This proposal is submitted to NIDA in response to the Trans-NIHPA-04-121 (Understanding Mechanisms of Health Risk Behavior Change in Children and Adolescents. This proposal addresses the two primary goals of the Program Announcement (PA): (1) To enhance the understanding of the evolution, prevention and termination of health risk behaviors and (2) The development of effective prevention and intervention strategies designed to maintain healthy behaviors and prevent health risk behaviors, like substance abuse. The overarching objective of this research is to prevent substance use in early adolescents through the use of innovative interactive interventions tailored to each individual's particular risk profile for using cigarettes and alcohol. Research across age groups (elementary, middle and high school), populations (U.S., U.K., and Israel), and substances (tobacco, alcohol and other drugs) has consistently identified four clusters of non-users who vary in their risks for substance use: (1) Most Protected from substance use; (2) High Risk to use substances; (3) Ambivalent about staying substance free; and (4) Risk Denial about substance use. These profiles have demonstrated both internal and external validity as well as good ability to predict future substance use and, therefore, provide an opportunity to develop a new approach to prevention. These profiles will be employed as the basis for designing two innovative computer-based interventions to prevent substance abuse by adolescents. The two new tailored interventions (smoking prevention and alcohol prevention) will be developed and tested in a 2 (Group; treatment vs. Comparison) X 4 (Occasions; 0, 12, 24, and 36 months) school-based clinical trial. The comparison group will receive two previously developed and tested tailored health behavior interventions (diet and sun protection).
The specific aims are: (1) To demonstrate that early adolescents (6th Grade) receiving profile-based tailored interventions for smoking are significantly more likely to remain free from smoking than a comparison group; (2) To demonstrate that early adolescents receiving profile-based tailored interventions for alcohol use are significantly more likely to remain free from alcohol than a comparison group; and (3) To replicate findings that the tailored diet and sun exposure interventions will be effective in reducing these two high risk behaviors as part of the comparison condition. ? ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
5R01DA020112-03
Application #
7458960
Study Section
Community-Level Health Promotion Study Section (CLHP)
Program Officer
Crump, Aria
Project Start
2006-07-01
Project End
2011-06-30
Budget Start
2008-07-01
Budget End
2009-06-30
Support Year
3
Fiscal Year
2008
Total Cost
$575,186
Indirect Cost
Name
University of Rhode Island
Department
Internal Medicine/Medicine
Type
Schools of Arts and Sciences
DUNS #
144017188
City
Kingston
State
RI
Country
United States
Zip Code
02881
Brick, Leslie A; Redding, Colleen A; Paiva, Andrea L et al. (2017) Intervention Effects on Stage of Change Membership and Transitions among Adolescent Energy Balance Behaviors. Multivariate Behav Res 52:485-498
Brick, Leslie A; Redding, Colleen A; Paiva, Andrea L et al. (2017) Intervention effects on stage transitions for adolescent smoking and alcohol use acquisition. Psychol Addict Behav 31:614-624
Harrington, Magadalena; Velicer, Wayne F (2015) Comparing Visual and Statistical Analysis in Single-Case Studies Using Published Studies. Multivariate Behav Res 50:162-83
Babbin, Steven F; Velicer, Wayne F; Paiva, Andrea L et al. (2015) Replicating cluster subtypes for the prevention of adolescent smoking and alcohol use. Addict Behav 40:57-65
Harrington, Magdalena; Velicer, Wayne F; Ramsey, Susan (2014) Typology of alcohol users based on longitudinal patterns of drinking. Addict Behav 39:607-21
Johnson, Sara S; Paiva, Andrea L; Mauriello, Leanne et al. (2014) Coaction in multiple behavior change interventions: consistency across multiple studies on weight management and obesity prevention. Health Psychol 33:475-80
Sillice, Marie A; Paiva, Andrea L; Babbin, Steven F et al. (2014) Testing demographic differences for alcohol use initiation among adolescents for the decisional balance and situational temptation prevention inventories. Addict Behav 39:1367-71
Velicer, Wayne F; Redding, Colleen A; Paiva, Andrea L et al. (2013) Multiple behavior interventions to prevent substance abuse and increase energy balance behaviors in middle school students. Transl Behav Med 3:82-93
Yin, Hui-Qing; Prochaska, James O; Rossi, Joseph S et al. (2013) Treatment-enhanced paired action contributes substantially to change across multiple health behaviors: secondary analyses of five randomized trials. Transl Behav Med 3:62-71
Simonelli, Mary Colleen; Velicer, Wayne F (2012) Cluster subtypes appropriate for preventing postpartum smoking relapse. Addict Behav 37:280-6

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