Testing a Substance Abuse Prevention for Cherokee Early Adolescents

测试切罗基早期青少年的药物滥用预防措施

• 批准号: 8246409
• 负责人: John R., RN, PHD, FAAN Lowe
• 金额: $ 30.89万
• 依托单位: FLORIDA ATLANTIC UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-04-01 至 2014-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8246409
• 关键词: Accidents; Accounting; Address; Adolescence; Adolescent; Affect; Age; Alcohol abuse; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; American Indians; Behavior; Blood alcohol level measurement; Calculi; Censuses; Centers for Disease Control and Prevention (U.S.); Cessation of life; Cherokee Indian; Child Abuse; Communities; Crime; Data; Domestic Violence; Drug abuse; Drug usage; Education; Employment; Experimental Designs; Explosion; Failure; Family; Health; Home environment; Homicide; Illicit Drugs; Injury; Life; Measures; Methamphetamine; Methods; Minority; Morbidity - disease rate; National Institute of Drug Abuse; Native Americans; Navajo; Oklahoma; Pharmaceutical Preparations; Population; Preparation; Prevention; Prevention approach; Prevention program; Production; Productivity; Proliferating; Public Health; Quality of life; Questionnaires; Reporting; Research; Research Project Grants; Risk; Safety; Sales; Schools; Site; Social Interaction; Substance abuse problem; Suicide; Surveys; Testing; Time; Tobacco; Traffic accidents; Tribes; United States; United States Indian Health Service; Voice; Youth; adolescent substance abuse; adolescent substance use; authority; base; chronic liver disease; community based participatory research; cost; cultural values; drug abuse prevention; high risk; innovation; member; middle school; mortality; peer; prevent; public health relevance; research study; self reliance; standard care; substance abuse prevention; substance use prevention; trafficking; tribal community; tribal leader; tribal member

DESCRIPTION (provided by applicant): Substance abuse rates among Native American Indian youth are higher than among all other youth. Native American Indian youth are considered to be at risk for continuing life-threatening problems such as accidents, chronic liver disease, homicide, and suicide as a result of substance abuse. Native American Indian early adolescents have higher risk for substance use as they transition along the periods of adolescence than non-Native American Indian early adolescents. Among Native American Indian youth, substance use has been attributed to the large amount of social interaction and influence from older adolescent youth with their younger peers. Cherokees are the second-largest tribe in the U.S., accounting for a large percentage of alcohol and drug abuse among Native American Indians. In Oklahoma, the home of Cherokee Nation where the study will occur, it is estimated that 20,000 adolescents have alcohol and drug abuse issues. During the last several decades, the field of substance use research among Native American Indian youth has been dominated by survey approaches that fail to answer important questions about how the use of alcohol and drugs is integrated into the lives of Native American Indians. The values that serve as protective factors for Native American Indians need to be integrated, measured and thoughtfully examined for potential to influence substance use prevention. At this time, there is no research addressing the use of culturally competent substance use prevention for Native American Indian early adolescents. The overall objective of the "Testing a Substance Abuse Prevention for Cherokee Early Adolescents" study is to examine the feasibility (Specific Aim #1) of using an innovative culturally appropriate school- based substance use prevention [Cherokee Talking Circle (CTC)] for Cherokee 6th graders as they transition to middle school, a period of high vulnerability. The impact of the CTC on substance use involvement (measured by the GAIN-Q) and Cherokee self-reliance (measured by the Cherokee Self-Reliance Questionnaire) will be assessed (Specific Aim #2) using a two- condition quasi-experimental design, comparing the CTC to standard substance use education. Data from this quasi-experimental study will be used to estimate the prevention effect size (Specific Aim #3), a critical step necessary before proposing a cross-tribal, cross-age, multi-site study examining substance use prevention in Native American youth. The PI is a Native American Indian (Cherokee) tribal member who has done more than a decade of research developing and testing the CTC and the Cherokee Self-Reliance Questionnaire. PUBLIC HEALTH RELEVANCE: Substance abuse prevention studies among Native American Indian early adolescents are non- existent, despite evidence that substance abuse is an increasing problem in this population. This study will examine the feasibility of using an innovative culturally appropriate school-based substance use prevention for Cherokee 6th graders as they transition to middle school, a period of high vulnerability.

描述（由申请人提供）：美洲印第安人青年的药物滥用率高于所有其他青年。美洲印第安人青年被认为有持续威胁生命的问题的风险，例如事故，慢性肝病，凶杀案和由于滥用毒品而自杀。美洲印第安人早期青少年在青春期过渡时与非本地印度印第安人早期青少年的过渡时期的使用风险更高。在美洲印第安人青年中，使用物质的归因于年龄较小的年轻同龄人的大量社交互动和影响。切诺基人是美国第二大部落，在美洲印第安人中占酒精和毒品的很大比例。在俄克拉荷马州的切诺基国家的故乡将在该研究中进行，据估计有20,000名青少年患有酒精和吸毒问题。在过去的几十年中，美洲印第安人青年的药物使用研究领域一直受到调查方法的主导，这些调查方法未能回答有关如何将酒精和毒品纳入美洲原住民印第安人生活的重要问题。需要整合，测量并进行周到的研究，以影响预防药物的潜力，需要对美国原住民印第安人的保护因素进行保护。目前，尚无针对美洲印第安人早期青少年使用具有文化胜任的药物使用的研究。 “对切诺基早期青少年预防药物滥用预防药物”的总体目标是研究使用创新的文化基于培养的培养学的药物使用预防[切诺基说话圈（CTC）]对Cherokee 6年级毕业生的可行性（特定目的＃1），因为他们过渡到中学时期，这是一项高高的弱点。 CTC对使用两种条件的准实用性设计，将CTC对药物使用参与（通过Gain-Q衡量）和切诺基自力更生（通过切诺基自力更生问卷进行衡量）的影响将进行评估（具体目的＃2），将CTC与标准药物的使用进行比较。这项准实验研究的数据将用于估计预防效果的大小（特定目标3），这是提出跨部落，跨年龄的多站点研究，研究美洲原住民青年预防药物使用的重要步骤。 PI是美洲印第安人（切诺基）部落成员，他对CTC和切诺基自力更生问卷进行了十多年的研究。 公共卫生相关性：尽管有证据表明滥用药物在该人群中是一个越来越多的问题，但美国印第安人早期青少年的药物预防研究是不存在的。这项研究将研究切诺基六年级学生过渡到中学时，使用创新的文化基于学校的毒品使用预防的可行性，这是一个高脆弱性的时期。