Effects of the Family Check-Up on Adolescents with Alcohol-Related Events and the

描述（由申请人提供）：青少年越早开始使用药物，长期问题的风险就越大。尽管随着时间的推移，国家物质使用率发生了变化，但这种联系仍然存在，表明其作为预防目标的稳定性和可行性。与此同时，父母对青少年行为的监控在青少年时期往往会减少，这为早期开始使用药物创造了一个风险来源。因此，培养有助于青少年避免药物滥用的父母行为和家庭关系的项目是一个继续研究的重要领域。迄今为止，大多数研究都是在学校进行的普遍预防计划。一些针对高危人群的选择性预防项目也在学校开展。这些普遍的或选择性的项目很少有家长参与。家庭检查（FCU）是这一趋势的一个例外，因为它是一项以父母为中心的选择性干预计划。FCU的一个独特优势是，反馈是个性化的，针对特定的育儿技巧量身定制，因为它们通常适用于家庭中已确定的青少年。我们的小组发现，在6个月的随访中，家庭检查在减少青少年酒精使用方面比个人动机干预有更好的效果。根据PA-07-406“未成年和青少年酒精人群的筛查和简短干预”的要求，我们提出评估FCU应用于青少年识别患者（IP）和年龄相近的兄弟姐妹时的功效。我们纳入年龄相近的兄弟姐妹的基本原理来自于一个强大的经验基础，它表明：1)兄弟姐妹在酒精使用方面的相似性很高，兄弟姐妹共享的环境因素占青少年酒精使用差异的很大一部分；2)兄弟姐妹关系的特定互动动态（合谋）与青少年酒精使用有关。为了确定其他类型的以家庭为基础的干预是否可能像FCU一样有帮助，将兄弟姐妹增强FCU的效果与父母心理教育项目Family Matters （FM）进行比较。本应用程序的主要目的是评估兄弟姐妹增强FCU在减少酒精相关事件和年龄相近的兄弟姐妹出现的青少年IP中酒精和其他药物使用的功效。父母监控和其他青少年健康风险行为的变化也将在一年的时间内进行测量。

DESCRIPTION (provided by applicant): The earlier an adolescent initiates substance use, the greater the risk of long-range problems. This association persists despite changes in national substance use rates over time, indicating its stability and viability as a target for prevention. At the same time, parent monitoring of youth behavior tends to decrease during the adolescent years, creating a source of risk for the early onset of substance use. Thus, programs that foster parenting behaviors and family relationships that are protective in helping youth to avoid substance abuse are an important area of continuing research. To date, most of the research has been conducted on universal prevention programs based in schools. Some selective prevention programs with high risk groups have also been conducted in schools. Only rarely do these universal or selective programs involve parents. The Family Check-Up (FCU) is an exception to this trend as it is a selective intervention program that focuses on parents. A unique strength of the FCU is that feedback is individualized and tailored to specific parenting skills as they typically pertain to an identified adolescent in the family. Our group has found that the Family Check-Up had better effects on reducing alcohol use in teens presenting to an Emergency Department as alcohol-positive at 6 month follow-up than an individual motivational intervention. In this application, which is submitted in response to PA-07-406, "Screening and Brief Interventions in Underage and Young Adult Alcohol Populations," we propose to evaluate the efficacy of the FCU when applied to both an adolescent Identified Patient (IP) and a sibling close in age. Our rationale for including a sibling close in age derives from a strong empirical base which has shown that: 1) sibling resemblance for alcohol use is high and environmental factors shared by siblings account for substantial portions of variance in adolescent alcohol use; and 2) specific interactional dynamics of the sibling relationship (collusion) are related to teen alcohol use. In order to determine whether other types of family-based interventions might be just as helpful as the FCU, efficacy of the sibling-enhanced FCU will be compared to a parenting psychoeducational program, Family Matters (FM). The major goal of this application is to evaluate the efficacy of a sibling-enhanced FCU in reducing alcohol and other drug use in an adolescent IP presenting with an alcohol-related event and a sibling close in age. Changes in parental monitoring and other adolescent health risk behaviors will also be measured over a 1-year period.