FAMILY BASED PREVENTION FOR CHILDREN OF ALCOHOLICS

针对酗酒儿童的家庭预防

• 批准号: 6752381
• 负责人: THOMAS H NOCHAJSKI
• 金额: $ 50.68万
• 依托单位: STATE UNIVERSITY OF NEW YORK AT BUFFALO
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-06-01 至 2006-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6752381
• 关键词: adolescence (12-20); alcoholism /alcohol abuse prevention; behavioral /social science research tag; child behavior; clinical research; disease /disorder etiology; disease /disorder onset; disease /disorder proneness /risk; family therapy; health behavior; health care service evaluation; health services research tag; human subject; human therapy evaluation; longitudinal human study; mathematical model; mental health services; middle childhood (6-11); model design /development; outcomes research; parents; psychometrics; socioenvironment; substance abuse related behavior; videotape /videodisc

The specific aims of this project are (1) to test the effectiveness of the Strengthening Families Program (SFP) for children of alcohol dependent parents; (2) to examine health services research on the SFP; and (3) to conduct etiological theory testing for children of alcohol dependent parents. These aims will be tested by an international research team that will allow us to determine whether (1) the SFP will have similar success rates, (2) there are similar health services-related outcomes, (3) and whether etiological model building will generalize, across different social environmental contexts and health service system milieus. The SFP is a highly structured, family-focused prevention program composed of three components: parent training, children's skills training, and family skills training for children of alcohol and other drug (AOD) dependent parents. The subjects will include 720 families of school-aged (9-12 years old) children. These families will be recruited in five cohorts of 144 COA families each from six treatment agencies across two environmental contexts (Buffalo and Toronto) over two and a half years. Half (N=360 families) will be randomly assigned to the experimental group and half to a minimal contact control intervention consisting of a single video parenting session. A true-experimental, 3 year longitudinal research design consisting of several repeated measures (i.e., a pre-test, post-test, and longitudinal follow-ups) and with random assignment of families will be utilized. Standardized outcome measures of risk/protective factors (e.g., substance use/abuse, self-esteem, coping skills, family environment, life stressors) will be gathered from both children and parents. Comprehensive process data (e.g., program fidelity, consumer satisfaction, participation rates, and trainer variables) will be linked to outcome data. A number of co-variates (age, gender, ethnicity, site, child dysfunction, level of alcohol/drug use) will be analyzed to determine differential program effectiveness. Data analyses will include analyses of variance, SEM, mediational analysis, latent growth modeling and hierarchical linear modeling.

该项目的具体目标是：（1）检验“加强家庭方案”对酗酒父母子女的有效性;（2）审查关于“加强家庭方案”的保健服务研究;（3）对酗酒父母子女进行病因学理论测试。 这些目标将由一个国际研究小组进行测试，这将使我们能够确定（1）SFP是否具有相似的成功率，（2）是否有相似的卫生服务相关结果，（3）以及病因模型的建立是否会在不同的社会环境背景和卫生服务系统环境中推广。 该方案是一个结构严密、以家庭为重点的预防方案，由三个部分组成：父母培训、儿童技能培训以及对依赖酒精和其他药物的父母的儿童的家庭技能培训。 受试者将包括720个学龄儿童（9-12岁）家庭。 这些家庭将在两年半的时间里从两个环境背景（布法罗和多伦多）的六个治疗机构招募五个队列的144个COA家庭。 一半（N=360个家庭）将被随机分配到实验组，一半的最小接触控制干预，包括一个单一的视频育儿会议。 一个真实的实验，3年的纵向研究设计，包括几个重复的措施（即，预测试、后测试和纵向随访）并随机分配家庭。 风险/保护因素的标准化结局指标（例如，药物使用/滥用、自尊、应对技能、家庭环境、生活压力源）。 全面的过程数据（例如，计划忠实度、消费者满意度、参与率和培训师变量）将与结果数据相关联。 将分析多个协变量（年龄、性别、种族、研究中心、儿童功能障碍、酒精/药物使用水平），以确定不同的项目有效性。 数据分析将包括方差分析、SEM、中介分析、潜在增长模型和分层线性模型。