Family-based interventions for substance use and misuse prevention
Family-based interventions for substance use and misuse prevention
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DOI：
10.1081/ja-120024240
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发表时间：
2003-09-01
影响因子：
2
通讯作者：
Whiteside, HO
中科院分区：
文献类型：
--
作者：
Kumpfer, KL;Alvarado, R;Whiteside, HO
由于"物质滥用"是一种生活方式的"家庭疾病"，包括遗传和家庭环境原因，因此应将有效的家庭强化预防计划纳入所有全面的物质滥用预防活动。本文对药物使用的因果模型和循证实践进行了回顾。作者在全国范围内进行的搜索表明，有足够的研究证据支持广泛传播五种高效的家庭强化方法（例如，行为父母培训、家庭技能培训、家庭支持、简短家庭治疗和家庭教育）。此外，家庭方法的平均效果大小比仅儿童预防方法大2至9倍。综合预防方案结合这两种方法产生了更大的效果。加强家庭方案是这些方案中唯一一个由独立研究人员在不同文化群体和不同年龄儿童中推广并取得积极成果的方案。很少有研究为基础的方案已通过的从业人员，部分原因是技术转让问题。总的来说，需要研究如何改善传播、营销、培训和资金，以提高有效预防方案的采用率。
Because "substance abuse" is a "family disease" of lifestyle, including both genetic and family environmental causes, effective family strengthening prevention programs should be included in all comprehensive substance abuse prevention activities. This article presents reviews of causal models of substance use and evidence-based practices. National searches by the authors suggest that there is sufficient research evidence to support broad dissemination of five highly effective family strengthening approaches (e.g., behavioral parent training, family skills training, in-home family support, brief family therapy, and family education). Additionally, family approaches have average effect sizes two to nine time larger than child-only prevention approaches. Comprehensive prevention programs combining both approaches produced much larger effect sizes. The Strengthening Families Program (SFP) is the only one of these programs that has been replicated with positive results by independent researchers with different cultural groups and with different ages of children. Few research-based programs have been adopted by practitioners, partly because of technology transfer issues. Overall, research on ways to improve dissemination, marketing, training, and funding is needed to improve adoption of effective prevention programs.