Enhancing Parent-Child Communication to Reduce Media Influence on Substance Use

加强亲子沟通，减少媒体对药物使用的影响

• 批准号: 10301709
• 负责人: Tracy Marie Scull
• 金额: $ 25.05万
• 依托单位: INNOVATION RESEARCH AND TRAINING, INC.
• 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 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10301709
• 关键词: Address; Adolescent; Adolescent Development; Advertisements; Advertising; Affect; Age; Alcohols; Awareness; Behavior; Belief; Child; Child Health; Communication; Communication Methods; Communications Media; Communities; Computer software; Consumption; Control Groups; Development; Drug usage; Education; Electronic cigarette; Environment; Evaluation; Evidence based program; Exposure to; Family; Feasibility Studies; Feedback; Feeling; Foundations; Frequencies; Funding; Health; Health Promotion; Internet; Knowledge; Letters; Literature; Marijuana; Mediation; Medical; Mind; Modeling; Music; Nicotine; Online Systems; Opioid; Outcome; Parents; Pharmaceutical Preparations; Prevention; Prevention program; Process; Program Effectiveness; Public Health; Randomized; Readiness; Research; Resources; Risk Behaviors; Sampling; School-Age Population; Sexual Health; Solid; Specialist; Statistical Data Interpretation; Students; Teenagers; Television; Testing; Time; Tobacco; Youth; active control; adolescent health; adolescent substance abuse; adolescent substance use; base; design; elementary school; evidence base; experience; feasibility testing; group intervention; high risk sexual behavior; improved; improved outcome; innovation; interest; junior high school; literacy; marijuana legalization; misuse of prescription only drugs; novel; online resource; opioid epidemic; overdose death; parent-adolescent communication; parent-child communication; prescription pain reliever; prevent; programs; protective factors; sexual relationship; skills; social media; substance abuse prevention; substance use; substance use prevention; success; vaping; vapor

Abstract The rates of adolescent substance use in the U.S. indicate the need for evidence-based prevention programs that include a discussion of alcohol, tobacco, electronic vapor products, marijuana, and opioids. Parents can significantly impact their children’s substance use beliefs and behaviors and are vital to prevention. Unfortunately, many parents feel that they have little influence on whether or not their child uses drugs. While high-quality parent-child communication about substances is a protective factor, parents often find it challenging to effectively engage in these conversations with their children. Youth consume a plethora of media messages that promote and glamorize drugs (e.g., advertising, social media, popular music, television shows), and exposure to these media messages predicts youth substance use. Media literacy education (MLE), which includes the critical analyses of media messages, is an effective approach to youth substance use prevention, including family-based youth prevention programming. The first aim of this project is to create Media World Parent (MWP), a self-paced program designed to provide parents of middle school-aged students with knowledge about teen substance use, media mediation skills, and practice in high quality parent-adolescent communication methods delivered through a highly interactive web-based software application. It is hypothesized that this program will enhance parents’ feelings of efficacy for and participation in open, responsive, comprehensive, and accurate parent-child communication about substance use, including critically analysis of media messages that promote substance use. In turn, we hypothesize that these parent-child conversations will positively impact children’s media literacy skills and outcomes related to substance use (e.g., beliefs, intentions, behavior). The proposed program will utilize a media literacy framework (e.g., Message Interpretation Process model) found to be effective in reducing risk behaviors, including substance use. This project is innovative because the program expands upon a successful theoretical prevention framework, uses MLE to address the typically unaddressed influence of media on youth substance use, covers multiple substances including electronic vapor products and opioids, and uses highly interactive web-based functionality with mobile boosters. The program will be iteratively developed and refined with input from a diverse Advisory Panel of parents, youth, and prevention specialists. The second aim is to conduct a feasibility study of the MWP program in which a diverse sample of parent-child pairs (N=286) are randomly assigned to an intervention group (MWP) or an active control group (e.g., medically-accurate web content on adolescent substance use). Parents and youth will complete pre-post assessments, which will provide a preliminary test of program effectiveness for positively affecting outcomes. Program feedback ratings will also be used to evaluate program feasibility. If feasibility is determined, findings will be used to inform program revisions and the design of a larger-scale RCT to examine the program’s impact on adolescent outcomes over time.

摘要 美国青少年药物使用率表明需要循证预防计划 其中包括对酒精、烟草、电子蒸汽产品、大麻和阿片类药物的讨论。家长可以 这对他们的孩子的物质使用信念和行为产生了重大影响，对预防至关重要。 不幸的是，许多父母认为他们对孩子是否吸毒几乎没有影响力。而 高质量的亲子沟通是一种保护因素，父母经常发现它 很难有效地与他们的孩子进行这些对话。年轻人消费过多的媒体 宣传和美化药物的信息（例如，广告、社交媒体、流行音乐、电视节目）， 接触这些媒体信息可以预测青少年使用药物。媒体素养教育（MLE）， 包括对媒体信息的批判性分析，是预防青少年吸毒的有效方法， 包括以家庭为基础的青年预防方案。这个项目的第一个目标是创建媒体世界 家长（MWP），一个自定进度的计划，旨在为中学生家长提供 关于青少年物质使用的知识，媒体调解技巧，以及高质量父母-青少年的实践 通过高度交互式的基于Web的软件应用程序提供的通信方法。是 假设这个计划将提高家长的效能感和参与开放， 关于物质使用的反应迅速、全面和准确的亲子沟通，包括批判性的 分析促进药物使用的媒体信息。反过来，我们假设这些亲子 对话将积极影响儿童的媒体素养技能和与物质使用有关的成果（例如， 信念、意图、行为）。拟议的方案将利用媒体素养框架（例如，消息 解释过程模型）被发现在减少危险行为，包括物质使用方面有效。这 该项目是创新的，因为该计划扩展了成功的理论预防框架，使用 MLE旨在解决媒体对青少年物质使用的典型未解决的影响，涵盖多个 物质，包括电子蒸汽产品和阿片类药物，并使用高度互动的基于网络的 功能与移动的助推器。该计划将反复开发和完善的投入，从一个 由家长、青年和预防专家组成的多元化咨询小组。第二个目的是进行可行性研究 MWP计划的研究，其中父母-子女对的不同样本（N=286）被随机分配到 干预组（MWP）或活性对照组（例如，关于青少年的医学上准确的网络内容 物质使用）。家长和青少年将完成事前评估，这将提供一个初步的测试， 计划的有效性，以积极影响结果。节目反馈评级也将用于评估 方案可行性。如果确定可行性，调查结果将用于通知计划修订和 设计一个更大规模的随机对照试验，以检查该计划对青少年结果的影响。