTION (provided by applicant): The proposed project is a partnership between prevention scientists and the Cherokee Nation Behavioral Health Services to create, implement and evaluate a new, integrated community-level intervention designed to prevent underage drinking and associated negative consequences among American Indian and white youth living in rural high-risk underserved communities. This trial will take place in northeastern Oklahoma, an area suffering from high rates of poverty and substantial health disparities. The proposed intervention builds directly on the results of multiple previous experiments with two distinct approaches-community environmental change and brief intervention and referral-evaluated alone and in combination using a factorial design. Direct- action community organizing, documented as effective in multiple previous randomized trials, will be used to address community issues related to alcohol use and commercial and social access to alcohol among adolescents. Our design and implementation of brief interventions differs in a fundamental way from typical implementations. Instead of SBIRT implemented in select limited numbers of clinics, emergency departments or schools, we will design a community-wide SBIRT intervention. The population-level brief interventions will include five key components: (1) brief one-on-one screening and motivational interviewing sessions, (2) gatekeeper training, (3) peer leader training, (4) family postcard campaign, and (5) community-wide media campaign. Five key research design elements optimize causal inference and experimental evaluation of the intervention effects: (1) a controlled interrupted time-series design, (2) random selection of towns, (3) random assignment to study condition, (4) a factorial design, and (5) multiple comparison groups. The primary design feature of this randomized trial is a controlled interrupted time-series design. The large number of repeated measures (a time-series) substantially increases internal validity (i.e., strength of causal inference) as well as statistical power over conventional pre/post community trial designs. Repeated assessments will measure implementation fidelity for each intervention component, and measure key proximal as well as the primary ultimate outcomes through survey, observation and archival sources. The primary study sample will include all high-school students within study towns. Weekly and monthly measurements will produce a time-series design with observations of youth nested within town over the four-year period. In addition to repeated cross-sectional samples, we will use participant identifiers to track the embedded cohorts over the four years. This innovative project, involving a strong partnership between established prevention scientists and leaders of the Cherokee Nation Behavioral Health Services, has the potential to transform alcohol prevention research and practice. Despite advances in prevention science and practices in recent decades, the U.S. continues to struggle with significant alcohol-related risks and consequences among youth. The proposed project will provide a rigorous evaluation of a new, integrated community-level preventive intervention.
