Drug Abuse Prevention: A Mother-Daughter Intervention

预防药物滥用：母女干预

• 批准号: 7084671
• 负责人: STEVEN Paul SCHINKE
• 金额: $ 60.68万
• 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/7084671
• 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吸毒更多，但最近的数据显示性别差异很少。然而，青少年药物使用的危险因素存在性别差异。由于女孩在青春期在与母亲的关系中面临着独特的压力，女孩可能会从发展和加强与母亲的积极联系的预防计划中获益匪浅。然而，实施以家庭为中心的战略仍存在巨大障碍。为了使家庭干预能够惠及并影响大量人群，必须忠实地进行；有吸引力、负担得起且灵活；满足紧张的调度需求；并反映参与者家庭的文化。计算机介导的干预符合这些要求。计划中的调查将抽取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作为样本。我们将通过 CD-ROM 向女孩及其母亲在住房开发现场提供针对性别的药物滥用干预措施 (GSI)。 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药物滥用方面的功效；测试 GSI 在改善女孩母女情感质量、应对、拒绝技巧、情绪管理、冲突解决、问题解决、自我效能、身体自尊、规范信念、社会支持和母女沟通方面的功效，并将这些中介因素与女孩的物质使用行为联系起来；测试 GSI 在改善母亲家庭仪式、禁止药物使用规则、儿童管理、母女情感质量以及与女儿沟通方面的功效，并将这些中介因素与女孩的药物使用行为联系起来；测试剂量对参与者结果的影响；确定不同种族群体的干预效果是否不同；并量化干预措施开发和实施的成本。 该研究将分三个阶段进行。在 12 个月的准备阶段，我们将完善和完善干预和测量方案，将住房项目分配给研究组，招募参与者并进行预测试。为期 12 个月的实施阶段包括干预实施、过程数据收集、Booster 1 开发和后测试。过去 36 个月的随访将涉及对女孩和母亲的纵向测量、加强 1 号分娩、加强 2 号发育和分娩以及数据分析。