Family Education to Reduce Teen Drinking and Promote Safe Driving

描述(申请人提供)：这项发展研究将产生并试点旨在减少青少年饮酒和促进安全驾驶员和乘客行为的创新家庭教育干预。这项干预措施的目标是15岁至17岁的青少年家庭，并利用一个可教的时刻，此时青少年酒精实验和滥用正在上升，儿子、女儿和他们的朋友开始获得执照。父母往往觉得没有准备好提供有效的监督、规则制定、沟通和支持，以防止自己和其他孩子在开车和其他情况下滥用酒精。拟议的音频-CD干预措施，当危险变成现实：帮助父母解决青少年酒后驾车问题，将使用理论驱动和经验丰富的戏剧性、基于现实的故事来模拟积极的育儿实践，以促进理想的青少年行为。其目的是：(1)与家长、青少年和社区线人进行形成性研究，以确定预防信息，并为音频-CD干预开发榜样故事，以减少青少年饮酒并促进15-17岁青少年的安全驾驶行为，并确定可行的分销渠道(例如，高中、机动车部门、驾驶员教育计划)；(2)与获奖的多媒体专家合作开发脚本并制作干预措施，包括音频-CD、CD包装和配套印刷材料；(3)对干预措施进行试点测试，以评估干预措施的可行性、可接受性和有效性的初步证据，在一项随机试验中，有200个亲子-青年二人组，其中一半家庭接受音频-CD干预，其他家庭作为注意控制组(接受常规的学校/社区饮酒/驾驶教育加上NIH小册子《家长预防酒精、烟草和其他药物使用指南》)；[另外50个亲子-青年二元组将被招募，以评估在既不分发干预材料也不分发注意控制材料的“无污染”学校环境中的结果]；(4)对父母进行基线和干预后3个月的电话调查，并对青少年进行书面调查，以评估饮酒、驾驶和酒后驾驶的态度、行为和假想的育儿机制(例如，监督、规则制定、沟通和支持)，以及对可接受性和可行性的持续过程评估。如果干预策略被证明是有前景的，下一步将是有效性试验。如果有效，这种干预可以通过多种渠道传播到家庭，当他们可能面临青少年饮酒、青少年驾驶和酒后驾车带来的难题时。 公共健康相关性：公共健康相关性声明：青少年饮酒、青少年驾驶以及酒后驾车的交叉路口给青少年、父母和社区带来了无数挑战。这项研究将为15-17岁的青少年父母开发和试点一项简短的干预措施，当他们酒后驾车的危险增加，父母往往不太愿意提供监督和指导。如果当危险成为现实：帮助父母解决青少年酒后驾车问题在随后的试验中被发现是有效的，干预措施可以作为社区努力的一个组成部分广泛传播，以确保青少年的安全和戒酒。

DESCRIPTION (provided by applicant): This developmental study will produce and pilot an innovative family education intervention aimed at reducing teen drinking and promoting safe driver and passenger behaviors. The intervention targets families with youth 15 to 17 years old and capitalizes upon a teachable moment, when teen alcohol experimentation and misuse are on the rise and sons, daughters, and their friends begin getting their licenses. Parents often feel unprepared to provide effective oversight, rule-setting, communication and support to keep their own and other children from misusing alcohol, both in conjunction with driving and in other situations. The proposed audio-CD intervention, When Dangers Become Real: Helping Parents Address Teen Drinking and Driving, will use theoretically driven and empirically informed dramatic, reality-based stories to model positive parenting practices to promote desired adolescent behaviors. The aims are to: (1) Conduct formative research with parents, teens, and community informants to identify prevention messages and develop role model stories for an audio-CD intervention to reduce alcohol use and promote safe driving behaviors among teens, ages 15- 17, and to identify viable distribution channels (e.g., high schools, Department of Motor Vehicles, driver education programs); (2) Collaborate with an award-winning multi-media specialist to develop scripts and produce the intervention, including the audio-CD, CD packaging and accompanying print materials; (3) Pilot test the intervention to assess feasibility, acceptability, and preliminary evidence of effectiveness in a randomized trial of 200 parent-youth dyads, in which half of the families receive the audio-CD intervention and the others serve as attention-controls (receiving routine school/community drinking/driving education plus the NIH pamphlet, A Parent's Guide For the Prevention of Alcohol, Tobacco, and Other Drug Use); [an additional 50 parent-youth dyads will be enrolled to assess outcomes in an "uncontaminated" school setting in which neither intervention nor attention-control materials are distributed]; (4) Conduct baseline and 3-month post-intervention telephone surveys of parents and written surveys of youth to assess drinking, driving, and drinking and driving attitudes, behaviors, and hypothesized parenting mechanisms (e.g., oversight, rule- setting, communication, and support), and ongoing process evaluation of acceptability and feasibility. If the intervention strategy proves promising, the next step would be an efficacy trial. If efficacious, the intervention can be disseminated via multiple channels to reach families when they are likely to be confronting the difficult issues that teen drinking, teen driving, and drinking and driving present. PUBLIC HEALTH RELEVANCE: Public Health Relevance Statement: Teen drinking, teen driving, and the intersections of drinking and driving present myriad challenges to youth, parents, and communities. This study will develop and pilot a brief intervention for parents with teens 15-17 years old, when drinking and driving dangers increase and parents often are less comfortable providing oversight and guidance. If When Dangers Become Real: Helping Parents Address Teen Drinking and Driving is found effective in a subsequent trial, the intervention can be widely disseminated as one component of community efforts to keep adolescents safe and alcohol-free.