Parents as Interventionists for Moderate Drug Abusing Adolescents

这项建议，作为该中心主题的一部分，将科学发现转化为指导父母资源和工具的开发，针对的是已经开始使用毒品的青少年的父母。这项拟议中的研究将测试一种新的、创新的简短干预方法。该计划将以家庭为基础，而不是由顾问在临床环境中实施。与中心的翻译策略一致，本研究为第一阶段至第二阶段研究。第一阶段的活动将涉及手册的开发，家长培训的发展，和一个小的可行性研究;第二阶段涉及一个正式的功效 随机对照试验。在疗效试验之后，该中心通信部门（家长咨询委员会和无毒品美国伙伴关系）的额外翻译工作将促进该产品在社区的可运输性。这项研究的潜力，发展一个用户友好和科学合理的家长干预计划受益于拟议的中心的一部分。 研究的具体目标如下： 目标1.设计一种新的、家长主导的、以家庭为基础的简短干预措施，以解决青少年（12-15岁）中轻度至中度药物滥用问题。 目标二。采用随机对照试验评价父母干预的有效性。两个样本，每个110个家庭，将参加随机对照试验。家庭将被随机分配到干预或控制条件。通过在多个时间点（基线和基线后1个月、3个月、6个月和12个月）对青少年和目标父母进行访谈，获得量化干预效果的数据。 我们假设基于家庭的干预将优于对照条件上级。 目标3.探讨影响青少年药物使用行为的中介机制。青少年对干预的反应将通过动机、认知、解决问题、同伴吸毒、父母技能和父母自我效能感来介导。

This proposal, as part of the Center theme to translate scientific findings to guide the development of resources and tools for parents, is aimed at parents with a teenager who is already starting to use drugs. The proposed research will test a new, innovative version of a brief intervention. This program will be home based rather than implemented by a counselor in a clinical setting. Consistent with the Center translational strategy, this proposed study is stage I to stage II research. The stage I activities will involve manual development, parent training development, and a small feasibility study; Stage II involves a formal efficacy randomized controlled trial. Subsequent to the efficacy trial, additional translational work by the Center's Communications Unit (Parent Advisory Board and the Partnership for a Drug Free America) will promote the product's transportability into the community. The study's potential to develop a user-friendly and scientifically sound parent intervention program benefits from being part ofthe proposed Center. The study's specific aims are the following: Aim 1. Design a new, parent-led and home based brief intervention to address mild-to-moderate drug abuse in the teenage child (age range 12-15). Aim 2. Evaluate the efficacy of the parent intervenfion using a random controlled trial. Two samples, 110 families each, will participate in the randomized controlled trial. Families will be randomly assigned to either an intervention or control conditions. Data to quantify intervention effects will be obtained by interviewing adolescents and target parent at multiple time points (baseline and 1-, 3-, 6- and 12-months post baseline). We hypothesize that the home based intervention will be superior to a control condition. Aim 3. To examine hypothesized mediating mechanisms that contribute to post-intervention drug use behaviors in the adolescent. Response to the intervention by the adolescent will be mediated by motivation, cognitions, problem solving, peer drug use, parenting skills and parent self-efficacy.