描述(由申请人提供):拟议项目是预防科学家和切罗基族行为健康服务机构之间的合作伙伴关系,旨在创建、实施和评估一项新的综合社区级干预措施,旨在防止美洲印第安人和印第安人中的未成年人饮酒和相关负面后果。生活在服务不足的农村高风险社区的白人青年。这项试验将在俄克拉荷马州东北部进行,该地区贫困率高,健康差距巨大。拟议的干预措施直接建立在先前多项实验的结果基础上,采用两种不同的方法——社区环境变化和简短干预以及转诊——单独评估或结合使用析因设计进行评估。直接行动社区组织在之前的多项随机试验中被证明是有效的,将用于解决与青少年饮酒以及商业和社会获取酒精相关的社区问题。我们的简短干预措施的设计和实施与典型的实施有根本的不同。我们将设计一个社区范围的 SBIRT 干预措施,而不是在选定的有限数量的诊所、急诊室或学校实施 SBIRT。人口层面的简短干预措施将包括五个关键组成部分:(1) 简短的一对一筛选和动机访谈课程,(2) 看门人培训,(3) 同伴领袖培训,(4) 家庭明信片活动,(5) )社区范围内的媒体宣传活动。五个关键研究设计要素优化因果推理和干预效果的实验评估:(1) 受控中断时间序列设计,(2) 随机选择城镇,(3) 随机分配研究条件,(4) 因子设计,和(5)多个比较组。该随机试验的主要设计特点是受控间断时间序列设计。大量的重复测量(时间序列)大大提高了内部有效性(即因果推理的强度)以及传统社区试验前/后设计的统计功效。重复评估将衡量每个干预措施的实施保真度,并通过调查、观察和档案来源衡量关键的近期结果以及主要的最终结果。主要研究样本将包括研究城镇内的所有高中生。每周和每月的测量将产生一个时间序列设计,其中包括对四年期间居住在城镇内的年轻人的观察。除了重复的横截面样本之外,我们还将使用参与者标识符来跟踪四年来的嵌入队列。这个创新项目涉及成熟的预防科学家和切罗基民族行为健康服务领导人之间的强有力的合作伙伴关系,有可能改变酒精预防研究和实践。尽管近几十年来在预防科学和实践方面取得了进步,但美国仍在与青少年中与酒精相关的重大风险和后果作斗争。拟议的项目将对新的综合社区级预防干预措施进行严格评估。
项目成果
期刊论文数量(0)
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KELLI Ann KOMRO其他文献
KELLI Ann KOMRO的其他文献
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{{ truncateString('KELLI Ann KOMRO', 18)}}的其他基金
Community Randomized Trial in the Cherokee Nation: CONNECT and CMCA for Preventing Drug Misuse among Older Adolescents
切罗基族社区随机试验:CONNECT 和 CMCA 预防老年青少年药物滥用
- 批准号:
10252951 - 财政年份:2019
- 资助金额:
$ 102.76万 - 项目类别:
Community Randomized Trial in the Cherokee Nation: CONNECT and CMCA for Preventing Drug Misuse among Older Adolescents
切罗基族社区随机试验:CONNECT 和 CMCA 预防老年青少年药物滥用
- 批准号:
9892321 - 财政年份:2019
- 资助金额:
$ 102.76万 - 项目类别:
Community Randomized Trial in the Cherokee Nation: CONNECT and CMCA for Preventing Drug Misuse among Older Adolescents
切罗基族社区随机试验:CONNECT 和 CMCA 预防老年青少年药物滥用
- 批准号:
10208334 - 财政年份:2019
- 资助金额:
$ 102.76万 - 项目类别:
Community Randomized Trial in the Cherokee Nation: CONNECT and CMCA for Preventing Drug Misuse among Older Adolescents
切罗基族社区随机试验:CONNECT 和 CMCA 预防老年青少年药物滥用
- 批准号:
10471970 - 财政年份:2019
- 资助金额:
$ 102.76万 - 项目类别:
Community Randomized Trial in the Cherokee Nation: CONNECT and CMCA for Preventing Drug Misuse among Older Adolescents
切罗基族社区随机试验:CONNECT 和 CMCA 预防老年青少年药物滥用
- 批准号:
10683132 - 财政年份:2019
- 资助金额:
$ 102.76万 - 项目类别:
Community Randomized Trial in the Cherokee Nation: CONNECT and CMCA for Preventing Drug Misuse among Older Adolescents
切罗基族社区随机试验:CONNECT 和 CMCA 预防老年青少年药物滥用
- 批准号:
10471970 - 财政年份:2019
- 资助金额:
$ 102.76万 - 项目类别:
Cannabis Marketing Exposure among High School Students in the Cherokee Nation: Assessment and Preventive Intervention Effectiveness
切罗基族高中生的大麻营销暴露:评估和预防干预效果
- 批准号:
10675279 - 财政年份:2019
- 资助金额:
$ 102.76万 - 项目类别:
Cherokee Nation Prevention Trial: Interactive Effects of Environment & SBIRT
切罗基族预防试验:环境的交互影响
- 批准号:
8196487 - 财政年份:2011
- 资助金额:
$ 102.76万 - 项目类别:
Cherokee Nation Prevention Trial: Interactive Effects of Environment & SBIRT
切罗基族预防试验:环境的交互影响
- 批准号:
8890276 - 财政年份:2011
- 资助金额:
$ 102.76万 - 项目类别:
Cherokee Nation Prevention Trial: Interactive Effects of Environment & SBIRT
切罗基族预防试验:环境的交互影响
- 批准号:
8331619 - 财政年份:2011
- 资助金额:
$ 102.76万 - 项目类别:
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