Drug Abuse Prevention: A Mother-Daughter Intervention

预防药物滥用：母女干预

• 批准号: 7484596
• 负责人: STEVEN Paul SCHINKE
• 金额: $ 5万
• 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/7484596
• 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

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.

虽然历史上男孩吸毒的人数多于女孩，但最近的数据显示， 差异然而，青少年药物使用的风险因素存在性别差异。因为 女孩在青春期与母亲的关系中面临着独特的压力，女孩可能会从中受益 预防项目可以发展和加强与母亲的积极联系。然而 在执行以家庭为中心的战略方面存在着巨大的障碍。家庭干预，以达到和 影响到大量的人，它必须忠实地交付;吸引人，负担得起，灵活;满足 紧凑的日程安排要求;并反映参与者家庭的文化。计算机介导的干预配合 本款规定而计划中的调查将以贫穷的少数民族女孩及其母亲为样本 住在纽约市房屋管理局的公寓里。我们将提供针对不同性别的药物滥用干预措施 (GSI)通过光盘在女孩及其母亲的住房开发区现场向她们分发。 研究目的是：开发和测试GSI与无干预对照组相比的疗效， 预防女童物质使用，检验GSI改善女童母女情感质量的效果， 应对，拒绝技巧，情绪管理，解决冲突，解决问题，自我效能，身体尊重， 规范信念、社会支持和母女沟通，并将这些中介因素与 女孩的药物使用行为;为了测试GSI改善母亲家庭仪式的功效，反对 物质使用、儿童管理、母女情感质量以及与父母的沟通 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 参与者的结果;确定干预效果是否因种族-种族群体而异;并量化 制定和实施干预措施的成本。 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 干预和测量协议，分配住房项目的研究武器，招募参与者， 预测试。为期12个月的实施阶段包括干预措施交付、过程数据收集、助推器1 开发和后期测试。最后36个月的随访将涉及女孩的纵向测量 和母亲，助推器1交付，助推器2开发和交付，以及数据分析。