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

摘要 青少年药物使用(SU)与许多负面发展结果有关，包括发病率和 死亡率。SU的发病通常发生在青春期，SU的行为常常与其他风险同时发生 行为(例如，危险的性行为)。媒体对苏的接触是有据可查的对苏的影响 行为，因为它预测早发性SU和进展到更有问题的SU行为。媒体效果，而 即使考虑到其他社会影响和个性，也表现出始终如一、稳定和坚强 特征，在预防性SU研究中受到的关注很少；然而年轻人接触媒体SU是一种 青年SU行为的环境风险可变性。家长可以通过限制媒体SU来降低SU风险 当年轻人暴露时，暴露和干预。然而，家长们报告说，他们缺乏媒体育儿技能， 而且，也没有专门为降低SU的青少年风险而设计的媒体育儿干预。这个项目将 研究媒体育儿行为对降低早发性SU发病风险的作用。这项建议 阐述NIDA战略计划中的目标2.2，即“开发和测试创新的预防干预措施” 这是针对潜在风险因素的机制。这个研究节目的重点是媒体对苏的描述， 一种重要的社会和环境影响，与疾病的发展、维持和治疗有关 苏失调症。具体地说，这个项目的目标是瞄准与媒体相关的机制 与青年发展有关的启动和相关风险因素。提高对特定问题的理解 父母教养方式对预防青少年SU的作用及其机制 可以减少与媒体有关的风险，可以为新的、更有效的干预措施的发展提供信息。 此应用程序的研究目标旨在朝着开发可伸缩的、 循证媒体育儿干预降低SU青少年风险。第一，干预内容 遵循T.E.C.H.由Gabrielli和Marsch开发的育儿框架将通过两个重点进行改进 每个家长约8人的小组(目标1)。一旦干预内容最终确定，使用随机化 对照试验(RCT)设计为注意对照对照组，T.E.C.H.父母教养干预将 在120名家长参与者中进行测试(目标2)。创新包括使用基于网络的干预 向参与者发送补充推送消息的内容。将收集实施数据，作为 RCT，以确定干预内容的网络交付组件的可行性以及可用性和 参与者干预内容的可接受性。这个项目在技术运用上具有很高的创新性。 支持家长参与和传播干预措施。此外，内容的网络交付提供了 让父母有机会在数字环境中以适应的方式练习媒体育儿技能 可满足个人家庭的需求，并可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.