Reducing Alcohol & Risks Among Young Females

描述（由申请人提供）：教育发展中心，公司。将进行一项干预研究，以描述和解决早期饮酒和危险行为在城市非洲裔美国人和拉丁美洲青少年女性人群中的综合影响，这些女性是艾滋病毒，艾滋病和其他感染的高风险人群。调查团队过去的研究表明，我们目标人群中近10%的女性在7年级时面临风险，到10年级春季时，超过一半的女性面临风险。虽然酒精使用与国家数据更具可比性，但早期酒精和危险行为的结合令人不安，但现有干预措施未得到充分解决。这项随机实验将测试一种理论上衍生的和基于实践的"选择性"干预，专门针对高危年轻青春期女性。干预措施建立在一个有希望影响青少年的战略之上：家长教育。三个亲职机制（PM）显示，影响青少年的风险行为的目标：父母的监控（P-PM），家庭规则设置（HR-PM），和沟通（C-PM）。继续与纽约市公立学校和一个社区咨询委员会合作，目的是：（1）制作一套三张的音频光盘，在6个月内每隔一段时间分发给青春期少女的父母，介绍预防酗酒以及早期饮酒与冒险之间的联系;（2）招募500名父母和他们的八年级女儿，并将家庭随机分配到三个条件之一：（1）以预防酒精使用为重点的音频CD干预;（2）注意力控制条件;（3）对父母进行基线电话调查，评估父母监控（P-PM）、家庭规则（HR-PM）、亲子沟通（C-PM）以及对女儿饮酒和其他行为的看法;（4）对青春期女儿进行基线调查，评估她们对酒精、P-PM、HR-PM和C-PM的态度和行为;（5）对干预后3个月的家长进行电话调查，检验音像干预对改善P-PM、HR-PM和C-PM的效果;（6）对女儿进行为期3个月的干预后调查，并测试音频光盘干预在培养与减少饮酒和冒险相关的态度和行为方面的效果;（7）考察从基线到3个月随访女儿态度和行为的变化是否可以通过P-PM、HR-PM和C-PM的变化来解释，以及这三种父母教养机制是否介导了实验条件与女儿结果之间的关系。这项研究有可能提高对早期酒精和危险行为之间联系的理解，并为解决这些风险提供一种经过验证的，选择性的，以女性为中心的干预措施。其目标是使年轻妇女走上一条保护她们健康的道路，减少酗酒和艾滋病毒疾病给非洲裔美国人和拉丁美洲人社区带来的负担。

DESCRIPTION (provided by applicant): Education Development Center, Inc. will conduct an intervention study to characterize and address the combined effect of early alcohol use and risky behavior within a population of urban African American and Latina adolescent females who are at high risk for HIV, AIDS, and other infections. Past research by the investigative team has documented that nearly 10% of females in our target population are at risk in 7thgrade and more than half by spring of 10th grade. Although alcohol use is more comparable with national figures, the combination of early alcohol and risky behavior is troubling, yet under-addressed by existing interventions. This randomized experiment will test a theoretically-derived and empirically-grounded "selective" intervention that specifically targets high-risk young adolescent females. The intervention builds upon a promising strategy for influencing adolescents: parent education. Three parenting mechanisms (PM) shown to influence adolescent risk behavior are targeted: parental monitoring (P-PM), household rule setting (HR-PM), and communication (C-PM). In continuing collaboration with New York City public schools and a community advisory board, the aims are to: (1) Develop a set of three audio-cds to be delivered at intervals over a 6-month period to parents of young adolescent daughters that address alcohol prevention and the link between early alcohol use and risk taking; (2) Enroll 500 parents and their 8th grade daughters and randomly assign families to one of three conditions: (1) an audio-cd intervention focused on prevention of alcohol use; (2) an attention-controlled condition; or (3) a non-attention controlled condition; (3) Conduct a baseline telephone survey of parents to assess parental monitoring (P-PM), household rules (HR-PM), parent-child communication (C-PM) and perceptions of daughters' alcohol and other behaviors; (4) Conduct a baseline survey of adolescent daughters to assess their attitudes and behaviors about alcohol, P-PM, HR-PM, and C-PM; (5) Conduct a 3-month post-intervention telephone survey of parents and test the efficacy of the audio-cd intervention in improving P-PM, HR-PM, and C-PM; (6) Conduct a 3-month post-intervention survey of daughters and test the efficacy of the audio-cd intervention in fostering attitudes and behaviors related to reduced alcohol and risk taking; (7) Examine whether changes from baseline to 3 month follow up in daughters' attitudes and behaviors are explained by changes in P-PM, HR-PM, and C-PM, and whether these three parenting mechanism mediate the relationship between experimental condition and daughters' outcomes. The study has the potential to improve understanding of the link between early alcohol and risky behavior and to provide a proven, selective, female-focused intervention for addressing these risks. The goal is to set young women on a course that protects their health and reduces the burden that problem drinking and HIV disease is taking on African American and Latino communities.