May P A, Hymbaugh K J
Department of Sociology, University of New Mexico, Albuquerque 87131.
J Stud Alcohol. 1989 Nov;50(6):508-18. doi: 10.15288/jsa.1989.50.508.
Presented here are a detailed description and outcome evaluation of a comprehensive, macro-level Fetal Alcohol Syndrome prevention program for Native Americans and Alaska Natives. The program was designed to provide native communities throughout the United States with the knowledge, skills and strategies to initiate primary, secondary and tertiary prevention measures on their own. The key to the program was the training of a cadre of trainers/advocates in all local Native American and Alaska Native communities served by the Indian Health Service. These people were then supported and assisted in their efforts through a variety of means. Evaluation results of knowledge gained indicate that the local trainers had substantial success in imparting FAS information to a variety of audiences (prenatal groups, school children and community groups). Further, the evaluation samples also indicate that the knowledge was retained by the groups over time (2-4 months) and that there may have been some general diffusion of knowledge among peers in local communities. This program is presented in the hope that it will be replicated and improved upon by similar programs using this model as a base.
本文介绍了一项针对美国原住民和阿拉斯加原住民的全面宏观层面胎儿酒精谱系障碍预防计划的详细描述和结果评估。该计划旨在为美国各地的原住民社区提供自行开展一级、二级和三级预防措施的知识、技能和策略。该计划的关键在于对印第安卫生服务机构服务的所有当地美国原住民和阿拉斯加原住民社区的一批培训师/倡导者进行培训。然后通过多种方式支持和协助这些人的工作。关于所获知识的评估结果表明，当地培训师在向各种受众（产前群体、学童和社区群体）传授胎儿酒精谱系障碍信息方面取得了巨大成功。此外，评估样本还表明，这些群体在一段时间内（2至4个月）保留了这些知识，并且当地社区的同龄人之间可能出现了一些知识的普遍传播。介绍该计划的目的是希望以该模式为基础的类似计划能够加以复制和改进。
