A Randomized Trial of Letting Go and Staying Connected, an Interactive Parenting Intervention to Reduce Risky Behaviors Among Students

放手和保持联系的随机试验，减少学生危险行为的互动育儿干预

• 批准号: 9977140
• 负责人: Laura Griner Hill
• 金额: $ 40.96万
• 依托单位: WASHINGTON STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-15 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9977140
• 关键词: Administrator; Alcohol abuse; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Analgesics; Anxiety; Baseline Surveys; Behavior; Behavior Control; Belief; Cardiac; Cause of Death; Cessation of life; Child Rearing; Communication; Decision Making; Development; Economic Burden; Electronic Mail; Emotional; Event; Exhibits; Faculty; Failure; Family; Frequencies; Goals; Graduation Rates; Growth; HIV; Home environment; Incidence; Influentials; Informal Social Control; Injury; Intervention; Knowledge; Lead; Learning; Legal; Life; Marijuana; Mediating; Modeling; Monitor; Multiple Partners; Opioid; Outcome; Parents; Participant; Pathway interactions; Performance; Persons; Pharmaceutical Preparations; Pilot Projects; Policies; Population; Pregnancy; Prevalence; Prevention; Preventive Intervention; Psychotic Disorders; Randomized; Reporting; Research; Research Design; Rewards; Risk; Risk Behaviors; Risk Factors; Role; Science; Self Administration; Series; Sex Behavior; Sexual Partners; Social Development; Societies; Specific qualifier value; Stroke; Students; Substance abuse problem; Sum; Surveys; Testing; Text Messaging; Time; Universities; Unsafe Sex; Washington; addiction; base; binge drinking; cohort; college; cost; design; efficacy testing; evidence base; experience; falls; family management; follow-up; handbook; high risk; high risk sexual behavior; improved; innovation; malleable risk; marijuana use; peer; prescription opioid misuse; programs; protective effect; protective factors; public health relevance; randomized trial; reduced substance use; research and development; sexual assault; sexual risk behavior; skill acquisition; skills; social; substance misuse; substance use prevention; success; theories; tool; university student; young adult

 DESCRIPTION (provided by applicant): During the transition from home to college, students exhibit a dramatic increase in substance use, high- risk HIV/sex-risk behaviors, and associated harms. Prevalence of alcohol and marijuana use, and of non- medical prescription stimulant and painkiller use, is high among college students, who represent 40% of our young adult population. Parents remain influential with young adult students, but the mechanisms of risk and protection at this developmental stage in the family domain are not well understood. Our overarching goal is to reduce the incidence of death, injury, sexual assault, and academic failure related to substance use and related risk behaviors among college students. Our immediate objective is to test the efficacy of a preventive intervention for parents as their students transition to college. The rationale for this project, an interactive parent handbook, is that it wll provide college administrators with a new, low-cost tool that will (a) significantly reduce risk behaviors, injuries, sexual assault, and deaths; and (b) increase academic success among first- year students. The handbook, Letting Go and Staying Connected, is interactive, theoretically guided, and developmentally targeted. It will provide parents with evidence-based parenting skills during a transitional period in which they often seek guidance and support. Preliminary results from a pilot study indicate that students whose parents participated in the intervention were significantly less likely to use substances and experience harms during their first semester than were control students. We will randomly assign parent-student dyads (450 dyads per cohort; two cohorts) to one of three groups: Handbook, Handbook Plus (an innovative "booster" condition in which some Handbook parents receive tailored text messages), and Control. All participants will complete a baseline survey during summer before the first year of college. Handbook parents then receive the mailed handbook; Handbook Plus parents also receive booster messages in fall semester. Follow-up surveys will occur once a semester for two years. Our aims are 1) to test the efficacy of the Handbook: we expect that students of parents receiving the handbook will engage in less substance use and fewer high-risk sex behaviors than control students; 2) to evaluate mediating and moderating factors: our hypothesized model specifies that parent behaviors will mediate associations between Handbook use and student outcomes; and 3) to identify specific attributes of parent-student communication (e.g., content; tone; timing) that predict risk behaviors. The project will allow us to test protective effects of specific aspects of parenting behaviors, and results will extend our limited knowledge about malleable risk and protective factors in the family domain for this developmental period. Additionally, the project will take place in Washington, a state where the purchase, possession, and use of marijuana have recently been legalized, providing timely information about effects of parent communication specifically about marijuana. In sum the project has practical, scientific, and policy significance.

