Effects of NBP for Children of Divorce 15 Years Later

NBP 对离婚子女 15 年后的影响

• 批准号: 7462412
• 负责人: SHARLENE Ann WOLCHIK
• 金额: $ 62.91万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-04 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7462412
• 关键词: Adolescence; Adolescent; Alcohol consumption; Alcohol or Other Drugs use; Analysis of Variance; Child; Childhood; Competence; Condition; Development; Disease; Divorce; Economics; Education; Evaluation; Family; GYPA gene; Glycophorin A; Growth; Health; Literature; Logistic Regressions; Marijuana; Mediating; Mediator of activation protein; Mental Health; Methods; Modeling; Mothers; National Institute of Mental Health; Numbers; Occupational Status; Occupations; Outcome; Parenting behavior; Parents; Prevalence; Prevention; Prevention Research; Prevention program; Preventive Intervention; Public Health; Randomized; Randomized Controlled Clinical Trials; Reporter; Request for Applications; Research; Risk; Sexual Partners; Testing; Youth; design; experience; follow-up; improved; indexing; mental disorder diagnosis; programs; self esteem; success; teenage mother; young adult

DESCRIPTION (provided by applicant): The proposed project is a 15-year follow-up of 240 young adults whose families participated in an experimental evaluation of the New Beginnings Program (NBP), a preventive intervention for divorced families. The NBP was provided in late childhood; the follow-up will occur in young adulthood. Families were randomly assigned to one of three conditions: mother program (MP), dual-component mother and child program (MPCP), or literature-control (LC) condition. Programs were designed to change several putative mediators of children's post-divorce mental health problems using empirically-supported change strategies. The program was implemented with very high fidelity and multi-method, multi-reporter assessments were used. Intent-to-treat analyses showed program effects on externalizing problems at posttest and 6-month follow-up. The MPCP did not have additive effects. The 6-year follow-up, which included 91% of families assigned to condition, found multiple benefits of program participation, including a 53% reduction in one-year prevalence of diagnosed mental disorder; reduced levels of externalizing and internalizing problems, alcohol use, and marijuana use; fewer sexual partners; and increased competence and grade point average. Additive effects of the MPCP did not occur. Moderational analyses showed that children who entered NBP with higher levels of risk for later problems showed greater program benefits. Program effects on adolescent outcomes were mediated by improvements in parenting and internalizing and externalizing problems in childhood. This application has four specific aims: (1) Examine the efficacy of NBP on young adults' (YA) mental health and substance use problems and disorders, success in key developmental tasks, relationships with their parents, physical health outcomes and competencies, as well as on the mental health problems of YAs' mothers; (2) Examine whether the program effects in young adulthood are mediated by program- induced changes in adolescence; (3) Examine whether the program effects are moderated by baseline level of risk and parental education and occupation; and (4) Conduct an economic analysis of NBP. Analysis of covariance, mixed-model analysis of variance, logistic regression and latent growth curve modeling will be used to test the aims. The proposed research has important public health significance and is consistent with NIMH priorities to support long-term follow-up of prevention programs (NIMH, 1998).

描述（由申请人提供）：拟议的项目是一个15年的后续行动的240名年轻人的家庭参加了新的开端计划（NBP），离婚家庭的预防性干预的实验性评估。NBP在儿童晚期提供;随访将在成年早期进行。家庭被随机分配到三个条件之一：母亲计划（MP），双组分母子计划（MPCP），或文献控制（LC）条件。计划的目的是改变几个假定的调解人的儿童离婚后的心理健康问题，使用vacically支持的变化策略。该计划以非常高的保真度实施，并使用了多方法、多报告者评估。意向治疗分析表明，在后测和6个月的随访程序的影响外化问题。MPCP没有累加效应。为期6年的随访，其中包括91%的家庭分配到条件，发现参与计划的多重好处，包括一年内诊断的精神障碍患病率降低53%;降低外化和内化问题，酒精使用和大麻使用的水平;更少的性伴侣;提高能力和平均成绩。MPCP的累加效应没有发生。适度的分析表明，儿童进入NBP的风险较高，后来的问题表现出更大的计划效益。项目对青少年结果的影响是通过改善父母的养育方式以及儿童时期的内化和外化问题来调节的。这项申请有四个具体目标：（1）检查NBP对青年人的心理健康和物质使用问题和障碍、关键发展任务的成功、与父母的关系、身体健康结果和能力以及青年人母亲的心理健康问题的功效;（2）检验青少年时期的项目效应是否受项目诱导的变化的调节;（3）检验项目效应是否受基线风险水平和父母教育和职业的调节;（4）对NBP进行经济分析。将使用协方差分析、混合模型方差分析、逻辑回归和潜在生长曲线建模来检验目标。拟议的研究具有重要的公共卫生意义，并与NIMH的优先事项相一致，以支持预防计划的长期随访（NIMH，1998）。