Drug Abuse Prevention: A Mother-Daughter Intervention

预防药物滥用：母女干预

• 批准号: 7285220
• 负责人: STEVEN Paul SCHINKE
• 金额: $ 9.93万
• 依托单位: COLUMBIA UNIV NEW YORK MORNINGSIDE
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-07-01 至 2010-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7285220
• 关键词: DVD /CD ROM; adolescence (12-20); behavioral /social science research tag; clinical research; computer assisted instruction; drug abuse education; education evaluation /planning; educational resource design /development; ethnic group; female; human subject; longitudinal human study; low socioeconomic status; medically underserved population; mother child interaction; racial /ethnic difference; substance abuse related behavior; women' s health

DESCRIPTION (provided by applicant): Although boys have engaged historically in more drug use than girls, recent data reveal few gender differences. Gender differences exist in risk factors for adolescent substance use, however. Because of the singular pressures that girls face in their relationships with their mothers during adolescence, girls may profit greatly from prevention programs that develop and strengthen positive connections with their mothers. Yet formidable barriers to implementing family-centered strategies exist. For family intervention to reach and impact large numbers of people, it must be delivered with fidelity; be engaging, affordable, and flexible; meet tight scheduling demands; and reflect participant families' cultures. Computer-mediated intervention fits these requirements. The planned investigation will engage a sample of poor, minority girls and their mothers who live in New York City Housing Authority units. We will deliver gender-specific drug abuse intervention (GSI) via CD-ROM to girls and their mothers on-site at their housing developments. Study aims are: to develop and test the efficacy of GSI compared to a no-intervention control arm in preventing girls' substance use; to test the efficacy of GSI to improve girls' mother-daughter affective quality, coping, refusal skills, mood management, conflict resolution, problem solving, self-efficacy, body esteem, normative beliefs, social supports, and mother-daughter communication and relate these mediating factors to girls' substance use behavior; to test the efficacy of GSI to improve mothers' family rituals, rules against substance use, child management, mother-daughter affective quality, and communication with their daughters and relate these mediating factors to girls' substance use behavior; to test the effects of dose on participants' outcomes; to determine if intervention effects differ for ethnic-racial groups; and to quantify the costs of intervention development and delivery. The study will occur in three phases. In a 12-month preparation phase, we will refine and complete intervention and measurement protocols, assign housing projects to study arms, recruit participants, and pretest. A 12-month implementation phase includes intervention delivery, process data collection, booster 1 development, and posttest. Follow-up in the last 36 months will involve longitudinal measurements of girls and mothers, booster 1 delivery, booster 2 development and delivery, and data analyses.

描述（由申请人提供）：虽然历史上男孩比女孩更多地使用药物，但最近的数据显示性别差异很小。然而，青少年药物使用的风险因素存在性别差异。由于女孩在青春期与母亲的关系中面临着独特的压力，女孩可以从发展和加强与母亲的积极联系的预防方案中获益匪浅。然而，在执行以家庭为中心的战略方面存在着巨大的障碍。为了使家庭干预能够接触到并影响到大量的人，它必须忠实地提供;具有吸引力，负担得起，灵活;满足紧凑的时间安排要求;并反映参与者家庭的文化。计算机中介干预符合这些要求。计划中的调查将对居住在纽约市住房管理局单位的贫困少数民族女孩及其母亲进行抽样调查。我们会透过唯读光碟，在女童及其母亲居住的屋苑，为她们提供针对不同性别的药物滥用辅导服务。 研究目的是：开发和测试GSI与无干预对照组相比在预防女孩使用药物方面的功效;检验GSI对改善女童的母女情感质量、应对、拒绝技能、情绪管理、冲突解决、问题解决、自我效能、身体尊重、规范信念、社会支持、母女沟通的效果，并将这些中介因素与女童的物质使用行为联系起来;测试GSI在改善母亲的家庭仪式、禁止物质使用的规则、儿童管理、母女情感质量以及与女儿的沟通方面的功效，并将这些中介因素与女孩的物质使用行为联系起来;测试剂量对参与者结果的影响;确定干预效果是否因民族-种族群体而异;量化干预开发和实施的成本。 研究将分三个阶段进行。在12个月的准备阶段，我们将完善和完成干预和测量方案，分配住房项目的研究武器，招募参与者，并预测试。为期12个月的实施阶段包括干预交付、过程数据收集、助推器1开发和后测试。在过去36个月的后续行动将涉及纵向测量的女孩和母亲，助推器1交付，助推器2的发展和交付，以及数据分析。