Strategies for Preventing Underage Drinking and Other Substance Use in Native American Tribal Communities

防止美洲原住民部落社区未成年人饮酒和其他药物使用的策略

• 批准号: 9906832
• 负责人: Roland S Moore
• 金额: $ 68.97万
• 依托单位: PACIFIC INSTITUTE FOR RES AND EVALUATION
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-07-10 至 2022-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9906832
• 关键词: 20 year old; ATOD; Address; Adult; Alaska Native; Alcohol abuse; Alcohol or Other Drugs use; Alcohols; American; American Indians; Automobile Driving; Awareness; California; Catchment Area; Clinic; Collaborations; Communities; Community Surveys; Complement; Country; County; Data; Data Collection; Drug abuse; Drug usage; Effectiveness; Ensure; Ethnic Origin; Evaluation; Event; Extended Family; Family member; Goals; Health; Health Personnel; Health Promotion; Health Service Area; Indian reservation; Individual; Institution; Internships; Intervention; Law Enforcement; Laws; Marijuana; Medical; Minor; Native American Research Center for Health; Native Americans; Outcome; Patient Self-Report; Pharmaceutical Preparations; Population Research; Prevention Research; Prevention program; Prevention strategy; Primary Health Care; Program Effectiveness; Protocols documentation; Research; Research Institute; Research Personnel; Reservations; Rewards; Risk; Rural; Schools; Series; Site; Standardization; Students; Surveys; Techniques; Tobacco; Tribes; Youth; alcohol and other drug; alcohol availability; alcohol demand; alcohol, tobacco, and other drug use; base; brief intervention; cohort; disorder prevention; drinking; driving under influence; drug misuse; effectiveness evaluation; high risk; motivational enhancement therapy; multiple data sources; native youth; non-Native; prevent; prevention evaluation; programs; psychoeducation; public health relevance; public health research; response; rural Americans; school district; screening; social; therapy design; tribal community; underage drinking; underage drinking prevention; underage drinking reduction; university student

 DESCRIPTION (provided by applicant): The goal of this proposed research program is to implement and evaluate complementary interventions designed to address underage alcohol, marijuana, tobacco and other drug use and abuse among Native American youth residing in and around nine contiguous Indian reservations in rural San Diego County. The application directly builds upon the successful collaboration between Indian Health Council, Inc., Prevention Research Center, and The Scripps Research Institute, with pilot and demonstration studies focusing on reducing the supply of and demand for alcohol by Native American youth through a series of environmental and individual interventions that have shown efficacy and have gained acceptability in the communities served by the clinics. The overall goal of the present proposal will be accomplished through two complementary efforts, one aimed at the community (supply) level and the other at the individual (demand) level. The community-based environmental prevention program will focus on (a) reducing underage access to alcohol and tobacco through a reward and reminder program for off-premise retail clerks and (b) tailoring, implementing and evaluating a community mobilization and awareness intervention aimed at reducing the social availability of alcohol, marijuana, tobacco, and other drugs from adults, including family members. These community-level programs will be complemented with interventions at the individual level, including implementing and evaluating a culturally tailored motivational interviewing brief intervention to reduce demand for alcohol and other drugs for American Indian youth 13-20 years of age who are substance users. We will evaluate the effectiveness of these programs by analyzing multiple data sources: (a) outcome data from a Motivational Interviewing-Psychoeducation trial among tribal youth, (b) data from school and community youth surveys on youths' self-reported substance use and related problems including driving under the influence, (c) anonymous norms and intervention awareness surveys from adults from each of the communities; and (d) law enforcement data on alcohol/drug-related events. For the purposes of evaluation, these data from the Indian Health Council catchment area will be compared to data from surveys of both non- Native and Native American youth who were not involved in the intervention activities. The research will continue to build cohorts of expert Natie American research staff and student interns for actualizing the proposed research and interventions. The team will create intervention workbooks for standardized application of the intervention techniques in other Native American communities.

 描述（由申请人提供）：本拟议研究计划的目标是实施和评估补充干预措施，旨在解决居住在农村九个邻近印第安人保留地及其周围的美洲原住民青年中未成年人酗酒、大麻、烟草和其他药物的使用和滥用问题圣地亚哥县的该应用程序直接建立在印第安健康委员会、预防研究中心和斯克里普斯研究所之间的成功合作基础上，通过试点和示范重点研究减少美国原住民青年对酒精的供应和需求。一系列环境和个人干预措施已显示出有效性并已在诊所所服务的社区中获得接受。 本提案的总体目标将通过两项互补的努力来实现，一项针对社区（供应）层面，另一项针对社区（供应）层面。基于社区的环境预防计划将侧重于 (a) 通过针对店外零售店员的奖励和提醒计划，减少未成年人接触酒精和烟草的情况；以及 (b) 制定、实施和评估社区动员活动。和旨在减少社会可获得性的意识干预包括家庭成员在内的成年人吸食酒精、大麻、烟草和其他毒品的行为将得到个人层面的干预措施的补充，包括实施和评估针对文化的动机性访谈简短干预措施，以减少对酒精和其他毒品的需求。我们将通过分析多个数据源来评估这些计划的有效性：(a) 来自部落青年动机访谈-心理教育试验的结果数据，(b) 来自部落青年的数据。学校和社区青少年调查青少年自我报告的药物使用和相关问题，包括酒后驾车，(c) 每个社区成年人的匿名规范和干预意识调查；以及 (d) 有关酒精/毒品相关事件的执法数据。出于评估目的，来自印度健康委员会辖区的这些数据将与对未参与干预活动的非原住民和美洲原住民青年的调查数据进行比较。该研究将继续建立美洲原住民专家研究队列。工作人员和学生实习生以实现拟议的该团队将创建干预工作手册，以便在其他美洲原住民社区标准化应用干预技术。