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

预防高危学生的药物使用：以家庭为中心的网络计划

• 批准号: 9271427
• 负责人: JOHN R SEELEY
• 金额: $ 0.86万
• 依托单位: UNIVERSITY OF OREGON
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-03-01 至 2020-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9271427
• 关键词: Academic achievement; Achievement; Administrator; Adolescence; Adolescent; Adolescent Risk Behavior; Adult; Age; Alcohol or Other Drugs use; Behavior; Behavior Control; Behavioral; Child; Child Rearing; Climate; Control Groups; Data; Development; Ethnic Origin; Evidence based practice; Family; Feedback; Focus Groups; Gender; Growth; Health; Home environment; Human Resources; Internet; Intervention; Intervention Trial; Lead; Life; Mediating; Mediator of activation protein; Mental Depression; Mental Health; Modeling; Online Systems; Outcome; Parent-Child Relations; Parents; Participant; Persons; Pilot Projects; Population; Population Heterogeneity; Problem behavior; Procedures; Public Health; Randomized; Randomized Controlled Trials; Research; Research Infrastructure; Resources; Risk; Risk Behaviors; Risk Factors; Sampling; School Teachers; Schools; Services; Skills Development; Socioeconomic Status; Students; System; Testing; Time; Training; United States; Youth; adolescent substance abuse; base; checkup examination; cost; design; early adolescence; early onset; effective intervention; efficacy testing; efficacy trial; evidence base; family management; follow-up; high school; improved; intervention effect; junior high school; motivational enhancement therapy; parental monitoring; prevent; programs; reduced substance use; satisfaction; skill acquisition; skills; substance use prevention; substance using adolescents; uptake; usability; web site

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.

描述（由申请人提供）：以学校为基础，以家庭为中心的减少青少年药物使用的干预措施已被证明是非常有效的，并且随着时间的推移，可以减少问题行为，成就问题，抑郁和药物使用。尽管这些干预措施在美国各地的疗效试验中被证明是有效的，但在没有大量支持的情况下，很少有学校有资源实施这些干预措施。人手不足、工作人员缺乏培训和资源有限等障碍阻碍了学校成功采用以家庭为中心的干预措施，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项目的基础上，通过开发和测试学校在线版家庭检查（FCU）的有效性，家长可以在学校或家中使用。在线家庭教育单元将纳入原始家庭教育单元的成功组成部分，如参照规范的基于优势的评估、使用动机性访谈的反馈，以及侧重于提高青少年早期养育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像往常一样接受中学，fcu在线网络/移动版本，或fcu在线网络/移动+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”接触可以提高结果；然而，不需要指导或亲自接触的项目可能会对公共卫生产生更大的影响。教练版本的干预将与不需要学校人员的在线版本进行比较。我们将测试这个在线版本在改变关键的育儿结构方面的效果，比如积极的育儿和父母监督。我们预测，父母教养方式的改变将导致风险行为的减少，比如在学校的问题行为和药物使用。本研究将有助于我们了解如何有效地干预青少年，以减少他们在高中阶段的危险行为和物质使用，并有助于在学校全面采用和推广以家庭为中心的干预措施。