ED Based Prevention Intervention to Delay Alcohol Use by Young Adolescents

基于 ED 的预防干预措施可延迟青少年饮酒

• 批准号: 8053485
• 负责人: JAMES G LINAKIS
• 金额: $ 18.81万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-04-01 至 2013-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8053485
• 关键词: 14 year old; Accident and Emergency department; Address; Adolescent; Age; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Attitude; Behavior; Behavioral; Caregivers; Caring; Child; Childhood; Communication; Consent; Data; Development; Drug usage; Effectiveness; Enrollment; Environment; Ethnic group; Exhibits; Family; Future; Goals; Happiness; Healthy People 2010; Individual; Intention; Intervention; Length; Literature; Location; Manuals; Mediating; Mediator of activation protein; Modeling; Monitor; Motivation; National Institute on Alcohol Abuse and Alcoholism; Online Systems; Outcome; Pamphlets; Parenting behavior; Parents; Pharmaceutical Preparations; Population; Preparation; Prevention; Prevention program; Preventive Intervention; Process; Psyche structure; Randomized; Relative (related person); Reporting; Research; Resources; Risk; Self Efficacy; Series; Strategic Planning; Techniques; Teenagers; Telephone; Testing; Visit; Youth; alcohol and other drug; alcohol use initiation; base; brief prevention intervention; checkup examination; design; deviant; drinking; efficacy testing; expectation; follow-up; high risk; improved; instrument; intervention effect; intervention program; motivational enhancement therapy; novel; parental monitoring; peer; pilot trial; prevent; programs; public health relevance; racial and ethnic; response; skills; social; standard care; therapy development; tool; trial comparing; underage drinking

DESCRIPTION (provided by applicant): PROJECT SUMMARY: Our long term goal is to develop, implement, and evaluate a program to prevent or delay the initiation of alcohol use in young adolescents by increasing protective factors and reducing risk through a family-based brief prevention intervention started in the pediatric emergency department (PED). The primary aims of the proposed developmental study include: (1) To pilot test a prevention intervention in alcohol-naive adolescents, make necessary revisions, and finalize an intervention manual and (2) conduct a randomized pilot trial comparing the prevention intervention with enhanced standard care. After conducting an open trial of the prevention intervention with 10 adolescents, ages 12-14, and their accompanying parent(s), and refining the intervention, we will use a two-group randomized design to test the hypothesis that the prevention intervention will prevent/delay the initiation of alcohol use significantly more than enhanced standard care only. 100 adolescents, ages 12-14, who present to the PED and their accompanying parent(s)/caregiver will be enrolled into the study. Eligible, assenting adolescents and their consenting parent(s)/caregiver will complete a series of assessment instruments relating to alcohol and other drug (AOD) use, communication styles, parenting styles, and alcohol attitudes and behaviors. Parent/youth family units will then be randomly assigned to one of two conditions: 1) Enhanced Standard Care (ESC) or 2) Brief Targeted Prevention Intervention with Boosters (BTP). The initial session will be comprised of parent-targeted skill building directed primarily at parental monitoring and the importance of parent-adolescent communication as the precursor to successful monitoring. The primary goal of the prevention session will be the mobilization of the parents' own resources to increase communication and monitoring using motivational interviewing techniques. Parents within this condition will also receive periodic brochures and telephone booster sessions at 1 and 3 months to explore parental implementation of the plan from the previous session(s) and make revisions as necessary. Adolescents and parents will then be reassessed six months following their PED visit. Adolescents will also be assessed with monthly, brief, web-based follow-up contacts to determine the status of their alcohol use. PUBLIC HEALTH RELEVANCE: PROJECT NARRATIVE: The aim of the present study is to prevent or delay the initiation of alcohol use among young adolescents being seen in a pediatric emergency department, by enhancing parental monitoring and improving parent/adolescent conversations. Previous studies have shown that the pediatric emergency department is an excellent location for performing prevention interventions. By targeting individuals and their families in the PED, we are capitalizing on the opportunity to perform a prevention intervention among a high risk population when parent and youth may be particularly receptive to the intervention.

描述(由申请人提供)： 项目概述：我们的长期目标是制定、实施和评估一项计划，通过在儿科急诊科(PED)开始的基于家庭的短暂预防干预，增加保护因素，降低风险，从而预防或推迟青少年酒精使用的开始。拟议的发展研究的主要目标包括：(1)对酗酒的青少年进行预防干预的试点试验，进行必要的修改，并最终确定干预手册，以及(2)进行一项随机试点试验，比较预防干预与强化标准护理。在对10名12-14岁的青少年和他们的陪同父母(S)进行了预防干预的开放试验并细化干预措施后，我们将使用两组随机设计来检验预防干预将比仅加强标准护理显著更多地预防/延迟开始饮酒的假设。100名12-14岁的青少年和他们的陪护父母(S)/照顾者将参加这项研究。符合条件的青少年和他们同意的父母(S)/照顾者将完成一系列关于酒精和其他药物(AOD)使用、沟通方式、父母养育方式以及酒精态度和行为的评估工具。家长/青少年家庭单位随后将被随机分配到以下两种情况之一：1)加强标准护理(ESC)或2)使用助推器进行短暂的有针对性的预防干预(BTP)。最初的会议将包括以父母为目标的技能培养，主要针对父母的监测，以及亲子沟通作为成功监测的先导的重要性。预防会议的主要目标将是调动父母自己的资源，利用激励性访谈技术加强沟通和监测。符合这一条件的家长还将在1个月和3个月时收到定期宣传册和电话宣传课程，以了解家长对上一期课程(S)计划的执行情况，并根据需要进行修改。青少年和父母在儿科就诊六个月后将接受重新评估。青少年还将接受每月简短的网络跟踪接触评估，以确定他们的酒精使用状况。 公共卫生相关性： 项目简介：本研究的目的是通过加强父母监测和改善父母/青少年对话，防止或推迟青少年在儿科急诊科开始饮酒。以前的研究表明，儿科急诊科是进行预防干预的绝佳地点。通过在儿科病房以个人及其家庭为目标，我们利用在高危人群中进行预防干预的机会，此时父母和青少年可能特别容易接受干预。

项目成果

Feasibility and acceptability of a pediatric emergency department alcohol prevention intervention for young adolescents.

• DOI: 10.1097/pec.0b013e3182a9f7da
• 发表时间: 2013-11
• 期刊: Pediatric emergency care
• 影响因子: 1.4
• 作者: Linakis JG;Bromberg J;Baird J;Nirenberg TD;Chun TH;Mello MJ;Jackson KM;Spirito A
• 通讯作者: Spirito A