北国项目:全面预防青少年及其父母、学校、同龄人和社区的酒精使用。

C L Williams, C L Perry, K Farbakhsh, S Veblen-Mortenson
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引用次数: 96

摘要

目的:北国项目是一项正在进行的预防试验,目的是减少未成年人饮酒和相关问题。第一阶段侧重于青少年早期,本研究描述了多种干预措施,突出了其父母成分。方法:采用队列设计,对来自24个学区的六年级学生(N = 2,35: 97%符合条件的人群:51.3%的男孩)随机分配到干预组或参考组。第一阶段在八年级结束(N = 1,901: 81%保留率)。减少需求和减少供应都是干预措施的指导。本研究使用MMPI-A量表评估与青少年酒精和其他药物使用有关的临床问题(酒精/药物问题倾向量表;酒精/药物问题承认量表),以及与学校功能(青少年-学校问题内容量表:青少年-低期望内容量表)和家庭功能(青少年-家庭问题内容量表)相关的MMPI-A量表。结果:结果显示,那些暴露于干预措施的人在MMPI-A倾向量表上显著降低。最大的项目效果是在基线非酒精使用者中。结论:结果表明,Northland项目的影响不仅是针对特定的酒精和药物使用行为及其预测因素,而且还包括通常被认为是更广泛的问题行为的前兆和更难以改变的个体内部和家族因素。此外,以家庭为基础的六年级干预,斯利克·特雷西家庭小组计划,是一个很有前途的以人群为基础的预防方法,可以推广到年轻人家庭中的其他严重问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Project Northland: comprehensive alcohol use prevention for young adolescents, their parents, schools, peers and communities.

Objective: Project Northland is an ongoing prevention trial with the objective of reducing underage drinking and related problems. Phase I focused on early adolescence and this study describes the multiple interventions, highlighting its parent components.

Method: A cohort design was used with sixth graders from 24 school districts (N = 2,35 1: 97% of the eligible population: 51.3% boys), randomly assigned to intervention or reference condition. Phase I ended in eighth grade (N = 1,901: 81% retention rate). Both demand and supply reduction guided the interventions. This study examined Project Northland's impact using MMPI-A scales assessing clinical problems related to adolescents' alcohol and other drug use (Alcohol/Drug Problems Proneness scale; Alcohol/Drug Problems Acknowledgement scale), as well as MMPI-A scales related to school functioning (Adolescent-School Problems Content scale: Adolescent-Low Aspirations Content scale) and family functioning (Adolescent-Family Problems Content scale).

Results: Results showed significant reductions on the MMPI-A Proneness scale for those exposed to the interventions. The greatest program effects were among baseline nonusers of alcohol.

Conclusions: Results suggest that the impact of Project Northland is not only on specifically targeted alcohol and drug use behaviors and their predictive factors, but also on intra-individual and familial factors generally considered precursors of more extensive problem behaviors and more resistant to change. Furthermore, the engaging home-based sixth-grade intervention, the Slick Tracy Home Team Program, is a promising population-based prevention approach that may generalize to other serious problems within a young person's family.

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