Drug Abuse Prevention: A Mother-Daughter Intervention

尽管历史上男孩比女孩吸食毒品的次数更多，但最近的数据显示的性别很少 不同之处。然而，青少年使用药物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的独特压力，女孩可能会受益 很大程度上来自发展和加强与母亲积极联系的预防计划。还没有 实施以家庭为中心的战略存在巨大障碍。让家庭干预能够达到和 影响大量人群，必须以高保真的方式提供；要有吸引力、经济实惠且灵活；满足 紧凑的日程安排要求；并反映了参与者家庭的文化。计算机中介的干预适合 这些要求。计划中的调查将对贫困的少数民族女孩及其母亲进行抽样调查 他们住在纽约市住房管理局的公寓里。我们将提供针对性别的药物滥用干预 (GSI)通过CD-ROM在住宅区现场向女孩及其母亲分发。 研究的目的是：开发和测试GSI与非干预对照ARM的疗效 防止女孩吸毒；测试GSI对提高女孩母女情感素质的效果， 应对，拒绝技巧，情绪管理，冲突解决，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 女孩物质使用行为；测试GSI改善母亲家庭礼仪的有效性，规则禁止 物质使用、儿童管理、母女情感品质以及与孩子的沟通 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；确定对族裔-种族群体的干预效果是否不同；以及量化 干预措施开发和交付的成本。 这项研究将分三个阶段进行。在为期12个月的准备阶段，我们将完善和完成 干预和测量方案，分配住房项目以研究ARM，招募参与者，以及 前测。为期12个月的实施阶段包括干预交付、流程数据收集、助推器1 开发和后测。过去36个月的跟踪调查将包括对女孩的纵向测量。 和母亲，助推器1分娩，助推器2发育和分娩，以及数据分析。

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.