CRAFT for Parents of Adolescents in Outpatient Drug Treatment

青少年家长门诊药物治疗的技巧

• 批准号: 7813654
• 负责人: KIMBERLY C KIRBY
• 金额: $ 57.83万
• 依托单位: TREATMENT RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-08-01 至 2015-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7813654
• 关键词: Address; Adolescent; Adult; Affect; Aftercare; Alcohol or Other Drugs use; American; Americas; Area; Behavior Therapy; Censuses; Center for Translational Science Activities; Child; Communication Board; Communities; Country; Data; Data Set; Dependence; Drug abuse; Drug usage; Drug user; Educational Intervention; Effectiveness; Enrollment; Family; Family member; Fostering; Goals; Income; Internet; Intervention; Legal Rights; Love; Manuals; Mental Health; Methods; Modeling; Moods; Outcome; Outpatients; Parent-Child Relations; Parenting behavior; Parents; Participant; Pharmaceutical Preparations; Pilot Projects; Prevention program; Problem behavior; Process; Psychological reinforcement; Randomized Controlled Clinical Trials; Randomized Controlled Trials; Reporting; Research; Research Project Grants; Resistance; Resources; Severities; Shapes; Social Functioning; Societies; Staging; Substance Use Disorder; Substance abuse problem; Testing; Time; Training; Translational Research; Work; adolescent drug abuse; adolescent drug use; adolescent substance abuse; adolescent substance use; base; community based treatment; control trial; drug abstinence; drug abuser; high risk; improved; meetings; member; programs; satisfaction; skills; substance abuse treatment; substance using adolescents; therapy development; tool; treatment program

Over 3.4 million adolescents in the U.S. meet criteria for a substance use disorder, but less than 10% enter treatment each year (US DHHS, 2000a, 2000b). Data suggest that as many as 60% of parents who are aware and concerned about their adolescent's substance use are unable to get them into treatment without assistance (Szapocznik et al., 1988) and very little research has examined methods to help them. Community Reinforcement and Family Training (CRAFT) has good empirical support for helping family members foster treatment entry of treatment-resistant adults, but it has not been tested in a controlled trial with parents of substance-abusing adolescents. This project will conduct a Stage I behavior therapy pilot study to modify CRAFT (CRAFT-P) and Alanon/Naranon Facilitation (ANF) for use with parents who are concerned about an out-of-treatment adolescent. A Stage II two-group randomized controlled clinical trial will then compare CRAFT-P (n=77) vs ANF (n=77) to determine if the occurrence of adolescent treatment entry significantly differs. Mixed effects models will he used to determine if participants who are enrolled in the CRAFT-P condition report reductions in adolescent substance use and behavior problems, and improvements in parenting skills, social functioning, mood, and in parent-adolescent relationship satisfaction. Problems related to a substance abusing loved affect a wide variety of American families, in all areas of the country and at all income levels (Hudson et al., 2002; Kirby et al., 2005). Research suggests that most parents not only are motivated to help their children to address their substance abuse problems, they often are able to influence them. Unfortunately, few community-based treatment programs use empirically-based family interventions that are likely to help parents engage their child in treatment, improve treatment retention, provide effective aftercare support, and help interrupt their child's trajectory from substance use to dependence. Since parents can complete CRAFT Independent of their child, it could be disseminated to them not only through community-based adolescent substance abuse treatments, but also through private practitioners and community-based mental health programs. Moreover, preliminary data suggest that, if effective, CRAFT-P could also be disseminated directly to parents via the internet. Given that the first goal of the Parents Translation Research Center is to provide effective tools for parents of substance using adolescents, this study represents an important step In that direction. Interactions with parents on our Parent Advisory Board and elsewhere suggest that many parents feel desperate for this type of help.

美国的340万青少年符合药物使用障碍的标准，但每年不到10％的人进入治疗（US DHHS，2000a，2000b）。数据表明，多达60％的父母意识到并担心青少年的物质使用，无法在没有援助的情况下将其纳入治疗（Szapocznik等，1988），很少有研究研究方法来帮助他们。 社区加强和家庭培训（CRAFT）有良好的经验支持，可以帮助家庭成员培养耐药成年人的治疗入境，但尚未在与滥用药物的青少年的父母的对照试验中对其进行测试。该项目将进行一项I阶段行为治疗试点研究，以修改Craft（Craft-P）和Alanon/Naranon促进（ANF），以与担心未经治疗的青春期的父母一起使用。然后，II期两组随机对照临床试验将比较CART-P（n = 77）与ANF（n = 77），以确定青少年治疗入境的发生是否显着不同。他将使用混合效应模型来确定参加Craft-P状况的参与者是否报告了青少年物质使用和行为问题的减少，以及育儿技能，社交功能，情绪和父母与青少年关系满意度的改善。 与滥用滥用物质有关的问题影响了该国所有地区和所有收入水平的各种美国家庭（Hudson等，2002； Kirby等，2005）。研究表明，大多数父母不仅有动力帮助孩子解决滥用药物问题，而且他们经常能够影响他们。不幸的是，很少有基于社区的治疗计划使用基于经验的家庭干预措施，这些干预措施可能会帮助父母让孩子参与治疗，改善治疗保留率，提供有效的后护理支持，并帮助他们从依赖物质中的物质使用中中断孩子的轨迹。由于父母可以独立于他们的孩子完成手工艺，因此不仅可以通过社区青少年滥用治疗，而且可以通过私人从业者和社区心理健康计划来传播它。此外，初步数据表明，如果有效，Craft-P也可以通过互联网直接传播给父母。鉴于这是第一个目标 父母翻译研究中心是使用青少年为物质父母提供有效的工具，这项研究代表了朝这个方向迈出的重要一步。与父母咨询委员会和其他地方的父母的互动表明，许多父母对这种帮助感到迫切。