The primary purpose of this research is to test the effectiveness of alcohol abuse prevention strategies targeting high-risk youth in a primary health care setting. These prevention strategies will be based on an innovative Multi-Component Motivational Stages (McMOS) theoretical model. Specifically, we propose to evaluate the efficacy of a three- component prevention intervention titled the STARS program (Start Taking Alcohol Risks Seriously). This intervention will involve: 1) youth Self- Instructional Modules and corresponding audio-tapes; 2) brief Health Consultations provided by physicians and nurses; and 3) [six Extended Follow-Up Consultations provided by nurses.] This study will employ an experimental design to test the effects of the proposed primary health care intervention. This study is designed to examine replicable, health care-based prevention strategies. The primary outcome measures to be examined include alcohol consumption patterns, and the stages of alcohol use acquisition and change. Secondary, mediating outcome measures will include the use of other drugs including cigarettes, smokeless tobacco, marijuana and cocaine; frequency of use of self-control strategies for avoiding alcohol consumption; cognitive and social factors including expectancy beliefs, self-efficacy, influenceability perceived prevalence of use, and intentions to use; and alcohol-related health beliefs and motivation to avoid alcohol use. Short-term (3 months), mid-term (1 year) and long-term (2 year) outcomes will be determined for the prevention strategies. Longitudinal studies such as the one proposed are much needed in the area of youth alcohol abuse prevention (Coodstadt, 1986; Hansen, 1992; Moskowitz, 1989). The proposed two year follow-up will provide invaluable information regarding the potential long-term sustained effects of the intervention components, and the temporal role of various causative factors in the movement of youth through the stages of alcohol use acquisition and change.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA009283-07
Application #
2732440
Study Section
Clinical and Treatment Subcommittee (ALCP)
Project Start
1992-07-01
Project End
2000-04-30
Budget Start
1998-07-01
Budget End
2000-04-30
Support Year
7
Fiscal Year
1998
Total Cost
Indirect Cost
Name
University of North Florida
Department
Other Health Professions
Type
Schools of Allied Health Profes
DUNS #
City
Jacksonville
State
FL
Country
United States
Zip Code
32224
Werch, Chudley E; Bian, Hui; Carlson, Joan M et al. (2011) Brief integrative multiple behavior intervention effects and mediators for adolescents. J Behav Med 34:3-12
Delisle, Tony T; Werch, Chudley E; Wong, Alvin H et al. (2010) Relationship between frequency and intensity of physical activity and health behaviors of adolescents. J Sch Health 80:134-40
Werch, Chudley E Chad; Moore, Michele J; Bian, Hui et al. (2010) Are effects from a brief multiple behavior intervention for college students sustained over time? Prev Med 50:30-4
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Werch, Chudley E; Ames, Steven; Moore, Michele J et al. (2009) Health behavior insights: the transtheoretical/stages of change model: Carlo C. DiClemente, PhD. Health Promot Pract 10:41-8
Moore, Michele Johnson; Werch, Chudley Chad (2009) Efficacy of a brief alcohol consumption reintervention for adolescents. Subst Use Misuse 44:1009-20
Werch, Chudley E; Moore, Michele J; Bian, Hui et al. (2008) Efficacy of a brief image-based multiple-behavior intervention for college students. Ann Behav Med 36:149-57
Werch, Chudley Chad; Moore, Michele J; Diclemente, Carlo C (2008) Brief Image-based Health Behavior Messages for Adolescents and Their Parents. J Child Adolesc Subst Abuse 17:19-40
Moore, Michele Johnson; Werch, Chudley (2007) Results of a two-year longitudinal study of beverage-specific alcohol use among adolescents. J Drug Educ 37:107-22
Mathews, Anna E; Werch, Chudley; Michniewicz, Mara et al. (2007) An impact evaluation of two versions of a brief intervention targeting alcohol use and physical activity among adolescents. J Drug Educ 37:401-16

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