Reducing Children's Susceptibility to Alcohol Use: Effects of a Home-Based Parenting Program.
Reducing Children's Susceptibility to Alcohol Use: Effects of a Home-Based Parenting Program.
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降低儿童对酒精使用的敏感性：家庭育儿计划的效果。
DOI：
10.1007/s11121-016-0659-y
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发表时间：
2016
期刊：
影响因子：
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通讯作者：
Bowling,JMichael
中科院分区：
文献类型：
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作者：
Jackson,Christine;Ennett,SusanT;Reyes,HLuzMcNaughton;Hayes,KimA;Dickinson,DeniseM;Choi,Seulki;Bowling,JMichael
这项为期4年的有效性试验测试了以家庭为基础的自我管理的育儿计划是否会对儿童对酒精使用的认知易感性产生长期影响，并测试了任何此类计划影响的假设调节者和调解者。采用两组随机对照设计，1076名儿童（治疗组540名;对照组536名;基线时平均年龄为9.2岁）在随机化前完成电话访谈，并在基线后12、24、36和48个月进行随访访谈。随机接受治疗的儿童的母亲在第1年接受了为期5个月的育儿计划，随后在第2年和第3年接受了两次为期1个月的助推器。接触该计划与基线后48个月的酒精使用敏感性显著负相关（B=-0.03，p = .04），父母饮酒或母亲的种族/民族或教育程度对计划效果没有影响，表明育儿计划具有广泛的公共卫生相关性。通过每个假设的中介简单的间接效应的路径分析表明，节目曝光积极影响父母的沟通，以对抗亲饮酒的影响，在家庭和媒体领域和父母的规则设置36个月后的基线，这些变量，反过来，预测减少敏感性的酒精使用基线后48个月。平行（多重）中介分析表明，该计划通过父母的规则设置的易感性有显着的间接影响。总之，研究结果表明，内化的保护性酒精相关的期望和意图是可能的儿童的母亲提供早期暴露于酒精特定的社会化。需要更多的研究来将儿童时期特定于酒精的社会化与青少年饮酒结果联系起来。
This 4-year efficacy trial tested whether a home-based, self-administered parenting program could have a long-term effect on children’s cognitive susceptibility to alcohol use, and it tested hypothesized moderators and mediators of any such program effect. Using a two-group randomized controlled design, 1076 children (540 treatment; 536 control; mean age of 9.2 years at baseline) completed telephone interviews prior to randomization and follow-up interviews 12, 24, 36, and 48 months post-baseline. Mothers of children randomized to treatment received a 5-month-long parenting program during year 1, followed by two 1-month-long boosters in years 2 and 3. Exposure to the program was significantly inversely associated with susceptibility to alcohol use 48 months post-baseline (b= −0.03,p= .04), with no variation in program effects by parental alcohol use or mother’s race/ethnicity or education, suggesting broad public health relevance of the parenting program. Path analyses of simple indirect effects through each hypothesized mediator showed that program exposure positively influenced parental communication to counter pro-drinking influences in the family and media domains and parental rule setting 36 months post-baseline; these variables, in turn, predicted reduced susceptibility to alcohol use 48 months post-baseline. Parallel (multiple) mediation analysis showed that the program had a significant indirect effect on susceptibility through parental rule setting. Together, the findings indicate that internalization of protective alcohol-related expectancies and intentions is possible among children whose mothers provide early exposure to alcohol-specific socialization. Additional research is needed to link alcohol-specific socialization during childhood with adolescent drinking outcomes.