Session: Prevention Trial in the Cherokee Nation: Effects of Community Environmental Change and School-Based Brief Interventions on Alcohol Use Among Adolescents (Society for Prevention Research 24th Annual Meeting)

3-019 Prevention Trial in the Cherokee Nation: Effects of Community Environmental Change and School-Based Brief Interventions on Alcohol Use Among Adolescents

Schedule:
Thursday, June 2, 2016: 10:15 AM-11:45 AM
Grand Ballroom B (Hyatt Regency San Francisco)
Theme: Promoting Health Equity Among Populations at Risk
Symposium Organizer:
Kelli Ann Komro
Discussant:
Alexander C. Wagenaar
Despite advances in prevention science and practice in recent decades, the U.S. continues to struggle with significant alcohol-related risks and consequences among youth, especially among vulnerable rural and American Indian youth. The Prevention Trial in the Cherokee Nation is a partnership between prevention scientists and Cherokee Nation Behavioral Health to create, implement, and evaluate an integrated community-level intervention designed to prevent underage drinking and associated negative consequences among American Indian and other youth living in rural high-risk underserved communities. Six key research design elements optimize causal inference and experimental evaluation of intervention effects, including purposive selection of towns, random assignment to study condition, an intensive longitudinal design, nested cohorts as well as repeated cross-sectional observations, a factorial design crossing two conceptually distinct interventions, and multiple comparison groups. The study involved six rural communities and their high school populations located within the 14-county tribal jurisdictional service area of the Cherokee Nation. In this symposium we describe the overall study design and population, details of the implementation of the two interventions, and results from the main outcome analysis on 30-day alcohol use. Implementation strategies and results presented will inform prevention development and planning for rural communities that are home to culturally diverse and high-risk populations.

* noted as presenting author
350
Connect: School-Based Brief Interventions Implemented within the Cherokee Nation
Brady Garrett, PhD, Cherokee Nation; Misty L. Boyd, PhD, Cherokee Nation Behavioral Health; Bethany Livingston, BS, Institute for Child Health Policy, University of Florida; Lisa Merlo, PhD, University of Florida; Kelli Ann Komro, PhD, Emory University
351
Communities Mobilizing for Change on Alcohol (CMCA): Implementation within the Cherokee Nation
Dallas Pettigrew, MSW, Eastern Band of Cherokee Indians, Department of Human Services; Alexander C. Wagenaar, PhD, University of Florida; Sarah Landsman, PhD, University of Florida; Misty L. Boyd, PhD, Cherokee Nation Behavioral Health; Kelli Ann Komro, PhD, Emory University
352
Prevention Trial in the Cherokee Nation: Outcomes from a Multi-Level Preventive Intervention to Reduce Alcohol Use Among Adolescents
Melvin Livingston, PhD, University of North Texas; Terrence Kominsky, PhD, Cherokee Nation Behavioral Health; Alexander C. Wagenaar, PhD, University of Florida; Kelli Ann Komro, PhD, Emory University