Prevention of Substance Use in At-risk Students: A Family-centered Web Program

描述（由申请人提供）：以学校为基础，以家庭为中心的干预措施，以减少青少年的物质使用已被证明是非常有效的，并导致减少问题行为，成就问题，抑郁症和物质使用随着时间的推移。虽然这些干预措施已被证明是有效的，在美国各地的疗效试验，很少有学校有资源来实施这些干预措施没有实质性的支持。诸如人员配备不足、培训不足和资源有限等障碍阻碍了以家庭为中心的干预措施在学校的成功实施，但大多数学校系统都支持加强家庭与学校的伙伴关系。拟议的研究将建立在我们成功的研究计划的基础上，通过开发和测试家庭检查（FCU）的在线版本的有效性，家长可以在学校或家里使用。在线家庭辅导股将纳入最初的家庭辅导股的成功组成部分，如参照规范的基于优势的评估、利用动机访谈的反馈以及侧重于提高青少年早期育儿技能和家庭管理的后续模块。在拟议的研究中，300个家庭将被随机分配到接受中学照常，FCU在线网络/移动的只，或FCU在线网络/移动的+教练版本。关于通过互联网提供心理健康干预措施的研究表明，教练或“亲自”接触可以提高成果;然而，不需要教练或亲自接触的方案可能会产生更大的公共卫生影响。该干预措施的教练版本将与仅在线版本进行比较，该版本不需要在学校配备人员。我们将测试这个在线版本在改变关键育儿结构方面的有效性，例如积极育儿和父母监控。我们预测，父母养育方式的改变将导致风险行为的减少，例如学校的问题行为和物质使用。这项研究将大大有助于我们了解有效的干预措施，为青少年减少风险行为和物质使用过渡到高中，它可以大大有助于整体吸收和传播以家庭为中心的干预措施在学校。

DESCRIPTION (provided by applicant): School-based, family-centered interventions for reducing substance use in adolescence have been shown to be highly effective and result in reductions in problem behavior, achievement problems, depression, and substance use over time. Although these interventions have been shown to be effective in efficacy trials across the United States, few schools have the resources to implement these interventions without substantial support. Barriers such as low staffing, poorly trained staff, and limited resources prevent the successful uptake of family-centered interventions in schools, yet most school systems are supportive of enhancing family-school partnerships. The proposed study will build upon our successful program of research by developing and testing the efficacy of an online version of the Family Check-Up (FCU) for schools that parents can use either at the school or at home. The FCU-Online will incorporate the successful components of the original FCU, such as a strengths-based assessment that is norm referenced, feedback using motivational interviewing, and follow-up modules that focus on enhancing parenting skills and family management in early adolescence. In the proposed research, 300 families will be randomly assigned to receive middle school as usual, the FCU-Online web/mobile only, or the FCU-Online web/mobile+coach version. Research on the delivery of mental health interventions via the Internet suggests that a coach or "in person" contact enhances outcomes; however, programs that require no coaching or in-person contact may have a larger public health impact. A coach version of the intervention will be compared with an online-only version that requires no staffing at schools. We will test the efficacy of this online version with respect to changing key parenting constructs, such as positive parenting and parental monitoring. We predict that changes in parenting will lead to reductions in risk behavior, such as problem behavior at school and substance use. This research will significantly contribute to our understanding of effective interventions for adolescents that reduce risk behavior and substance use during the transition to high school, and it can significantly contribute to the overall uptake and dissemination of family- centered interventions in schools.