Evaluating mediators of the impact of the Linking the Interests of Families and Teachers (LIFT) multimodal preventive intervention on substance use initiation and growth across adolescence.

Evaluating mediators of the impact of the Linking the Interests of Families and Teachers (LIFT) multimodal preventive intervention on substance use initiation and growth across adolescence.
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DOI:
10.1007/s11121-009-0126-0
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发表时间:
2009-09
期刊:
影响因子:
3.5
通讯作者:
Fetrow, Rebecca A.
Fetrow, Rebecca A.
中科院分区:
医学2区
文献类型:
--
作者:
DeGarmo, David S.;Eddy, J. Mark;Reid, John B.;Fetrow, Rebecca A.

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对351名参加随机对照试验的青少年进行了物质使用结果检查,该试验旨在评估以学校为基础的多模式普遍预防干预措施的有效性,将家庭和教师的利益联系起来(LIFT)。任何使用烟草,酒精和其他药物的频率通过5至12年级的自我报告进行评估。潜在变量增长模型指定平均水平,线性和加速增长。LIFT干预措施对降低烟草和非法药物使用的增长率,特别是对女孩的增长率产生了重大影响,并对烟草、酒精和非法药物使用的平均水平产生了总体影响。平均烟草使用的减少是由解决家庭问题的增加所介导的。通过干预对减少操场攻击和增加家庭问题解决的影响,干预对物质使用的增长产生了显着的间接影响。干预还与开始吸烟和饮酒的风险降低约10%有关。讨论了对未来多模式预防干预研究的影响。
Substance use outcomes were examined for 351 youth participating in a randomized controlled trial designed to assess the efficacy of a school-based multimodal universal preventive intervention, Linking the Interests of Families and Teachers (LIFT). Frequency of any use of tobacco, alcohol, and other drugs was assessed via self-report from grades 5 through 12. Latent variable growth models specified average levels, linear, and accelerated growth. The LIFT intervention had a significant effect on reducing the rate of growth in use of tobacco and illicit drugs, particularly for girls, and had an overall impact on average levels of use of tobacco, alcohol, and illicit drugs. Average tobacco use reductions were mediated by increases in family problem solving. The intervention obtained significant indirect effects on growth in substance use through intervention effects on reduced playground aggression and increased family problem solving. The intervention was also associated with roughly a 10% reduced risk in initiating tobacco and alcohol use. Implications for future studies of multimodal preventive interventions are discussed.
DOI: 10.1023/b:prev.0000023078.30191.e0
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