Multilevel Prevention Trial of Alcohol Use Among American Indian and White High School Students in the Cherokee Nation

To evaluate the effectiveness of a multilevel intervention designed to prevent underage alcohol use among youths living in the Cherokee Nation. We randomly assigned 6 communities to a control, Communities Mobilizing for Change on Alcohol (CMCA; a community-organizing intervention targeting alcohol a...

Full description

Saved in:

Bibliographic Details
Published in:	American journal of public health (1971) 2017-03, Vol.107 (3), p.453-459
Main Authors:	Komro, Kelli A, Livingston, Melvin D, Wagenaar, Alexander C, Kominsky, Terrence K, Pettigrew, Dallas W, Garrett, Brady A
Format:	Article
Language:	eng
Subjects:	Adolescent AJPH Research Alcohol Alcohol Drinking - prevention & control Alcohol use Alcoholism Behavior Community Community-Based Participatory Research Data collection European Continental Ancestry Group Factorial experiments Female Humans Indians, North American Intervention Male Minority Children Native Americans Native North Americans Prevention Probability Public health Risk Factors Rural areas Rural Health School districts Secondary school students Secondary schools Strategic planning Students Studies United States
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	To evaluate the effectiveness of a multilevel intervention designed to prevent underage alcohol use among youths living in the Cherokee Nation. We randomly assigned 6 communities to a control, Communities Mobilizing for Change on Alcohol (CMCA; a community-organizing intervention targeting alcohol access) only, CONNECT (a school-based universal screening and brief intervention) only, or a combined condition. We collected quarterly surveys 2012-2015 from students starting in 9th and 10th grades and ending in 11th and 12th grades. Response rates ranged from 83% to 90%; 46% of students were American Indian (of which 80% were Cherokee) and 46% were White only. Students exposed to CMCA, CONNECT, and both showed a significant reduction in the probability over time of 30-day alcohol use (25%, 22%, and 12% reduction, respectively) and heavy episodic drinking (24%, 19%, and 13% reduction) compared with students in the control condition, with variation in magnitude of effects over the 2.5-year intervention period. CMCA and CONNECT are effective interventions for reducing alcohol use among American Indian and other youths living in rural communities. Challenges remain for sustaining intervention effects.
ISSN:	0090-0036 1541-0048