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

• 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
• 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

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.

项目概要 儿童第一次接触酒精通常是在父母的监督下在家中发生的。 早发性饮酒和父母对青少年饮酒的宽容态度可预测随后的饮酒情况 酒精问题。以家庭为导向的预防性干预措施通常是最有效的，但大多数干预措施 在学校提供。以家庭为基础的家庭干预是资源密集型的并且难以实施 规模大；因此，它们的影响力和可持续性是有限的。 R34 规划拨款的长期目标 是开发和评估预防酒精社交的简短干预的初始版本的可行性 (BI-PAS)，将由儿科医疗保健从业者在 每年一度的儿童健康探访。与提供商的简短会面中包含的信息将得到以下支持： 每周短信，其中包含根据家长自我报告的态度定制的干预内容 青少年饮酒。作为一种基于初级保健的干预措施，BI-PAS 将具有广泛的影响力，因为 非污名化干预背景。进入中学是初级保健的理想时期 干预，因为所需的加强免疫接种时间表可确保获得难以到达的地方 人口。此外，这种干预措施可能提供一种满足美国儿科学会的方法 为父母提供有关青少年饮酒的预期指导的标准。我们有两个具体的 目标。首先，我们将开发和优化 BI-PAS 干预消息内容并通过半 对家长和儿科服务提供者进行结构化定性访谈。我们的第二个目标是进行试点 研究评估一段时间内的可行性、实施情况和家长参与度。在我们的设计中，我们将招募 两家大型儿科诊所（一家治疗诊所和一家比较诊所）的提供者。我们将训练所有 治疗诊所的提供者向 50 名六年级新生的家长实施 BI-PAS。 50位家长 对照组将遵循与治疗父母相同的研究方案，但不会接受 提供商干预或定制短信。研究中的所有 100 名家长都将完成重复 在基线和基线后 6 个月内每月评估与酒精相关的态度和行为。 治疗家庭将每周收到根据他们最近的情况量身定制的干预信息 评估。提供商将使用实施检查表来跟踪实施质量。他们还将 在研究结束时参加后续访谈，以评估可行性和障碍 执行。初步分析将评估干预措施的实施情况、家长 随着时间的推移，对干预材料的参与度、BI-PAS 实施质量以及许可的变化 与对照组相比，治疗组随时间变化的父母态度。预期结果 拟议的研究是开发一种干预措施，可以在随机对照试验中进行测试 具有大量可概括的样本的短期和长期父母和儿童的结果。