Drug Abuse, Adolescent Girls, and Prevention: YMCA Community Collaboration

药物滥用、青春期女孩和预防：YMCA 社区合作

• 批准号: 7575401
• 负责人: STEVEN Paul SCHINKE
• 金额: $ 22.02万
• 依托单位: COLUMBIA UNIV NEW YORK MORNINGSIDE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-01 至 2011-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7575401
• 关键词: 14 year old; Address; Administrator; Adoption; Affect; Alcohol or Other Drugs use; American; Applications Grants; Behavior; Belief; CD-ROM; Clinical Trials; Collaborations; Commit; Communities; Complement; Conflict (Psychology); Data; Daughter; Dose; Drug abuse; Drug usage; Enrollment; Family; Feedback; Female Adolescents; Gender; Internet; Intervention; Maintenance; Marketing; Measurement; Measures; Mediator of activation protein; Moods; Mothers; New York; New York City; Outcome; Parents; Participant; Prevention; Prevention approach; Prevention program; Problem Solving; Race; Recruitment Activity; Research; Research Project Grants; Resolution; Ritual compulsion; Sampling; Self Efficacy; Social support; Testing; Universities; Upper arm; after-school program; coping; drug abuse prevention; follow-up; girls; intervention effect; intervention program; prevent; programs; public health relevance; racial and ethnic; response; skills

DESCRIPTION (provided by applicant): This revised R21 research grant application represents a partnership between the YMCA of Greater New York (YNY) and Columbia University. Over 2 years, the planned study will adapt a parent-involvement program for combined use with a previously tested program for girls called RealTeen. The resulting combined programs will be tested with a sample of adolescent girls enrolled in YNY after-school programs and the mothers of these girls. Besides testing the outcomes of both prevention programs, the planned research will examine intervention effects on mediator variables of girls' coping responses, refusal skills, mood management skills, conflict resolution abilities, problem-solving skills, self-efficacy to avoid substance use, body esteem, normative beliefs about drug abuse, social supports, disciplinary and delinquency behaviors, and conduct problems. Additional study measures will examine the extent to which the intervention programs affected girls' mothers' use of family rituals, rules against substance use, and mother-daughter affect. Other study aims are to relate girls' and mothers' measured mediator variables to girls' drug use, to test dose-response intervention effects, and to determine whether intervention exerted differential effects related to girls' ethnic-racial group profiles. Girls and their mothers will complete all study measurements online at pretest, posttest, and 6-month follow- up. Intervention delivery will occur via the Internet and CD-ROM. YNY staff and administrators are full participants in all aspects of the planned research, including the analysis and interpretation of data, the dissemination of findings, and requests for follow-on support. Through the R01 research grant mechanism, that follow-on support will sponsor a large- scale test of parent-involvement and RealTeen prevention programs with girls enrolled in YNY after- school programs and the mothers of these girls. In the follow-on test, not only will we measure end- point substance use outcomes, but also we will examine program implementation variables of fidelity and participant feedback and parameters relevant to the adoption and maintenance of the prevention programs within the YNY community. YNY administrators are committed to marketing the tested programs through the 22 YNY centers in New York City and nationwide. PUBLIC HEALTH RELEVANCE: In response to growing rates of substance use among American adolescent girls, this revised and resubmitted grant application describes a collaborative study to refine and pilot test gender- specific and parent-involvement approaches to drug abuse prevention. Study participants will be adolescent girls and their mothers recruited from YMCA centers of Greater New York (YNY). After completing pretest measures via the Internet, girls and their mothers will be divided into intervention and control arms. Girls and mothers in the intervention arm will interact online with prevention programming, and all participants will complete posttests and follow-up measurements online. Once the prevention approaches are carefully tested in a large-scale clinical trial, they will be disseminated nationally through YMCA centers.

描述（由申请人提供）：这份修订后的R21研究资助申请代表了大纽约基督教青年会（YNY）和哥伦比亚大学之间的合作关系。在两年多的时间里，这项计划中的研究将调整一个家长参与的项目，并将其与之前测试过的一个名为RealTeen的女孩项目结合使用。由此产生的综合方案将在参加YNY课后项目的青春期女孩和这些女孩的母亲的样本中进行测试。本研究除了检验两个预防方案的结果外，还将检验干预对女童应对反应、拒绝技能、情绪管理技能、冲突解决能力、问题解决能力、避免物质使用的自我效能、身体自尊、对药物滥用的规范信念、社会支持、纪律和犯罪行为以及行为问题的中介变量的影响。额外的研究措施将检查干预项目对女孩母亲使用家庭仪式、禁止使用药物的规则和母女关系的影响程度。其他研究目的是将女孩和母亲测量的中介变量与女孩的药物使用联系起来，测试剂量反应干预效果，并确定干预是否对女孩的民族-种族群体概况产生差异效应。女孩和她们的母亲将在测试前、测试后和6个月的随访中完成所有在线研究测量。干预将通过互联网和CD-ROM进行。纽约大学的工作人员和行政人员充分参与计划研究的所有方面，包括分析和解释数据、传播调查结果和请求后续支助。通过R01研究资助机制，后续支持将赞助一项大规模的家长参与测试和RealTeen预防项目，参与者包括参加YNY课后项目的女孩和这些女孩的母亲。在后续测试中，我们不仅将测量终点物质使用结果，还将检查项目实施变量的保真度和参与者反馈以及与YNY社区内预防项目的采用和维护相关的参数。YNY的管理人员致力于通过纽约市和全国的22个YNY中心推广测试项目。