Feasibility of online parent training to promote parent-adolescent communication

描述（由申请人提供）：本申请旨在评估一种影响母亲与青少年关于毒品的沟通的在线育儿培训方法的可行性。父母与青少年的沟通一直是阻止吸毒开始和发展的重要手段。然而，许多父母和青少年并不就毒品问题进行沟通，而且对于父母和青少年对这种沟通障碍的看法以及影响这些障碍的个人、社会心理和环境因素所知相对较少。研究表明，父母培训项目可以有效地促进沟通，从而减少吸毒。然而，许多项目都是时间和资源密集的，而且方法普遍，因此广泛传播和适用于一系列家长可能很难实现。拟议的项目有两个独立但相关的目标，以解决研究和实践中关于父母与青少年药物使用沟通的差距：1)确定关于药物使用沟通的感知障碍及其相关因素；2)检查在线父母培训方法促进父母与青少年沟通的可行性。将与两个城市预防联盟一起采取社区参与研究办法。将与母亲和青少年进行焦点小组讨论，以获得对特定主题的药物交流障碍的看法，并将从这项工作中制定一项衡量沟通障碍的措施。一项评估感知障碍、沟通行为和假设影响障碍的因素的在线调查将在300对母亲-青少年夫妇中实施，并通过多层次建模技术分析关联。将举行联盟伙伴会议，以了解社区家长外展需求和现有基础设施内在线培训方法的障碍。这三项活动的结果将为在线培训模块的内容和方法提供信息，该模块将在60名母亲中进行试点和测试，以评估潜在的功效和可接受性。该项目将成为一个研究项目的基础，该项目将扩展到R01申请，以检验在线家长培训方法对影响青少年吸毒行为的有效性。公共卫生相关性：父母可以在预防青少年吸毒方面发挥重要作用。一种具有成本效益和时间效益的在线资源，可以为成千上万的家长提供以证据为基础的针对性培训，具有广泛的公共卫生意义。

DESCRIPTION (provided by applicant): This application proposes to evaluate the feasibility of an online parenting training approach for influencing mother-adolescent communication about drugs. Parent-adolescent communication has consistently emerged as an important deterrent to initiation and progression of drug use. Yet, many parents and adolescents don't communicate about drugs and relatively little is known about parents' and adolescents' perceptions of barriers to such communication and individual, psychosocial, and contextual factors that influence these barriers. Research has shown that parent training programs can be effective in promoting communication that results in reduced drug use. Yet, many programs are time- and resource-intensive and universal in approach, so that widespread dissemination and applicability to a range of parents may be difficult to achieve. The proposed project has two separate, but related, goals to address gaps in the research and practice regarding parent- adolescent communication about drug use: 1) to identify perceived barriers to communication about drug use and the factors associated with them, and 2) to examine the viability of an online parent training approach to promote parent-adolescent communication. A community-based participation research approach will be adopted in concert with two urban prevention coalitions. Focus groups will be conducted with mothers and adolescents to obtain perspectives on topic-specific barriers to communication about drugs, and a measure of perceived barriers to communication will be developed from this work. An online survey that assesses perceived barriers, communication behavior, and factors hypothesized to influence barriers will then be implemented with 300 mother-adolescent dyads, and associations will be analyzed via multilevel modeling techniques. Coalition partner meetings will be conducted to obtain perspectives on community parent outreach needs and barriers to an online training approach within the existing infrastructures. The results of the three activities will inform the content and approach of an online training module that will be developed and piloted tested with 60 mothers to assess potential efficacy and acceptability. The project will form the foundation of a program of research that will extend to an R01 application to examine the efficacy of an online parent training approach for affecting youth drug use behaviors. PUBLIC HEALTH RELEVANCE: Parents can play an important role in preventing adolescent drug use. A cost- and time-effective online resource that could reach thousands of parents with evidence-based targeted training has the potential for broad public health significance.