Efficacy Trial of a Mindfulness-enhanced Strengthening Families Program

正念增强强化家庭计划的功效试验

• 批准号: 7730558
• 负责人: J DOUGLAS COATSWORTH
• 金额: $ 67.69万
• 依托单位: PENNSYLVANIA STATE UNIVERSITY, THE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-01 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7730558
• 关键词: AIDS/HIV problem; Accounting; Address; Adolescent; Adult; Affect; Affective; Alcohol abuse; Alcohol consumption; Alcohol or Other Drugs use; Anxiety; Attention; Behavior; Behavioral; Child; Communication; Compassion; Contracts; Controlled Study; Couples; Dimensions; Drug usage; Educational Curriculum; Emotional; Evidence based program; Family; Health; Health Benefit; Hylobates Genus; Illicit Drugs; Individual; Informal Social Control; Intervention; Link; Measurement; Mediating; Methods; Modeling; Modification; Multiple Partners; Observational Study; Outcome; Parenting behavior; Parents; Participant; Pennsylvania; Personal Satisfaction; Practice Management; Pre-Post Tests; Prevention; Prevention program; Preventive Intervention; Problem behavior; Process; Public Health; Randomized; Randomized Controlled Clinical Trials; Randomized Controlled Trials; Relapse; Reporter; Reporting; Research; Risk; Risk Factors; Sampling; Schools; Self Perception; Sex Behavior; Societies; Stress; Structure; Students; Substance abuse problem; Techniques; Testing; United States; Waiting Lists; Well in self; Youth; adolescent substance use; base; depression; design; efficacy testing; efficacy trial; evidence base; follow-up; high risk sexual behavior; high school; improved; innovation; mindfulness; multilevel analysis; parental monitoring; physical conditioning; prevent; programs; public health relevance; skills; therapy design; tool; trend

DESCRIPTION (provided by applicant): This study proposes to test the efficacy of a Mindfulness-enhanced version of the Strengthening Families Program: For Parents and Youth 10-14 (SFP 10-14) within a randomized study that will also attempt to replicate and extend research findings for SFP 10-14. The SFP 10-14 program is an evidence-based program with demonstrated effects on parenting practices and youth problem behaviors. Studies have typically produced effects in the small to medium range, suggesting the potential for enhanced effects with modifications. We will also extend the research on SFP 10-14 by examining the effects of the program on adolescent early sexual behavior. Mindfulness techniques have become a useful tool within the treatment arena and have been incorporated into intrapersonal treatments for a variety of problems including anxiety, depression, physical health ailments and alcohol abuse. Techniques have also been used to enhance adult wellness and strengthen interpersonal relationships in married couples. We propose that mindfulness is also useful within the interpersonal context of parenting. Using a conceptual model of mindful parenting we have adapted the SFP program by integrating new activities to build five targeted mindful parenting skills: Listening with full attention; Emotional Awareness of self and child; Nonjudgmental acceptance of self and child; self- regulation in parenting relationships; and compassion for self and child. We will test the efficacy of our Mindfulness-enhanced Strengthening Families Program (MSFP) within a sample of 600 6th and 7th grade youth who will be randomly assigned to one of three conditions: 1) SFP 10-14; 2) MSFP; or 3) Self-study control. Multi-method, multi-reporter measurement strategy will be employed to assess families at pre-test, post-test and 1 year follow-up. Multilevel modeling techniques are used to examine the effects of the program against each other and the control, accounting for the nested structure of participant within group. We anticipate that results from this study will: 1) replicate early effects demonstrated by SFP; 2) demonstrate the enhanced effects of SFP on indicators of parent-youth relationship quality, parental mindfulness, and parental well-being, 3) demonstrate enhanced effects of MSFP on youth outcomes of well-being and problem behaviors. We also hypothesize that effects will be mediated by parenting dimensions such as parent-youth affective quality, mindful parenting and child management. We will explore whether the intervention operates better for families under higher levels of stress. An enhanced effect of this evidence-based program has the potential for significant public health benefits. PUBLIC HEALTH RELEVANCE: This project seeks to test an innovative family-focused preventive intervention designed to reduce risk and increase protection for adolescent substance use, conduct problems and risky sexual behavior. The program targets family and individual youth processes that are linked with onset and escalation of substance use through high school. As part of the project we will implement an evidence-based program - Strengthening Families Program: For Parents and Youth 10-14 - that has demonstrated effects on youth substance use and conduct problems. Should our experimental intervention prove to have enhanced effects, it would have substantial public health benefits for individuals, families and society.

描述（由申请人提供）：本研究拟在一项随机研究中测试强化家庭计划：针对父母和青少年 10-14 (SFP 10-14) 的正念增强版本的功效，该研究还将尝试复制和扩展 SFP 10-14 的研究结果。 SFP 10-14 计划是一项基于证据的计划，已证明对育儿实践和青少年问题行为有影响。研究通常产生中小范围的效果，表明通过修改可以增强效果的潜力。我们还将通过检查该计划对青少年早期性行为的影响来扩展对 SFP 10-14 的研究。正念技术已成为治疗领域的有用工具，并已被纳入针对各种问题的个人治疗中，包括焦虑、抑郁、身体健康疾病和酗酒。技术还被用来增强成人健康并加强已婚夫妇的人际关系。我们认为，正念在养育子女的人际交往中也很有用。使用正念养育的概念模型，我们通过整合新活动来调整 SFP 计划，以建立五种有针对性的正念养育技能： 全神贯注地倾听；对自我和孩子的情感意识；不带评判地接受自己和孩子；养育关系中的自我调节；以及对自己和孩子的同情心。我们将在 600 名六年级和七年级青少年样本中测试正念强化家庭计划 (MSFP) 的有效性，这些青少年将被随机分配到以下三种条件之一：1) SFP 10-14； 2）MSFP；或3）自学控制。将采用多方法、多报告者测量策略来评估家庭在测试前、测试后和一年随访时的情况。多级建模技术用于检查程序对彼此和控制的影响，并考虑组内参与者的嵌套结构。我们预计这项研究的结果将：1）复制 SFP 所证明的早期效果； 2) 证明 SFP 对亲子关系质量、父母正念和父母幸福感指标的增强作用，3) 证明 MSFP 对青少年幸福感和问题行为结果的增强作用。我们还假设，影响将通过养育维度来调节，例如父母与青少年的情感质量、正念养育和儿童管理。我们将探讨这种干预措施是否对压力较大的家庭效果更好。这一循证计划的增强效果有可能带来重大的公共健康益处。公共卫生相关性：该项目旨在测试一种以家庭为中心的创新预防干预措施，旨在降低青少年药物使用、品行问题和危险性行为的风险并加强保护。该计划针对与高中期间物质使用的开始和升级有关的家庭和个人青少年进程。作为该项目的一部分，我们将实施一项基于证据的计划 - 加强家庭计划：针对 10-14 岁的父母和青少年 - 该计划已证明对青少年药物滥用和行为问题有影响。如果我们的实验干预措施被证明具有增强的效果，它将为个人、家庭和社会带来巨大的公共卫生益处。