Johnson K W, Grube J W, Ogilvie K A, Collins D, Courser M, Dirks L G, Ogilvie D, Driscoll D
Pacific Institute for Research & Evaluation - Louisville Center, Louisville, KY 40208, USA.
Eval Program Plann. 2012 Feb;35(1):113-23. doi: 10.1016/j.evalprogplan.2011.08.001. Epub 2011 Aug 25.
Children's misuse of harmful legal products (HLPs), including inhaling or ingesting everyday household products, prescription drugs, and over-the-counter drugs, constitutes a serious health problem for American society. This article presents a community prevention model (CPM) focusing on this problem among pre and early adolescents. The model, consisting of a community mobilization strategy and environmental strategies targeting homes, schools, and retail outlets, is designed to increase community readiness and reduce the availability of HLPs, which is hypothesized to reduce HLPs use among children. The CPM is being tested in Alaskan rural communities as part of an inprogress eight-year National Institute on Drug Abuse randomized-controlled trial. This paper presents the CPM conceptual framework, describes the model, and highlights community participation, challenges, and lessons learned from implementation of the model over a 21-month period.
儿童对有害合法产品(HLP)的不当使用,包括吸入或摄入日常家用产品、处方药和非处方药,对美国社会构成了严重的健康问题。本文提出了一种针对青春期前和青春期早期儿童这一问题的社区预防模式(CPM)。该模式由社区动员策略以及针对家庭、学校和零售网点的环境策略组成,旨在提高社区的防范意识,减少HLP的可得性,据推测这将减少儿童对HLP的使用。作为美国国立药物滥用研究所正在进行的一项为期八年的随机对照试验的一部分,CPM正在阿拉斯加农村社区进行测试。本文介绍了CPM的概念框架,描述了该模式,并重点介绍了社区参与情况、面临的挑战以及在21个月期间实施该模式所吸取的经验教训。