Alcohol use among youth continues to be a major concern for this nation, with a large proportion of adolescents increasing their alcohol consumption as they transition from the 7th to the 8th grade. Although many adolescents experience alcohol-related problems, few actually seek help or treatment. This may be because traditional intervention approaches are not well suited for this age group.
The aims of this exploratory/developmental project are to assess factors that impact younger adolescents' alcohol-related help-seeking behavior and to develop and standardize a developmentally sensitive self-change facilitation program. We will also preliminarily test the efficacy of the program in modifying the alcohol involvement (e.g., initiation, use, and problems) of middle school students. The focus of this grant is on younger adolescents (e.g., 12-15 years old), as they are particularly vulnerable to initiating alcohol use due to unique developmental issues. For example, peer conformity peaks during 7th and 8th grade and declines thereafter. In addition, this age group is less likely to consider future consequences in the decision making process. Biannual surveys at two middle schools (N= 1, 960) will assess alcohol and drug use patterns, help-seeking behavior and preferences, self-change efforts, and level of motivation for change. Year 1 data will be used to develop a voluntary brief intervention program that targets a variety of youth, including those who are just beginning to experiment with alcohol and those who may have experienced some problems due to their use. Primary objectives are: 1) to explore barriers and facilitative factors that promote/hinder younger adolescents' use of services, 2) use detailed survey information to design and pilot a self-change program, 3) examine alcohol involvement in relation to program utilization, and 4) preliminarily evaluate the efficacy of the intervention and overall patterns of service use. This study will extend facilitation of self-change research, as this program will be one of the first voluntary alcohol focused intervention programs to target middle school students.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Exploratory/Developmental Grants (R21)
Project #
5R21AA013284-04
Application #
6732030
Study Section
Health Services Research Review Subcommittee (AA)
Program Officer
Hough, John F
Project Start
2002-06-01
Project End
2006-04-30
Budget Start
2004-05-01
Budget End
2006-04-30
Support Year
4
Fiscal Year
2004
Total Cost
$133,259
Indirect Cost
Name
Rand Corporation
Department
Type
DUNS #
006914071
City
Santa Monica
State
CA
Country
United States
Zip Code
90401
Tharp-Taylor, Shannah; Haviland, Amelia; D'Amico, Elizabeth J (2009) Victimization from mental and physical bullying and substance use in early adolescence. Addict Behav 34:561-7
McCarthy, Denis M; Pedersen, Sarah L; D'Amico, Elizabeth J (2009) Analysis of item response and differential item functioning of alcohol expectancies in middle school youths. Psychol Assess 21:444-9
D'Amico, Elizabeth J; Edelen, Maria Orlando (2007) Pilot test of Project CHOICE: a voluntary afterschool intervention for middle school youth. Psychol Addict Behav 21:592-8
D'Amico, Elizabeth J; McCarthy, Denis M (2006) Escalation and initiation of younger adolescents' substance use: the impact of perceived peer use. J Adolesc Health 39:481-7
D'Amico, Elizabeth J; Ellickson, Phyllis L; Wagner, Eric F et al. (2005) Developmental considerations for substance use interventions from middle school through college. Alcohol Clin Exp Res 29:474-83
D'amico, Elizabeth J (2005) Factors that impact adolescents' intentions to utilize alcohol-related prevention services. J Behav Health Serv Res 32:332-40