"Letting Go and Staying Connected": Substance Use Outcomes from a Developmentally Targeted Intervention for Parents of College Students.
"Letting Go and Staying Connected": Substance Use Outcomes from a Developmentally Targeted Intervention for Parents of College Students.
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DOI：
10.1007/s11121-023-01520-6
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发表时间：
2023-08
影响因子：
3.5
通讯作者：
Skinner, M L
中科院分区：
文献类型：
--
作者：
Hill, L G;Bumpus, M;Haggerty, K P;Catalano, R F;Cooper, B R;Skinner, M L
我们目前的结果是一个随机的，对照的，有效性试验的手册干预一年级大学生的父母。交互式干预的目的是通过增加家庭保护因素来减少危险行为。该手册以自决理论和社会发展模式为基础，为家长提供了基于证据和针对发展的建议，使其与学生一起参与旨在支持成功适应大学的活动。我们从美国太平洋西北部一所大学的新生中招募了919对父母-学生，并将他们随机分配到控制和干预条件下。我们在六月学生八月入学前给干预家长发了手册。接受过动机访谈培训的研究助理与家长联系，鼓励他们使用手册。对照组的父母和学生照常接受治疗。参与者在高中的最后一个学期（时间1）和大学的第一个学期（时间2）完成了基线调查。手册组和对照组学生自我报告的饮酒、吸食大麻和同时吸食的频率都有所增加。在意向性治疗分析中，干预条件下的学生使用增加的几率始终低于对照条件下的学生，并且与对照条件下的学生使用增加的几率相似，干预条件下首次使用的几率也较低。研究助理的联系预测了父母的参与，父母和学生积极参与手册的报告预测了干预学生在过渡到大学期间的物质使用率低于对照学生。我们开发了一个低成本，以理论为基础的手册，以帮助父母支持他们的年轻成年子女，因为他们过渡到独立的大学生活。在大学的第一学期，父母使用手册的学生比对照组的学生更不可能开始或增加物质使用。ClinicalTrials.gov标识符：NCT 03227809在线版本包含补充材料，可通过10.1007/s11121-023-01520-6获得。
We present results of a randomized, controlled, efficacy trial of a handbook intervention for parents of first-year college students. The aim of the interactive intervention was to decrease risk behaviors by increasing family protective factors. The handbook, based in self-determination theory and the social development model, provided evidence-based and developmentally targeted suggestions for parents to engage with their students in activities designed to support successful adjustment to college. We recruited 919 parent-student dyads from incoming students enrolled at a university in the U.S. Pacific Northwest and randomly assigned them to control and intervention conditions. We sent handbooks to intervention parents in June before students’ August matriculation. Research assistants trained in motivational interviewing contacted parents to encourage use of the handbook. Control parents and students received treatment as usual. Participants completed baseline surveys during their final semester in high school (time 1) and their first semester at college (time 2). Self-reported frequency of alcohol, cannabis, and simultaneous use increased across both handbook and control students. In intent-to-treat analyses, odds of increased use were consistently lower and of similar magnitude for students in the intervention condition than in the control condition, and odds of first-time use were also lower in the intervention condition. Contact from research assistants predicted parents’ engagement, and parent and student report of active engagement with handbook predicted lower substance use among intervention than control students across the transition to college. We developed a low-cost, theory-based handbook to help parents support their young adult children as they transition to independent college life. Students whose parents used the handbook were less likely to initiate or increase substance use than students in the control condition during their first semester in college. ClinicalTrials.gov Identifier: NCT03227809 The online version contains supplementary material available at 10.1007/s11121-023-01520-6.