Adolescent Family-Based Alcohol Prevention

基于家庭的青少年酒精预防

• 批准号: 7056220
• 负责人: Brenda A Miller
• 金额: $ 62.97万
• 依托单位: PACIFIC INSTITUTE FOR RES AND EVALUATION
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-04-20 至 2010-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7056220
• 关键词: adolescence (12-20); alcoholism /alcohol abuse prevention; behavioral /social science research tag; choice; clinical research; family structure /dynamics; family therapy; gender difference; human subject; human therapy evaluation; middle childhood (6-11); parent offspring interaction

DESCRIPTION (provided by applicant): This study examines the efficacy and effectiveness of two theory based, universal family prevention programs that have shown efficacy for reducing adolescent alcohol and other drug use: Family Matters (FM) (Bauman, 1996) and (Iowa) Strengthening Families Program (Spoth, 1999) when implemented with families randomly assigned to one of two different conditions: a family "choice" condition (two-groups--FM or SFP) and a traditional random control trial condition (three groups--FM, SFP, and control) called the "assigned" condition. The two conditions (choice vs. assigned) will be compared for differences in: (a) adolescent outcomes related to alcohol use and related behaviors; (b) family characteristics for those who participate; (c) family recruitment, retention and completion rates; (d) costs for program implementation. The sample is drawn from families (N=725) with a child aged 11 or 12 currently enrolled in Kaiser Permanente Health Care Plan (KP), in one of four medical centers in Northern California. An initial face-to-face interview will be conducted (separately) with the parent and adolescent prior to program delivery and two follow-up interviews (12 and 24 months later) will be conducted over the telephone with the parent and adolescent (separately). The health care system represents an important new mode for delivering adolescent alcohol use prevention programs to families. The specific aims of this project will provide a real world test of implementation issues and feasibility. Finally, the choice condition represents an innovative, realistic condition under which families make participation decisions outside of the traditional experimental study design protocols. Choosing a treatment based on personal preference may increase patient's sense of autonomy and self-efficacy for behavior change thereby improving outcomes (Williams,1998; Clarke, 1999). Social cognitive theory and principles of self-regulation provide a connection between these psychological constructs and behavioral choices/health outcomes (Bandura, 1986; Clark & Zimmerman, 1990).

描述(申请人提供)：这项研究考察了两个基于理论的普遍家庭预防计划在减少青少年酒精和其他药物使用方面的有效性和有效性：家庭事务(FM)(Bauman，1996)和(爱荷华州)强化家庭计划(Spoth，1999)当家庭随机分配到两种不同的条件之一时，即家庭“选择”条件(两组--FM或SFP)和称为“分配”条件的传统随机对照试验条件(三组--FM、SFP和对照)。将比较这两种情况(选择和分配)在以下方面的差异：(A)青少年与饮酒和相关行为相关的结果；(B)参与者的家庭特征；(C)家庭招募、保留率和完成率；(D)项目实施的成本。样本来自有11或12岁孩子的家庭(N=725)，这些家庭的孩子目前在北加州四个医疗中心之一的凯撒永久医疗计划(KP)中登记。在项目实施之前，将(分别)与家长和青少年进行初步面对面访谈，并将通过电话(分别)与家长和青少年进行两次后续访谈(12个月和24个月后)。卫生保健系统是向家庭提供青少年酒精使用预防方案的重要新模式。该项目的具体目标将是对执行问题和可行性的现实检验。最后，选择条件代表了一种创新的、现实的条件，在这种条件下，家庭在传统的实验研究设计方案之外做出参与决定。根据个人偏好选择治疗可能会增加患者对行为改变的自主感和自我效能感，从而改善结果(Williams，1998；Clarke，1999)。社会认知理论和自我调节原则提供了这些心理结构和行为选择/健康结果之间的联系(Bandura，1986；Clark&Zimmerman，1990)。