Web-based Family Prevention of Alcohol and Risky Sex for Older Teens

基于网络的老年青少年酒精和危险性行为家庭预防

• 批准号: 8539583
• 负责人: Brenda A Miller
• 金额: $ 62.19万
• 依托单位: PACIFIC INSTITUTE FOR RES AND EVALUATION
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-05 至 2017-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8539583
• 关键词: 17 year old; Address; Age; Alcohol consumption; Alcohols; Behavior; Behavioral; Belief; Coitus; Communication; Complex; Data; Development; Elements; Equilibrium; Event; Exercise; Exposure to; Family; Focus Groups; Gender; Health; Internet; Intervention; Mediating; Mediator of activation protein; Monitor; Online Systems; Outcome; Parenting behavior; Parents; Phase; Population; Prevalence; Prevention program; Prevention strategy; Process; Process Measure; Public Health; Research Infrastructure; Risk Behaviors; Safety; Sex Behavior; Surveys; Teenagers; Testing; Time; Victimization; Youth; aged; alcohol prevention; alcohol related problem; base; binge drinking; college; condoms; cost; drinking; follow-up; handbook; high risk; high risk sexual behavior; high school; improved; parental role; perpetrators; programs; protective behavior; sex; sex risk; twelfth grade; university student; usability

DESCRIPTION (provided by applicant): There is a need for interventions for older teens (16-17) who are engaging in alcohol and/or sexual risk behaviors. Older teens become more autonomous and the role of the parent becomes more difficult as they balance providing guidance while relinquishing control. Parents struggle with the right mix of monitoring and guidance. If a family-based approach to address these teen behaviors is effective, this new program could potentially provide a low cost and important strategy for improving the health and safety of older teens. This study will develop a web-based intervention for 16-17 year old youth and their parents. The aims are as follows: Specific Aim 1: To adapt two parent-based prevention strategies (Family Matters and Parent Handbook) to provide a family-based approach for addressing older teen alcohol related risk behaviors and sexual risk behaviors and sex in combination with alcohol use (hereafter called alcohol and/or sexual risk behaviors) using the web as the program delivery mode. Specific Aim 2: To test whether exposure to the program leads to expected changes in targeted teen beliefs and behaviors, including reductions in alcohol and/or sexual risk behaviors. Specific Aim 3: To examine whether program effects on teen alcohol and/or sexual risk behaviors are mediated through changes in intermediate program targeted beliefs (parents and teen) and behaviors (parent-teen--communication). Program fidelity and process measures may also mediate these outcomes. Phase I integrate and adapt the two parent-based approaches and creates a web-based interactive delivery of materials. Expert panels, focus groups, and usability assessments will inform the process. Phase II is an RCT with 500 families with the web-based intervention. Surveys will be conducted at baseline, and for three follow-up periods (6, 12, & 18 months). Analyses will examine teen outcomes related to alcohol and/or sexual risk behaviors. Changes in mediators directly impacted by the program for both teens and parents will be examined. Process and fidelity information will be collected and assessed.

描述（由申请人提供）：有必要对年龄较大的青少年（16-17）进行干预，他们正在从事酒精和/或性风险行为。年龄较大的青少年变得更加自主，父母的角色变得更加困难，因为他们在提供指导的同时放弃控制。家长们在监督和指导的正确组合中挣扎。如果以家庭为基础的方法来解决这些青少年的行为是有效的，这个新的计划可能会提供一个低成本和重要的战略，以改善健康和安全的年龄较大的青少年。本研究将为16-17岁的青少年及其父母开发基于网络的干预。其目标如下：具体目标1：调整两项以家长为基础的预防战略（《家庭事务》和《家长手册》），以提供一种以家庭为基础的方法，利用网络作为方案交付模式，解决与年龄较大的青少年饮酒有关的风险行为和性风险行为以及与饮酒有关的性行为（以下称为酒精和/或性风险行为）。具体目标二：测试是否暴露于该计划导致预期的变化，在目标青少年的信念和行为，包括减少酒精和/或性风险行为。具体目标3：检查是否程序对青少年酒精和/或性风险行为的影响是通过中间程序有针对性的信念（父母和青少年）和行为（父母-青少年-沟通）的变化介导的。程序的忠实度和过程的措施也可以调解这些结果。第一阶段整合和调整两种基于父母的方法，并创建一个基于网络的互动材料交付。专家小组、焦点小组和可用性评估将为该过程提供信息。第二阶段是一项随机对照试验，有500个家庭接受了基于网络的干预。调查将在基线和三个随访期（6、12和18个月）进行。分析将检查与酒精和/或性风险行为有关的青少年结果。将检查直接受青少年和父母方案影响的调解人的变化。将收集和评估过程和保真度信息。