ALTERING FAMILY NORMS RE--ADOLESCENT ALCOHOL MISUSE

改变家庭规范——青少年酗酒问题

• 批准号: 2044529
• 负责人: TEDDY E DIELMAN
• 金额: $ 50.92万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 1991
• 资助国家: 美国
• 起止时间: 1991-08-01 至 1994-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2044529
• 关键词: African American; adolescence (12-20); alcoholism /alcohol abuse education; alcoholism /alcohol abuse prevention; alcoholism /alcohol abuse therapy; attitude; behavior modification; behavior prediction; caucasian American; child rearing; drug abuse; family structure /dynamics; female; human subject; human therapy evaluation; interview; longitudinal human study; male; middle childhood (6-11); model design /development; parent offspring interaction; paternal behavior; peer group; questionnaires; reinforcer; self concept

The overall objectives are to design a family-based adolescent alcohol misuse prevention intervention and conduct a reduced scale feasibility study. Methodological aims are to assess recruitment and retention rates for the experimental conditions. Substantive aims are to conduct pilot studies of conceptual models of adolescent alcohol use and misuse. Based on the results of those tests, a family-based intervention directed at altering parental norms and behavior regarding adolescent alcohol use and misuse will be designed and pilot tested. The specific aims of the pilot test are to: 1) test, in cross-sectional and longitudinal studies, the predictive validity of components of a conceptual model of parent and peer group influences on adolescent alcohol use and misuse; 2)pilot test the effectiveness of the intervention in changing parents' information, attitudes and behavior, and their children's alcohol use/misuse intentions and behavior, and 3)pilot test the effectiveness of the parent-directed intervention using procedures designed to maximize intervention effectiveness with procedures generalizable to use as a component of a school-based intervention. Subjects will be 600 students, in the fourth grade in year one and their parents. All target students will be tested in their classrooms, which will yield additional data on approximately 340 non-target peers. One third of the 600 families will be randomly assigned to each of three conditions: maximum treatment, generalizable treatment, and control. Half of each of those groups will be randomly assigned to pretest to no-pretest conditions, and half of each of these subgroups will be assigned to demand instructions before and after conditions. One third of each of these groups will be randomly assigned to each of three incentive conditions (payment, drawing, none). The maximum treatment condition parents will receive three visits and discussion concerning the consequences of adolescent alcohol use, the relationship of parental alcohol and other drug use to adolescent alcohol use/misuse, and parenting skills designed to prevent adolescent alcohol misuse. The visits will be followed by phone contacts mailings, or interviewer availability to answer questions. The generalizable treatment condition parents will receive the same information in mailed pamphlets, but no home visits, follow-up phone calls, or interviewer availability to answer questions. The control group will receive no information. All students will be pretested in their classrooms. Half of the parents in each condition will be pretested with home interviews prior to the intervention. All students will be posttested in their classroom, and all parents will be posttested via home interviews once each year following the intervention. The data analyses will consist of repeated measures analysis of variance and interactive testing of covariance structure models of parental practices and adolescent alcohol use/misuse. Child gender effects will be routinely assessed. Ethnicity effects will be assessed insofar as possible with the pilot study sample size.

总体目标是设计一种以家庭为基础的青少年酒精饮料 滥用预防干预并进行缩小规模的可行性 学习。 方法论目标是评估招聘率和保留率 为实验条件。 实质性目标是进行试点 青少年酒精使用和滥用概念模型的研究。 基于 根据这些测试的结果，进行基于家庭的干预 改变父母关于青少年饮酒的规范和行为， 滥用行为将被设计并进行试点测试。 试点的具体目标 测试的目的是： 1）测试，在横断面和纵向研究中， 父母和同伴概念模型组成部分的预测有效性 群体对青少年饮酒和滥用酒精的影响； 2）中试 改变父母信息的干预措施的有效性， 态度和行为，以及孩子的饮酒/滥用意图 和行为，以及 3）试点测试家长指导的有效性 使用旨在最大化干预的程序进行干预 程序的有效性可推广为一个组件 以学校为基础的干预。 第四期的受试者为 600 名学生 一年级的年级和他们的父母。 所有目标学生都将接受测试 他们的教室，这将产生大约 340 非目标同行。 600个家庭中的三分之一将被随机分配 三个条件中的每一个：最大治疗、普遍治疗、 和控制。 每组的一半将被随机分配到 预测试到无预测试条件，每个子组中的一半将 被分配到条件之前和之后的需求指令。 三分之一 这些组中的每一个将被随机分配到三个组中的每一个 激励条件（付款、提款、无）。 最大治疗量 有条件的家长将接受三次拜访和讨论 青少年饮酒的后果、父母的关系 酒精和其他药物的使用对青少年酒精使用/滥用以及养育子女的影响 旨在防止青少年酗酒的技能。 访问将是 接下来是电话联系邮件，或面试官是否可以回答 问题。 父母将收到的普遍治疗条件 邮寄小册子中的信息相同，但没有家访、后续电话 电话，或面试官能否回答问题。 对照组 将不会收到任何信息。 所有学生都将接受预测试 教室。 每种情况下一半的父母将接受预测试 干预前的家庭访谈。 所有学生都将接受后测 在他们的教室里，所有家长都将通过家庭访谈接受后测 干预后每年一次。 数据分析将包括 重复测量方差分析和交互测试 父母行为和青少年酒精的协方差结构模型 使用/误用。 将定期评估儿童性别影响。 种族 将尽可能通过试点研究样本评估影响 尺寸。