Mediation of a preventive intervention's 6-year effects on health risk behaviors.

Mediation of a preventive intervention's 6-year effects on health risk behaviors.
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预防性干预措施对健康风险行为的 6 年影响的中介。

DOI:
10.1037/a0019014
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发表时间:
2010
期刊:
Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
影响因子:
--
通讯作者:
Sandler,IrwinN
Sandler,IrwinN
中科院分区:
--
文献类型:
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作者:
Soper,AnaC;Wolchik,SharleneA;Tein,Jenn-Yun;Sandler,IrwinN

文献摘要

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本研究使用对240名青年进行的为期6年的纵向跟踪样本的数据,这些青年参与了对有9至12岁子女的离婚家庭进行预防性干预的随机实验试验,测试了干预措施在青春期中后期(15至19岁)减少物质使用和危险性行为的机制。测试的机制包括父母监督、适应性应对和消极错误。在6年的随访中,父母的监督中介了减少酒精和大麻使用、多药使用和其他药物使用的计划效果,这些药物使用是那些具有高适应不良预试风险的人。在只包括母亲的计划的情况下,6年随访时青年适应性应对的增加介导了计划对那些具有较高适应不良风险的人的危险性行为的影响。与预期相反,在一些分析中,参与计划增加了低风险青年中的负面错误,并减少了适应性应对。讨论了这项研究如何进一步加深我们对循证预防干预影响健康危险行为的途径的理解。
Using data from a 6-year longitudinal follow-up sample of 240 youth who participated in a randomized experimental trial of a preventive intervention for divorced families with children ages 9 to 12, the current study tested mechanisms by which the intervention reduced substance use and risky sexual behavior in mid to late adolescence (15–19 years old). Mechanisms tested included parental monitoring, adaptive coping, and negative errors. Parental monitoring at 6-year follow-up mediated program effects to reduce alcohol and marijuana use, polydrug use, and other drug use for those with high pretest risk for maladjustment. In the condition that included a program for mothers only, increases in youth adaptive coping at 6-year follow-up mediated program effects on risky sexual behavior for those with high pretest risk for maladjustment. Contrary to expectation, program participation increased negative errors and decreased adaptive coping among low-risk youth in some of the analyses. Ways in which this study furthers our understanding of pathways through which evidence-based preventive interventions affect health risk behaviors are discussed.(PsycInfo Database Record (c) 2020 APA, all rights reserved)