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

摘要 青少年物质使用（SU）与许多负面的发展结果，包括发病率和 mortality. SU的启动通常发生在青春期，SU行为通常与其他风险同时发生 行为（例如，危险的性行为）。在媒体上接触SU是一个有据可查的影响SU 行为，因为它预测早期发作SU和发展到更多的问题SU行为。媒体效应，而 即使考虑到其他社会影响和个性，也表现出一致、稳定和坚强 特征，在预防性SU研究中很少受到关注;然而，青少年接触媒体SU是一个 青少年SU行为的可改变的环境风险。父母可以通过限制媒体SU来降低SU风险 当年轻人暴露时进行干预。然而，父母们报告说缺乏媒体育儿技巧， 也没有专门设计的媒体育儿干预措施来降低青少年SU的风险。该项目将 检查媒体养育行为的作用，以减少青年SU的早期发病风险。这项建议 针对NIDA战略计划中的目标2.2，“开发和测试创新的预防干预措施 针对潜在风险因素的机制。”该研究计划的重点是SU的媒体报道， 一个重要的社会和环境影响牵连的发展，维护和治疗， SU疾病。具体而言，该项目的目标是针对与媒体有关的机制， 这些问题与青年发展有关。更好地了解具体的 有助于预防青少年SU的养育行为，以及养育行为 可以减少与媒体有关的风险，可以为制定新的和更有效的干预措施提供信息。 本申请中的研究目标旨在朝着开发可扩展的， 循证媒体育儿干预，以降低青少年SU风险。第一，干预内容， 遵循的是TECH由Gabrielli和Marsch开发的育儿框架将从两个方面进行改进 每组大约8个父母（目标1）。一旦干预内容最终确定， 对照试验（RCT）设计，采用注意力控制对照组（T.E.C.H.）。育儿干预将 在120名家长参与者的样本中进行测试（目标2）。创新包括使用基于网络的干预措施 向参与者提供具有补充推送消息的内容。实施数据将作为 RCT旨在确定干预内容的网络交付组件的可行性以及可用性， 参与者对干预内容的接受程度。这个项目在技术运用上极具创新性 支持父母参与和传播干预措施。此外，内容的web递送提供了 父母有机会在数字环境中以适应的方式实践媒体育儿技能 根据个人家庭的需要，可以在一系列不同的临床环境中实施。

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.