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Developing a Brief Intervention for Parental Alcohol Socialization to be Delivered by Pediatric Providers: A Feasibility Study

制定由儿科提供者提供的父母酒精社交的简短干预措施：可行性研究

基本信息

批准号：
10492737
负责人：
Melissa B Gilkey
金额：
$ 22.35万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-25 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10492737
关键词：
12 year old Academy Adherence Adolescence Alcohol abuse Alcohol consumption Alcohols American Attitude Behavior Behavioral Belief Child Child Rearing Childhood Clinic Clinic Visits Control Groups Data Development Diphtheria Ensure Evaluation Face Family Feasibility Studies Grant Guidelines Health Personnel Health Professional Healthcare Home Immunization Individual Intervention Intervention Studies Interview Lead Modeling Outcome Parents Patient Self-Report Pediatrics Persons Pertussis Pilot Projects Population Positioning Attribute Predisposition Prevention program Preventive Primary Health Care Protocols documentation Provider Randomized Controlled Trials Recording of previous events Reporting Research Resources Risk Factors Sampling Schedule Schools Secondary Immunization Socialization Structure Supervision Surveys Technology Testing Tetanus Text Text Messaging Time Training Trust Vaccination Well Child Visits acceptability and feasibility age group alcohol expectancy alcohol exposure alcohol prevention alcohol use disorder alcohol use initiation base binge drinking brief intervention checkup examination cognitive interview comparison group cost course development design drinking behavior drinking onset eHealth early adolescence early alcohol use early drinking early onset follow-up implementation barriers implementation evaluation implementation intervention implementation outcomes intervention delivery junior high school novel pediatrician peer prevent preventive intervention provider adherence provider intervention recruit social social stigma socialization behavior tailored messaging therapy design therapy development treatment arm treatment group underage drinking universal prevention

项目摘要

PROJECT SUMMARY Children’s first exposure to alcohol often occurs within their homes, under the supervision of their parents. Early onset alcohol use and permissive parental attitudes about adolescent alcohol use predict subsequent alcohol problems. Family-oriented preventive interventions are generally most effective, but most interventions are delivered in schools. Home-based family interventions are resource intensive and difficult to implement on a wide scale; thus, their reach and sustainability are limited. The long-term objective of this R34 Planning Grant is to develop and assess feasibility of an initial version of the Brief Intervention to Prevent Alcohol Socialization (BI-PAS), which will be delivered to parents of rising 6th graders by pediatric healthcare practitioners during the annual well-child visit. Messages contained within the brief encounter with providers will be bolstered by weekly text messages that contain tailored intervention content based on parents’ self-reported attitudes about adolescent alcohol use. As a primary care-based intervention, BI-PAS will have a wide reach because of the non-stigmatizing intervention context. Entry into middle school is the ideal time for a primary care-based intervention because the schedule of required booster immunizations ensures access to difficult-to-reach populations. Furthermore, this intervention may provide a way to meet American Academy of Pediatrics standards regarding anticipatory guidance for parents about adolescent alcohol use. We have two specific aims. First, we will develop and optimize the BI-PAS intervention message content and delivery through semi- structured qualitative interviews with parents and pediatric providers. Our second aim is to conduct a pilot study to assess feasibility, implementation, and parental engagement over time. In our design, we will recruit providers in two large pediatric clinics (one treatment clinic and one comparison clinic). We will train all providers from the treatment clinic to implement BI-PAS with 50 parents of rising 6th graders. The 50 parents in the comparison group will follow the same study protocol as the treatment parents but will not receive the provider intervention or tailored text messages. All 100 parents in the study will complete repeated assessments of alcohol-related attitudes and behaviors at baseline and monthly for 6 months after baseline. Treatment families will receive weekly intervention messages that are tailored based on their most recent assessments. Providers will use implementation checklists to track implementation quality. They will also participate in a follow-up interview at the conclusion of the study to assess feasibility and barriers to implementation. Primary analyses will assess implementation of intervention components, parental engagement with intervention material over time, BI-PAS implementation quality, and change in permissive parental attitudes over time in the treatment group compared to the control group. The expected outcome of the proposed research is the development of an intervention that can be tested in a randomized control trial of short- and long-term parent and child outcomes with a large, generalizable sample.

项目总结