Effects of the Family Check-Up on Adolescents with Alcohol-Related Events and the

家庭检查对青少年酒精相关事件的影响及

• 批准号: 7508085
• 负责人: RICHARD RENDE
• 金额: $ 63.52万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-08-01 至 2013-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7508085
• 关键词: Accident and Emergency department; Accounting; Adolescent; Age; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Area; Behavior; Behavioral; Child; Communication; Condition; Drug usage; Environmental Risk Factor; Event; Family; Family Relationship; Feedback; Foundations; Goals; Health; Individual; Intervention; Measures; Mediating; Mediation; Mediator of activation protein; Monitor; Parenting behavior; Parents; Patients; Pharmaceutical Preparations; Population; Prevention; Prevention program; Problem behavior; Range; Rate; Research; Risk; Risk Behaviors; Schools; Screening procedure; Siblings; Source; Specific qualifier value; Substance abuse problem; Teenagers; Testing; Time; Youth; alcohol and other drug; base; checkup examination; deviant; early /brief intervention /therapy; early onset substance use; follow-up; foster parent; improved; intervention program; motivational intervention; parental monitoring; peer; programs; psychoeducational; response; selective prevention; skills; trend; underage drinking; universal prevention; young adult

DESCRIPTION (provided by applicant): The earlier an adolescent initiates substance use, the greater the risk of long-range problems. This association persists despite changes in national substance use rates over time, indicating its stability and viability as a target for prevention. At the same time, parent monitoring of youth behavior tends to decrease during the adolescent years, creating a source of risk for the early onset of substance use. Thus, programs that foster parenting behaviors and family relationships that are protective in helping youth to avoid substance abuse are an important area of continuing research. To date, most of the research has been conducted on universal prevention programs based in schools. Some selective prevention programs with high risk groups have also been conducted in schools. Only rarely do these universal or selective programs involve parents. The Family Check-Up (FCU) is an exception to this trend as it is a selective intervention program that focuses on parents. A unique strength of the FCU is that feedback is individualized and tailored to specific parenting skills as they typically pertain to an identified adolescent in the family. Our group has found that the Family Check-Up had better effects on reducing alcohol use in teens presenting to an Emergency Department as alcohol-positive at 6 month follow-up than an individual motivational intervention. In this application, which is submitted in response to PA-07-406, "Screening and Brief Interventions in Underage and Young Adult Alcohol Populations," we propose to evaluate the efficacy of the FCU when applied to both an adolescent Identified Patient (IP) and a sibling close in age. Our rationale for including a sibling close in age derives from a strong empirical base which has shown that: 1) sibling resemblance for alcohol use is high and environmental factors shared by siblings account for substantial portions of variance in adolescent alcohol use; and 2) specific interactional dynamics of the sibling relationship (collusion) are related to teen alcohol use. In order to determine whether other types of family-based interventions might be just as helpful as the FCU, efficacy of the sibling-enhanced FCU will be compared to a parenting psychoeducational program, Family Matters (FM). The major goal of this application is to evaluate the efficacy of a sibling-enhanced FCU in reducing alcohol and other drug use in an adolescent IP presenting with an alcohol-related event and a sibling close in age. Changes in parental monitoring and other adolescent health risk behaviors will also be measured over a 1-year period.

描述（由申请人提供）：青少年越早开始使用药物，出现长期问题的风险就越大。尽管国家物质使用率随着时间的推移发生变化，但这种关联仍然存在，表明其作为预防目标的稳定性和可行性。与此同时，在青少年时期，家长对青少年行为的监控往往会减少，这为过早开始滥用药物创造了风险来源。因此，培养养育行为和家庭关系的计划有助于青少年避免药物滥用，是持续研究的一个重要领域。迄今为止，大部分研究都是针对学校的普遍预防计划进行的。一些针对高危人群的选择性预防计划也在学校开展。这些普遍或选择性的计划很少有家长参与。家庭检查（FCU）是这一趋势的一个例外，因为它是一项以父母为重点的选择性干预计划。 FCU 的独特优势在于，反馈是个性化的，并根据特定的育儿技能量身定制，因为它们通常与家庭中确定的青少年相关。我们的小组发现，在 6 个月的随访中，家庭检查对于减少因酒精阳性而到急诊科就诊的青少年的饮酒效果比个人动机干预更好。在这份针对 PA-07-406“未成年人和青年酒精人群的筛查和简短干预”的申请中，我们建议评估 FCU 在应用于青少年识别患者 (IP) 和年龄相近的兄弟姐妹时的功效。我们将年龄相近的兄弟姐妹纳入其中的理由来自于强大的经验基础，该基础表明：1）兄弟姐妹在饮酒方面的相似性很高，并且兄弟姐妹共同的环境因素在青少年饮酒方面造成了很大一部分差异； 2）兄弟姐妹关系（共谋）的特定互动动态与青少年饮酒有关。为了确定其他类型的基于家庭的干预措施是否与 FCU 一样有帮助，将兄弟姐妹增强 FCU 的功效与育儿心理教育计划“家庭事务”(FM) 进行比较。该应用的主要目标是评估兄弟姐妹增强型 FCU 在减少出现酒精相关事件的青少年 IP 和年龄相近的兄弟姐妹中酒精和其他药物使用方面的功效。家长监测和其他青少年健康风险行为的变化也将在一年内进行测量。