Drug Abuse Prevention: A Mother-Daughter Intervention

预防药物滥用：母女干预

• 批准号: 7616220
• 负责人: STEVEN Paul SCHINKE
• 金额: $ 56.74万
• 依托单位: COLUMBIA UNIV NEW YORK MORNINGSIDE
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-07-01 至 2011-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7616220
• 关键词: Adolescence; Affective; Alcohol or Other Drugs use; Behavior; Belief; CD-ROM; Child; Communication; Computers; Conflict (Psychology); Data; Data Analyses; Data Collection; Daughter; Development; Dose; Drug abuse; Drug usage; Face; Family; Gender; Housing; Intervention; Investigation; Life; Low income; Measurement; Mediating; Minority; Moods; Mothers; New York City; Outcome; Participant; Phase; Preparation; Prevention program; Prevention strategy; Problem Solving; Process; Protocols documentation; Race; Recruitment Activity; Resolution; Risk Factors; Ritual compulsion; Sampling; Schedule; Self Efficacy; Sex Characteristics; Site; Social support; Testing; Upper arm; adolescent substance use; authority; base; boys; coping; cost; drug abuse prevention; efficacy testing; flexibility; follow-up; girls; improved; intervention effect; meetings; pressure; prevent; skills; substance use prevention; therapy development

DESCRIPTION (provided by applicant): Although boys have engaged historically in more drug use than girls, recent data reveal few gender differences. Gender differences exist in risk factors for adolescent substance use, however. Because of the singular pressures that girls face in their relationships with their mothers during adolescence, girls may profit greatly from prevention programs that develop and strengthen positive connections with their mothers. Yet formidable barriers to implementing family-centered strategies exist. For family intervention to reach and impact large numbers of people, it must be delivered with fidelity; be engaging, affordable, and flexible; meet tight scheduling demands; and reflect participant families' cultures. Computer-mediated intervention fits these requirements. The planned investigation will engage a sample of poor, minority girls and their mothers who live in New York City Housing Authority units. We will deliver gender-specific drug abuse intervention (GSI) via CD-ROM to girls and their mothers on-site at their housing developments. Study aims are: to develop and test the efficacy of GSI compared to a no-intervention control arm in preventing girls' substance use; to test the efficacy of GSI to improve girls' mother-daughter affective quality, coping, refusal skills, mood management, conflict resolution, problem solving, self-efficacy, body esteem, normative beliefs, social supports, and mother-daughter communication and relate these mediating factors to girls' substance use behavior; to test the efficacy of GSI to improve mothers' family rituals, rules against substance use, child management, mother-daughter affective quality, and communication with their daughters and relate these mediating factors to girls' substance use behavior; to test the effects of dose on participants' outcomes; to determine if intervention effects differ for ethnic-racial groups; and to quantify the costs of intervention development and delivery. The study will occur in three phases. In a 12-month preparation phase, we will refine and complete intervention and measurement protocols, assign housing projects to study arms, recruit participants, and pretest. A 12-month implementation phase includes intervention delivery, process data collection, booster 1 development, and posttest. Follow-up in the last 36 months will involve longitudinal measurements of girls and mothers, booster 1 delivery, booster 2 development and delivery, and data analyses.

描述(由申请者提供)：尽管历史上男孩比女孩更多地吸毒，但最近的数据显示性别差异很小。然而，青少年使用药物的风险因素存在性别差异。由于女孩在青春期与母亲的关系中面临着独特的压力，女孩可能会从发展和加强与母亲的积极联系的预防计划中获益良多。然而，实施以家庭为中心的战略仍然存在巨大的障碍。为了让家庭干预接触到并影响到大量的人，它必须以保真的方式提供；必须吸引人、负担得起和灵活；满足紧张的时间安排需求；并反映参与家庭的文化。计算机中介干预符合这些要求。这项计划中的调查将对居住在纽约市住房管理局单元中的贫困少数族裔女孩及其母亲进行抽样。我们将通过光盘向女孩及其母亲在住宅区现场提供针对性别的药物滥用干预(GSI)。 研究的目的是：开发和测试GSI在预防女孩物质使用方面的有效性；测试GSI在改善女孩的母女情感质量、应对、拒绝技能、情绪管理、冲突解决、自我效能、身体尊重、规范信念、社会支持和母女沟通方面的有效性，并将这些中介因素与女孩的物质使用行为联系起来；测试GSI对改善母亲的家庭礼仪、戒毒规则、儿童管理、母女情感质量和与女儿的沟通的有效性，并将这些中介因素与女孩的物质使用行为联系起来；测试剂量对参与者结局的影响；确定种族群体的干预效果是否不同；并量化干预开发和实施的成本。 这项研究将分三个阶段进行。在为期12个月的准备阶段，我们将完善和完成干预和测量方案，分配住房项目来研究武器，招募参与者，并进行预试。为期12个月的实施阶段包括干预交付、过程数据收集、助推器1开发和后测试。过去36个月的后续行动将包括对女孩和母亲的纵向测量、助产士1分娩、助产士2发育和分娩，以及数据分析。