TREATMENT OF ALCOHOL PROBLEMS FOR VIOLENCE PRONE YOUTH

治疗有暴力倾向的青少年的酒精问题

• 批准号: 6630450
• 负责人: ANDRES G GIL
• 金额: $ 35.13万
• 依托单位: FLORIDA INTERNATIONAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-08-01 至 2007-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6630450
• 关键词: adolescence (12-20); alcoholism /alcohol abuse; alcoholism /alcohol abuse education; alcoholism /alcohol abuse therapy; behavior therapy; behavioral /social science research tag; clinical research; clinical trials; gender difference; health services research tag; human subject; human therapy evaluation; motivation; outcomes research; parent offspring interaction; patient oriented research; peer group; racial /ethnic difference; socioenvironment; stress management; student health services; violence; adolescence (12-20); alcoholism /alcohol abuse; alcoholism /alcohol abuse education; alcoholism /alcohol abuse therapy; behavior therapy; behavioral /social science research tag; clinical research; clinical trials; gender difference; health services research tag; human subject; human therapy evaluation; motivation; outcomes research; parent offspring interaction; patient oriented research; peer group; racial /ethnic difference; socioenvironment; stress management; student health services; violence

DESCRIPTION (provided by applicant): "Treatment of Alcohol Problems for Violence Prone Youth" is a five-year research project designed to develop and test a school-based alcohol abuse/violent behavior intervention with a multicultural sample of violence prone alternative school youth with alcohol and substance use problems. Adolescent alcohol and drug use/abuse and juvenile violence are pressing social problems in America. Moreover, an extensive literature has documented significant associations between substance use/abuse and juvenile violence. Compared with the general population of adolescents, juvenile offenders are more likely to use alcohol, tobacco, and other drugs, are more likely to have substance use problems, and use substances at earlier ages. The proposed study is a randomized clinical trial evaluating the efficacy of a school-based intervention (Guided Self-Change). Key features of the study include manualized treatments, theory-driven hypotheses, a randomized controlled trial design, and a culturally/ethnically diverse sample of youth with co-occurring problems of substance abuse and violent behaviors. Participants (n=800) will be randomly assigned to two conditions: a brief intensive school-based intervention (GSC) or standard care (SC and referral] provided by Communities in Schools of Miami. The school-based intervention will consist of 5-7 weekly individual sessions of GSC. Participants will be assessed immediately before and after intervention and at 3- and 6-month follow-up. Primary hypotheses include: 1) adolescents assigned to GSC will demonstrate significantly greater reductions in alcohol and other drug involvement thanadolescents assigned to SC; and 2) adolescents assigned to GSC will demonstrate significantly greater reductions in violent behavior and attitudes than those assigned to SC. Our second aim is to examine processes of change associated with response to the GSC intervention. Analyses will involve: 1) measuring the degree to which participants demonstrate pretreatment/post-treatment changes in selected domains (i.e., stress-coping skills, social skills, adolescent-parent communication skills, motivation to change) directly reflecting each of the intervention components; and 2) examining whether changes in these domains predict participants? ultimate response to intervention. A third aim is to examine contextual variables, representing significant subgroups of adolescents that may predict differential treatment. These include family and neighborhood substance use and violence, and peer and adult social support. Finally, the fourth aim is to examine treatment response by factors related to race/ethnicity and gender. These factors include acculturation level, acculturation stress, discrimination, and cultural mistrust for race/ethnic factors, and psychopathology and abuse experiences for gender factors.

描述（由申请人提供）：“酒精问题的治疗 暴力青年”是一个旨在开发和的五年研究项目 测试基于学校的酒精滥用/暴力行为干预 多元文化的暴力样本容易替代的学校青年喝酒 和药物使用问题。青少年酒精和吸毒/滥用和少年 暴力正在迫使美国社会问题。而且，这是一个广泛的 文献记录了药物使用/滥用之间的重要关联 和少年暴力。与一般的青少年人群相比 青少年罪犯更有可能使用酒精，烟草和其他毒品， 更有可能存在药物使用问题，并在早期使用物质 年龄。拟议的研究是一项评估功效的随机临床试验 基于学校的干预措施（指导自我改变）。研究的关键特征 包括手动治疗，理论驱动的假设，随机的 对照试验设计，以及在文化/种族上多样的青年样本 存在滥用药物和暴力行为的问题。 参与者（n = 800）将随机分配给两个条件：简短 基于学校的密集干预（GSC）或标准护理（SC和推荐） 由迈阿密学校的社区提供。基于学校的干预将 由GSC的每周5-7个单个会话组成。参与者将被评估 在干预前后，在3个月和6个月的随访中。 主要假设包括：1）分配给GSC的青少年将演示 分配给SC的酒精和其他药物受累的减少和其他药物参与度更大； 2）分配给GSC的青少年将演示 暴力行为和态度的减少比 分配给SC。我们的第二个目的是检查相关的变更过程 响应GSC干预。分析将涉及：1）测量 参与者在以下程度上证明了预处理/治疗后的变化 选定的域（即压力抚摸技能，社交技能，青少年父母 沟通技巧，改变动力）直接反映每个 干预组件； 2）检查这些域中是否发生变化 预测参与者？对干预的最终反应。第三个目标是 检查上下文变量，代表青少年的重要亚组 这可能会预测差异治疗。这些包括家庭和邻居 药物使用和暴力，以及同伴和成人社会支持。最后， 第四目的是通过与 种族/种族和性别。这些因素包括适应水平， 对种族/种族的适应压力，歧视和文化不信任 因素，心理病理学和性别因素的虐待经历。