 描述(由申请人提供)：在从家到大学的过渡过程中，学生表现出药物使用、高风险艾滋病毒/性危险行为以及相关危害的急剧增加。酒精和大麻的使用以及非医疗处方兴奋剂和止痛药的使用在大学生中的流行率很高，他们占我们年轻成年人口的40%。父母仍然对年轻的成年学生有影响，但在家庭领域的这个发展阶段的风险和保护机制还没有被很好地理解。我们的总体目标是减少大学生中与药物使用和相关危险行为有关的死亡、伤害、性侵犯和学业失败的发生率。我们的直接目标是测试在学生升入大学期间对家长进行预防性干预的效果。这个项目是一本互动的家长手册，其基本原理是它将为大学管理者提供一个新的、低成本的工具，它将(A)显著减少危险行为、伤害、性侵犯和死亡；以及(B)提高一年级学生的学业成就。这本手册名为《放手与保持联系》，具有互动性、理论指导和发展目标。它将在父母经常寻求指导和支持的过渡期为他们提供循证的育儿技能。一项试点研究的初步结果表明，父母参与干预的学生在第一学期使用物质和遭受伤害的可能性明显低于对照组学生。我们将随机将家长-学生二元组(每组450个二元组，两个组)分配到三组中的一组：Handbook，Handbook Plus(一种创新的“助推器”条件，一些Handbook家长会收到定制的短信)和Control。所有参与者都将在大学一年级前的暑期完成一项基线调查。Handbook家长随后会收到邮寄的手册；Handbook Plus的家长也会在秋季学期收到支持信息。跟踪调查将在两年内每学期进行一次。我们的目标是：1)测试手册的有效性：我们预计，与对照组学生相比，接受手册的家长的学生参与的物质使用和高危性行为会更少；2)评估中介和调节因素：我们的假设模型规定，家长行为将中介手册使用和学生结果之间的关联；以及3)确定家长与学生沟通的特定属性(例如，内容、语气和时机)，预测危险行为。该项目将使我们能够测试父母养育行为特定方面的保护效果，结果将扩大我们对这一发育阶段家庭领域中的可塑性风险和保护因素的有限知识。此外，该项目将在华盛顿州进行，在华盛顿州，购买、拥有和使用大麻最近已合法化，提供有关父母沟通影响的及时信息，特别是关于大麻的影响。总而言之，该项目具有现实意义、科学意义和政策意义。

项目成果

Expanding Our Horizons: Risk, Protection, and Intervention in Emerging Adulthood.

拓展我们的视野：成年初期的风险、保护和干预。

• DOI: 10.1007/s11121-019-00996-5
• 发表时间: 2019
• 期刊: Prevention science : the official journal of the Society for Prevention Research
• 作者: Hill,LauraGriner

"Letting Go and Staying Connected": Substance Use Outcomes from a Developmentally Targeted Intervention for Parents of College Students.

• DOI: 10.1007/s11121-023-01520-6
• 发表时间: 2023-08
• 期刊: PREVENTION SCIENCE
• 影响因子: 3.5
• 作者: Hill, L G;Bumpus, M;Haggerty, K P;Catalano, R F;Cooper, B R;Skinner, M L
• 通讯作者: Skinner, M L

Investigating the efficacy of a self-directed parenting intervention to reduce risky behaviors among college students: Study protocol for a multi-arm hybrid type 2 randomized control trial.

调查自我指导的育儿干预对减少大学生危险行为的有效性：多臂混合 2 型随机对照试验的研究方案。

• DOI: 10.1016/j.conctc.2020.100627
• 发表时间: 2020
• 期刊: Contemporary clinical trials communications
• 影响因子: 1.5
• 作者: Cooper,BrittanyRhoades;Hill,LauraG;Haggerty,KevinP;Skinner,Martie;Bumpus,MatthewF;Borah,Porismita;Casey-Goldstein,Mary;Catalano,Richard
• 通讯作者: Catalano,Richard