Drug Abuse Prevention: Mother-Daughter Intervention

预防药物滥用：母女干预

• 批准号: 7212093
• 负责人: STEVEN Paul SCHINKE
• 金额: $ 65.19万
• 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/7212093
• 关键词: Adolescence; Affective; Alcohol or Other Drugs use; Behavior; Belief; CD-ROM; Child; Communication; Computers; Conflict (Psychology); Data; Data Analyses; Data Collection; Daughter; Development; Dose; Drug abuse; Drug usage; Effectiveness of Interventions; Face; Family; Gender; Housing; Intervention; Investigation; Life; Low income; Measurement; Mediating; Minority; Moods; Mothers; New York City; Numbers; Outcome; Participant; Phase; Preparation; Prevention program; Prevention strategy; Problem Solving; Process; Protocols documentation; Race; Recruitment Activity; Resolution; Risk Factors; Ritual compulsion; Sampling; Schedule; Self Efficacy; Sex Characteristics; Site; Social support; Testing; Upper arm; adolescent substance use; authority; base; boys; coping; cost; drug abuse prevention; follow-up; girls; improved; pressure; prevent; skills; therapy development

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）：尽管男孩在历史上比女孩更多地使用毒品，但最近的数据显示性别差异不大。然而，青少年药物使用的危险因素存在性别差异。由于女孩在青春期与母亲的关系中面临着巨大的压力，女孩可能会从发展和加强与母亲的积极联系的预防项目中受益匪浅。然而，在实施以家庭为中心的战略方面存在巨大障碍。要使家庭干预惠及并影响大量人群，就必须忠实地提供这种干预；具有吸引力、可承受性和灵活性；满足紧迫的调度需求；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。计划中的调查将涉及住在纽约市住房管理局单位的贫困少数族裔女孩及其母亲。我们将通过CD-ROM向女孩及其母亲在她们的住房开发项目现场提供针对性别的药物滥用干预。