Parent Smart: Effects of a Technology-Assisted Intervention for Parents of Adolescents in Residential Substance Use Treatment on Parental Monitoring and Communication.
Parent Smart: Effects of a Technology-Assisted Intervention for Parents of Adolescents in Residential Substance Use Treatment on Parental Monitoring and Communication.
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DOI：
10.1080/23794925.2021.1961644
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Spirito A
中科院分区：
文献类型：
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作者：
Becker SJ;Helseth SA;Janssen T;Kelly LM;Escobar K;Spirito A
促进父母参与青少年住宅物质使用治疗是一项循证原则，但让父母参与是具有挑战性的。父母SMART（青少年住院治疗中的物质滥用）是一种技术辅助干预措施，旨在使青少年的父母在出院后过渡期内参与住院SU治疗。一项先前的试点随机对照试验（n=61对父母-青少年）确定了父母SMART在减少青少年物质使用和物质相关问题方面的可行性、可接受性和初步有效性，急性停留）和长时间（即，长期护理设施。当前的二次分析通过检查Parent SMART是否与假定的变化媒介（父母监控和父母与青少年沟通）的改善相关，扩展了之前的工作。由参与者报告问卷和行为互动任务组成的多模式评估评估了出院后24周内的育儿过程。广义线性混合模型显示没有显着的时间条件的相互作用的参与者报告问卷，但发现显着的相互作用的行为互动任务的所有五个尺度。补充分析住宅设施检测到额外的交互作用的影响，有利于家长SMART的参与者报告问卷。互动效果的绘图表明，父母SMART与改善育儿过程，而TAU与相对稳定或恶化的育儿分数。父母SMART证明了初步的有效性，在改善关键的养育过程中出院的青少年从住宅物质使用治疗。家长SMART保证在一个完全有效的试验中进行进一步的测试，该试验评估了父母的监督和父母与青少年的沟通作为变化的媒介。
Promoting parent involvement in adolescent residential substance use treatment is an evidence-based principle, yet engaging parents is challenging. Parent SMART (Substance Misuse among Adolescents in Residential Treatment) is a technology-assisted intervention that was designed to engage parents of adolescents in residential SU treatment during the post-discharge transition period. A prior pilot randomized controlled trial (n=61 parent-adolescent dyads) established Parent SMART’s feasibility, acceptability, and preliminary effectiveness in reducing adolescent substance use and substance-related problems across both a short- (i.e., acute stay) and long- (i.e., residential) term care facility. The current secondary analysis extends this prior work by examining whether Parent SMART was associated with improvements in putative mediators of change: parental monitoring and parent-adolescent communication. Multi-modal assessment consisting of participant-report questionnaires and a behavioral interaction task evaluated parenting processes over the 24 weeks following discharge. Generalized linear mixed models showed no significant time by condition interactions on the participant-report questionnaires, but found significant interactions on all five scales of the behavioral interaction task. Supplemental analyses by residential facility detected additional interaction effects favoring Parent SMART on the participant-report questionnaires. Plotting of the interaction effects indicated that Parent SMART was associated with improvements in parenting processes, whereas TAU was associated with relatively stable or worsening parenting scores. Parent SMART demonstrated preliminary effectiveness in improving key parenting processes among adolescents discharged from residential substance use treatment. Parent SMART warrants further testing in a fully-powered trial that evaluates parental monitoring and parent-adolescent communication as mediators of change.