A Web-Based Media Parenting Intervention to Prevent Youth Substance Use

基于网络媒体的育儿干预措施，以防止青少年吸毒

• 批准号: 10302752
• 负责人: Joy Gabrielli
• 金额: $ 25.11万
• 依托单位: UNIVERSITY OF FLORIDA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-07-01 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10302752
• 关键词: Accounting; Address; Adolescence; Adolescent; Adoption; Advertising; Age; Attention; Attitude; Behavior; Buffers; Cellular Phone; Child; Child Rearing; Clinical; Data; Development; Devices; Drug usage; Electronic cigarette; Emotional; Environment; Environmental Risk Factor; Expectancy; Exposure to; Failure; Family; Feasibility Studies; Feedback; Focus Groups; Funding; Future; Goals; Grant; Health; Home; Imagery; Individual; Internet; Intervention; Interview; Lead; Life Cycle Stages; Link; Maintenance; Malignant Neoplasms; Malignant neoplasm of lung; Marketing; Methods; Morbidity - disease rate; Music; National Institute of Drug Abuse; Online Systems; Outcome; Parents; Participant; Personality Character; Persons; Phase I Clinical Trials; Pilot Projects; Prevention; Prevention strategy; Prospective Studies; Randomized; Regulation; Reporting; Research; Research Design; Research Proposals; Risk; Risk Behaviors; Risk Factors; Role; Sampling; School-Age Population; Schools; Shapes; Smoking; Strategic Planning; Stream; Substance Use Disorder; Support Groups; Technology; Testing; Time; Youth; addiction; adolescent substance use; arm; attentional control; base; behavior change; behavior observation; burden of illness; comparison group; control trial; design; digital; drinking; early onset; early onset substance use; effective intervention; efficacy testing; evidence base; feasibility testing; follow-up; high risk sexual behavior; improved; innovation; innovative technologies; intervention participants; intervention program; junior high school; marijuana legalization; mortality; movie; novel; peer; post intervention; prevent; preventive intervention; programs; sexual risk taking; skills; social; social media; substance use; substance use prevention; substance use treatment; therapy design; trial design; underage drinking; usability; vaping; web-based intervention; willingness

Abstract Youth substance use (SU) is associated with many negative developmental outcomes including morbidity and mortality. Initiation of SU typically occurs during adolescence, and SU behavior often co-occurs with other risk behaviors (e.g., risky sexual behavior). Exposure to SU in the media is a well-documented influence on SU behavior, as it predicts early onset SU and progression to more problematic SU behavior. Media effects, while demonstrated to be consistent, stable, and strong even accounting for other social influences and personality characteristics, have received little attention in preventative SU research; yet youth exposure to media SU is a modifiable environmental risk for youth SU behavior. Parents can mitigate SU risk by limiting media SU exposures and intervening when youth are exposed. Parents report lack of media parenting skills, however, and no media parenting intervention designed specifically to reduce youth risk for SU exists. This project will examine the role of media parenting behaviors to reduce risk for early onset of youth SU. This proposal addresses Objective 2.2 in the NIDA Strategic Plan to “develop and test innovative prevention interventions that target mechanisms underlying risk factors.” This program of research focuses on media depictions of SU, an important social and environmental influence implicated in the development, maintenance, and treatment of SU disorders. Specifically, the aims of this project are to target media-related mechanisms underlying SU initiation and associated risk factors as they relate to youth development. Improved understanding of specific parenting behaviors that contribute to prevention of youth SU, and mechanisms by which parenting behaviors may reduce risk related to media could inform the development of new and more effective interventions. Research aims in this application are designed to progress towards the end goal of developing a scalable, evidence-informed media parenting intervention to reduce youth risk for SU. First, intervention content that follows the T.E.C.H. Parenting framework developed by Gabrielli and Marsch will be refined with two focus groups of approximately 8 parents each (Aim 1). Once intervention content is finalized, using randomized control trial (RCT) design with an attention control comparison group, the T.E.C.H. Parenting intervention will be tested in a sample of 120 parent participants (Aim 2). Innovations include the use of web-based intervention content with supplemental push messaging to participants. Implementation data will be collected as part of the RCT to determine feasibility of web-delivered components of intervention content as well as usability and acceptability of intervention content from participants. This project is highly innovative in the use of technology to support parental engagement and dissemination of intervention. Further, web delivery of content provides an opportunity for parents to practice media parenting skills within the digital environment in a way that is adapted to the needs of the individual family and can be implemented in a range of diverse clinical settings.

摘要