Technology-assisted intervention for parents of adolescents in residential substance use treatment: protocol of an open trial and pilot randomized trial
Technology-assisted intervention for parents of adolescents in residential substance use treatment: protocol of an open trial and pilot randomized trial
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DOI：
10.1186/s13722-016-0067-4
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发表时间：
2017-01-03
影响因子：
3.7
通讯作者：
Conrad, Selby
中科院分区：
文献类型：
--
作者：
Becker, Sara J.;Hernandez, Lynn;Conrad, Selby
背景资料：青少年在住宅物质使用障碍（SUD）治疗出院后的结果不佳，随访研究表明，大多数青少年在90天内复发。父母的做法直接影响青少年SUD的结果，但青少年SUD的父母很难从事传统的行为治疗。目前的研究适应和评估技术辅助干预的青少年的父母在住宅SUD治疗。基于试点定性数据与家长，青少年，和住宅工作人员，我们增加了现有的计算机化干预（育儿明智; PW）与四个人的辅导课程，个性化的短信，和专家主持的在线家长留言板。我们假设，父母会发现增强PW（PW+）的可行性和可接受的，和青少年的父母接受PW+将有更好的出院后的结果比青少年接受标准治疗（SC）ONLY.METHODS/DESIGN：一个两阶段的方法是用来适应和评估PW+。第1阶段包括一项开放性试验，有10名青少年（12-17岁）的父母接受住院SUD治疗。来自父母和青少年的出院后定性和定量数据将支持PW+细化。第2阶段是一项随机试点试验，有60名家长测试在SC中添加PW+的有效性。青少年和家长将在基线、出院后6周、12周和24周完成评估。主要结果将是可行性和可接受性的措施。次要结果将包括青少年物质使用，逃学，高风险性行为和犯罪参与。两个养育过程（监测和沟通）检查作为潜在的mediator of change.Discussion：本研究将适应和评估技术辅助的养育干预作为一种手段，改善青少年的成果住宅SUD治疗。研究结果有可能通过以下方式推动这一领域的发展：解决高风险人群的问题，改善父母的参与;针对与青少年成果有关的育儿做法（假定的变革媒介）;以及制定一种高度可传播的方法。
Background: Adolescents in residential substance use disorder (SUD) treatment have poor outcomes post-discharge, with follow-up studies suggesting that most adolescents relapse within 90 days. Parenting practices directly influence adolescent SUD outcomes, but parents of adolescents with SUDs are difficult to engage in traditional behavioral treatments. The current study adapts and evaluates a technology-assisted intervention for parents of adolescents in residential SUD treatment. Based on pilot qualitative data with parents, adolescents, and residential staff, we augment an existing computerized intervention (Parenting Wisely; PW) with four in-person coaching sessions, personalized text messages, and an expert-moderated online parent message board. We hypothesize that parents will find enhanced PW (PW+) both feasible and acceptable, and that adolescents whose parents receive PW+ will have better post-discharge outcomes than adolescents who receive standard care (SC) only.Methods/design: A two phase approach is used to adapt and evaluate PW+. Phase 1 consists of an open trial with 10 parents of adolescents (age 12-17) in residential SUD treatment. Post-discharge qualitative and quantitative data from parents and adolescents will support PW+ refinement. Phase 2 is a randomized pilot trial with 60 parents testing the effectiveness of adding PW+ to SC. Adolescents and parents will complete assessments at baseline, 6-, 12-, and 24-weeks post-discharge. Primary outcomes will be measures of feasibility and acceptability. Secondary outcomes will include adolescent substance use, truancy, high-risk sexual behavior, and criminal involvement. Two parenting processes (monitoring and communication) are examined as potential mediators of change.Discussion: This study will adapt and evaluate a technology-assisted parenting intervention as a means of improving adolescent outcomes following residential SUD treatment. Results have the potential to advance the field by: addressing a high-risk population, improving parental engagement; targeting parenting practices (putative mediators of change) that have been linked to adolescent outcomes; and developing a highly disseminable approach.