Understanding and Preventing Childhood Drug Use Risk

了解和预防儿童吸毒风险

• 批准号: 7616779
• 负责人: THOMAS J. DISHION
• 金额: $ 104.79万
• 依托单位: UNIVERSITY OF OREGON
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-30 至 2013-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7616779
• 关键词: Academic achievement; Accounting; Address; Adolescence; Affect; Age; Aggressive behavior; Anxiety; Anxiety Disorders; Attention; Behavioral; Behavioral inhibition; Caregivers; Characteristics; Child; Child Development; Child Mental Health; Child Nutrition; Childhood; Collaborations; Comorbidity; Competence; Consult; Consultations; Control Groups; Data; Data Analyses; Data Set; Development; Dimensions; Discrimination; Disruptive Behavior Disorder; Distress; Drug usage; Early treatment; Education; Effectiveness; Elements; Emotions; Environment; Environmental Impact; Environmental Risk Factor; Ethnic Origin; Family; Family Characteristics; Feedback; Funding; Future; Gender; Growth; HIV; Health; Home environment; Home visitation; Horns; House Call; Infant; Informal Social Control; Intervention; Intervention Studies; Joints; Lead; Link; Low income; Measurement; Measures; Mediating; Mediation; Mental Health; Mental disorders; Methodology; Modeling; Monitor; Nature; Oregon; Outcome; Outcomes Research; Parenting behavior; Parents; Pattern; Pennsylvania; Performance; Phase; Poverty; Prevention; Probability; Problem behavior; Protocols documentation; Public Health; Randomized; Readiness; Reading; Recruitment Activity; Relative (related person); Reporting; Research; Risk; Risk Behaviors; Risk Factors; Risk Reduction; Role; Sampling; School-Age Population; Schools; Science; Scientist; Self-control as a personality trait; Series; Services; Siblings; Site; Stress; System; Techniques; Temperament; Testing; Time; Training; Translating; Universities; Videoconferences; Videoconferencing; Videotape; Virginia; Woman; adolescent drug use; base; checkup examination; clinically significant; cost; depression; design; deviant; early onset; early onset drug use; elementary school; emotional adjustment; emotional distress; experience; family management; high risk; high risk sexual behavior; improved; intervention effect; literacy; maternal depression; meetings; peer; prevent; prognostic; programs; public education; service intervention; skills; social; success; therapy design

DESCRIPTION (provided by applicant): The revised application proposes a five-year extension of the Early Steps Multisite Project (ES-M) focused on Understanding and Preventing Childhood Drug Use Risk. The ES-M project is a collaboration of the Child and Family Center at the University of Oregon (Dishion), the University of Pittsburgh (Shaw), and the University of Virginia (Wilson). During its first five years the project exceeded expected recruitment rates (731), maintained high retention rates (85%), successfully engaged families in our family-intervention model, and produced reductions in problem behavior and emotion distress in children from ages 2 to 4 years. We have found that improvements in children's adjustment were mediated by improved family management practices. In the next five years we propose to adapt the family intervention model to provide support for each child's transition into the public school system, and conduct developmental analyses to better understand early emergence of school competence, early deviant peer involvement problem behavior, and emotion distress. We will also address the role of siblings in children's development and as an intervention outcome variable. Biannual intensive assessments are proposed that include home visits and direct observations, as well as yearly assessments of the child's problem behavior and self-regulation in the family context. This assessment builds on an existing multiagent-multimethod assessment strategy across all three sites that has included yearly direct observations as well as measurement of child and family characteristics. We propose that the study will test the effectiveness of a feasible, cost-effective, family-centered intervention that can be initiated within WIC or similar service settings and be continued and maintained in the public school environment. In addition, the data set affords a rich opportunity to link caregiver engagement in the intervention with child and family outcomes. The net effect of this family-centered, early intervention strategy is significant reduction of risk for early-onset problem behavior, improved school competence, reduction in children's mental health disorders, and reductions in risk for drug use from age 2 to 10. Advancements in multivariate data analysis such as general growth mixture modeling will be used to study the environmental factors associated with the formation of health and of high-risk developmental trajectories, as well as to determine the effectiveness of the family intervention in altering those trajectories.

修订后的申请建议将早期步骤多站点项目（ES-M）延长五年，重点是了解和预防儿童吸毒风险。ES-M项目是俄勒冈州大学（Dishion）儿童和家庭中心、匹兹堡大学（Shaw）和弗吉尼亚大学（Wilson）的合作项目。在最初的五年里，该项目超过了预期的招募率（731），保持了较高的保留率（85%），成功地使家庭参与了我们的家庭干预模式，并减少了2至4岁儿童的问题行为和情绪困扰。我们发现，改善儿童的适应调解改善家庭管理的做法。在接下来的五年里，我们建议调整家庭干预模式，为每个孩子的过渡到公立学校系统提供支持，并进行发展分析，以更好地了解早期出现的学校能力，早期越轨的同伴参与问题行为，情绪困扰。我们还将讨论兄弟姐妹在儿童发展中的作用，并将其作为干预结果变量。建议一年两次的密集评估，包括家访和直接观察，以及每年评估儿童的问题行为和家庭环境中的自我调节。这一评估建立在现有的跨所有三个地点的多主体多方法评估战略的基础上，其中包括每年的直接观察以及对儿童和家庭特征的测量。我们建议，这项研究将测试一个可行的，具有成本效益的，以家庭为中心的干预措施，可以在WIC或类似的服务环境中启动，并继续在公立学校环境中保持的有效性。此外，数据集提供了丰富的机会，将照顾者参与干预与儿童和家庭的结果联系起来。这种以家庭为中心的早期干预策略的净效应是显著降低早发性问题行为的风险，提高学校能力，减少儿童的心理健康障碍，并降低2至10岁的药物使用风险。多变量数据分析的进步，如一般的增长混合建模，将用于研究与健康和高风险的发展轨迹的形成相关的环境因素，以及确定家庭干预在改变这些轨迹的有效性。