Developing a Positive Approach to Substance Use Prevention in North American Indian Adolescents

制定积极的方法来预防北美印第安青少年的药物使用

基本信息

批准号：
10406856
负责人：
Nichea Solomon Spillane
金额：
$ 20.6万
依托单位：
UNIVERSITY OF RHODE ISLAND
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-06-15 至 2024-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10406856
关键词：
ATOD Adolescent Adult Affect Aftercare Age Alcohol consumption Alcohols American Indians Attention Behavioral Canada Child Rearing Collaborations Communication Communities Control Groups Data Development Disease Drug Prevention Program Drug Use Disorder Educational process of instructing Emotional Equilibrium Family Family Relationship Family member Feedback Future Goals Health Home Indigenous Indigenous American Intervention Life Literature Mediator of activation protein Medicine Modeling National Institute on Alcohol Abuse and Alcoholism Native-Born North America North American Indians Personal Satisfaction Population Prevention Prevention approach Prevention program Program Appropriateness Psyche structure Psychological reinforcement Psychology Public Health Race Randomized Controlled Trials Reporting Research Research Methodology Risk Risk Factors Schools Severities Specific qualifier value Sports Strategic Planning Structure Testing United States Waiting Lists Work Youth acceptability and feasibility adolescent alcohol and drug use alcohol availability alcohol misuse prevention alcohol related consequences alcohol risk alcohol tobacco and other drug use alcohol use disorder alcohol use initiation attributable mortality base behavioral economics career community based participatory research depressive symptoms early onset effectiveness evaluation efficacy evaluation efficacy testing eighth grade enhancing factor feasibility testing follow-up healing health disparity improved innovation open label pilot trial positive emotional state preventive intervention programs protective factors psychologic racial and ethnic recruit reinforcer satisfaction substance use substance use prevention success theories therapy development treatment effect treatment guidelines

项目摘要

Project Summary Alcohol is one of the primary determinants of health disparity among many Indigenous populations with rates of alcohol-attributable mortality substantially higher than for Whites (73.8 per 100,000 vs. 27.5), and therefore, is a key threat to optimal health and well-being to Indigenous youth. Indigenous youth living in both the US and Canada tend to begin using alcohol, tobacco, and other drugs (ATOD) at earlier ages than most other ethnic/racial groups, and tend to move more quickly to regular use, resulting in earlier onset of ATOD disorders. Despite the severity of the problem, there continues to be an urgent unmet need for effective prevention programs that are culturally tailored to Indigenous populations of the US and Canada. The overall objective of this project is to develop and obtain preliminary data on the acceptability, feasibility, and initial efficacy of Native PATHS (Positive Approaches to reducing Harm from Substance Use). Native PATHS is a strengths-based, family prevention program for Indigenous youth in 5th-8th grade which focuses on delayed ATOD initiation. The development of Native PATHS has been guided by our formative work in this community, taking a behavioral economic and positive psychological approach to prevention. Applied to prevention, behavioral economic theory focuses on reducing the availability of ATOD and increasing ATOD-free alternatives and the reinforcement received from engaging in ATOD-free activities. Activities in Native PATHS will work with families to help with establishing ATOD-free rules, limit physical availability of ATOD in the home, and reinforce youths' participation in ATOD-free activities. Positive psychological interventions (PPIs) focus on increasing positive emotions, life satisfaction, and well-being. PPIs will be used to enhance the enjoyment received from ATOD-free activities and to improve life satisfaction. Native PATHS is culturally consistent with North American Indigenous views of health that describe health in terms of a balance between the physical, spiritual, emotional, and mental aspects of life, which is represented in the teachings of the Medicine Wheel. Collaboratively we will work together with our tribal partner on further adaptation of our program to include family and Indigenous ways of parenting in a culturally meaningful way. The overall goals proposed project will 1) finalize Native PATHS with participation from youth and family members in talking circles and an open pilot trial; 2) assess the effectiveness of Native PATHS in reducing ATOD initiation and intentions to use ATOD. 3) begin to evaluate the possible mechanisms/moderators of action including potential mediators future orientation and alternative reinfocer/activity engagement and reinforcement received, compared to a wait-list control group. We will also evaluate positive affect as a potential moderator of any treatment effect, such that those higher in positive affect will be less likely to engage in ATOD use and be less likely to endorse intentions to use ATOD.

项目概要酒精是许多土著居民健康差异的主要决定因素之一酒精所致死亡率远高于白人（每 10 万人中 73.8 人 vs. 27.5 人），并且因此，这是对土著青年最佳健康和福祉的主要威胁。居住在这两个地区的土著青年美国和加拿大往往比大多数人更早开始使用酒精、烟草和其他药物 (ATOD) 其他民族/种族群体，并且往往更快地转向常规使用，导致 ATOD 更早发作失调。尽管问题很严重，但仍然迫切需要有效的解决方案针对美国和加拿大原住民文化量身定制的预防计划。整体该项目的目标是开发并获得有关可接受性、可行性和初步结果的初步数据 Native PATHS（减少药物使用危害的积极方法）的功效。本机 PATHS 是针对 5 至 8 年级土著青少年的基于优势的家庭预防计划，重点关注延迟 ATOD启动。 Native PATHS 的开发以我们在这个社区的形成工作为指导，采取行为经济学和积极心理学的方法进行预防。应用于预防，行为经济学理论侧重于减少 ATOD 的可用性并增加 ATOD-free 替代方案以及从参与无 ATOD 活动中获得的强化。本机 PATHS 中的活动将与家人合作，帮助制定无 ATOD 的规则，限制 ATOD 在家里的实际可用性，加强青少年参与无 ATOD 活动。积极心理干预（PPI）重点关注增加积极情绪、生活满意度和幸福感。 PPI 将用于增强享受从无 ATOD 活动中获得并提高生活满意度。 Native PATHS 在文化上是一致的北美原住民的健康观将健康描述为身体、身体和健康之间的平衡。生命的精神、情感和心理方面，这在药轮的教义中有所体现。我们将与我们的部落合作伙伴共同努力，进一步调整我们的计划，以包括以具有文化意义的方式了解家庭和原住民的养育方式。拟议项目的总体目标将 1) 在青少年和家庭成员参与谈话圈和开放试点的情况下最终确定本地路径审判; 2) 评估 Native PATHS 在减少 ATOD 启动和使用 ATOD 意图方面的有效性。 3）开始评估可能的行动机制/调节因素，包括未来潜在的调解因素与等待名单相比，定向和替代强化/活动参与和强化得到对照组。我们还将评估积极情绪作为任何治疗效果的潜在调节因素，例如积极情绪较高的人不太可能参与 ATOD 使用，也不太可能认可意图使用 ATOD。

项目成果

期刊论文数量（1）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

A Framework for the Adaptation of Positive Psychological Interventions to North American Indigenous Populations.

DOI：
10.1007/s11121-021-01282-z
发表时间：
2021-10
期刊：
Prevention science : the official journal of the Society for Prevention Research
影响因子：
0
作者：
Schick MR;Kirk-Provencher KT;Goldstein SC;Nalven T;Spillane NS
通讯作者：
Spillane NS