A Family Intervention for Adolescent Problem Behavior

在过去的15年里，我们开发、实施并测试了一项干预计划的有效性。 旨在减少问题行为和提高家庭管理技能在中学阶段。的 青少年过渡计划（ATP）是一个多层次的，以学校为基础的干预，旨在减少问题 通过提高家庭管理技能和父母参与来改善行为。拟议研究的目标是 根据经验完善和改进以家庭为中心的综合预防战略， 青少年药物使用和其他问题行为。从我们以前的研究和实践来看， 在公立学校环境中工作的经验，我们需要在三个关键领域改进ATP 以前的重大影响，并提高未来传播和大规模实施的潜力： 通过扩大干预措施的范围，提高普遍干预措施和指示干预措施的可行性， 干预组件，并系统地将这些组件嵌入到当前的行为支持中 （B）解决从初中到高中的过渡问题，特别注意学业成绩 参与和减少不正常的同行集群，以及：（c）明确纳入成功的原则， 对不同族裔群体的家庭和青少年进行干预， 模型最后，一个总体目标是开发、测试和完善一套基于研究的工具， 评估、培训、实施和监测干预保真度，以最大限度地提高 实施和大规模传播。在拟议的研究中，我们计划在3个不同的中间 学校在波特兰，俄勒冈州，约540名青年的样本。家庭将被随机分配到 像往常一样接受ATP计划或治疗。在我们的实验组中，我们将进一步完善我们的 采取干预措施，加强不同族裔群体与新的文化增强家庭的接触 检查。评估将收集5年，通过10年级。高中过渡规划和 密集的干预努力将发生在7-9年级。将评估这一干预措施的直接影响 在九年级和十年级的时候我们假设我们的干预会减少问题的增长 通过加强家庭管理和家长参与学校活动，改善儿童的不良行为和滥用药物的情况。

Over the past 15 years, we have developed, implemented, and tested the efficacy of an intervention program designed to reduce problem behavior and enhance family management skills during the middle-school years. The Adolescent Transitions Program (ATP) is a multitiered, school-based intervention designed to reduce problem behavior by enhancing family management skills and parent involvement. The goal for the proposed research is to empirically refine and improve a comprehensive family-centered prevention strategy for reducing and preventing adolescent substance use and other problem behaviors. It is clear from our previous research and practical experience working in the public-school setting that we need to improve ATP in three critical areas to build on previous significant effects and enhance the potential for future dissemination and large-scale implementation: (a) improve the feasibility of both the universal level and the indicated level of the intervention by broadening the intervention components and systematically embedding these components into the current behavioral support system in the schools; (b) address the transition from middle to high school, with special attention to academic engagement and reduction of deviant peer clustering, and: (c) explicitly incorporate principles of successful interventions with families and young adolescents of diverse ethnic groups into both our universaland indicated models. Finally, a general goal is to develop, test, and refine a set of research-based instruments that facilitate evaluation, training, implementation, and monitoring of intervention fidelity to maximize the potential success of implementation and large-scale dissemination. In the proposed research, we plan to work within 3 different middle schools in Portland, Oregon, with a sample of approximately 540 youth. Families will be assigned randomly to receive either the ATP program or treatment as usual. Within our experimental group, we will refine further our intervention to enhance engagement across different ethnic groups with a new CulturallyEnhanced Family Check-Up. Assessments will be collected for 5 years through the 10th grade. High-school transition planning and intensive interventionefforts will occur in Grades 7-9. The immediate impact of this intervention will be assessed during the 9th- and lOth-gradeyears. We hypothesize that our intervention will reduce the growth of problem behavior and substance use through the enhancement of family management and parent involvement in school.