ALTERING FAMILY NORMS RE--ADOLESCENT ALCOHOL MISUSE

改变家庭规范——青少年酗酒

• 批准号: 3112514
• 负责人: TEDDY E DIELMAN
• 金额: $ 43.09万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 1991
• 资助国家: 美国
• 起止时间: 1991-08-01 至 1994-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3112514
• 关键词: African American; adolescence (12-20); alcoholism /alcohol abuse education; alcoholism /alcohol abuse prevention; alcoholism /alcohol abuse therapy; attitude; behavior modification; behavior prediction; caucasian American; child rearing; drug abuse; family structure /dynamics; female; human therapy evaluation; interview; longitudinal human study; male; middle childhood (6-11); model design /development; parent offspring interaction; paternal behavior; peer group; questionnaires; reinforcer; self concept

The overall objectives are to design a family-based adolescent alcohol misuse prevention intervention and conduct a reduced scale feasibility study. Methodological aims are to assess recruitment and retention rates for the experimental conditions. Substantive aims are to conduct pilot studies of conceptual models of adolescent alcohol use and misuse. Based on the results of those tests, a family-based intervention directed at altering parental norms and behavior regarding adolescent alcohol use and misuse will be designed and pilot tested. The specific aims of the pilot test are to: 1) test, in cross-sectional and longitudinal studies, the predictive validity of components of a conceptual model of parent and peer group influences on adolescent alcohol use and misuse; 2)pilot test the effectiveness of the intervention in changing parents' information, attitudes and behavior, and their children's alcohol use/misuse intentions and behavior, and 3)pilot test the effectiveness of the parent-directed intervention using procedures designed to maximize intervention effectiveness with procedures generalizable to use as a component of a school-based intervention. Subjects will be 600 students, in the fourth grade in year one and their parents. All target students will be tested in their classrooms, which will yield additional data on approximately 340 non-target peers. One third of the 600 families will be randomly assigned to each of three conditions: maximum treatment, generalizable treatment, and control. Half of each of those groups will be randomly assigned to pretest to no-pretest conditions, and half of each of these subgroups will be assigned to demand instructions before and after conditions. One third of each of these groups will be randomly assigned to each of three incentive conditions (payment, drawing, none). The maximum treatment condition parents will receive three visits and discussion concerning the consequences of adolescent alcohol use, the relationship of parental alcohol and other drug use to adolescent alcohol use/misuse, and parenting skills designed to prevent adolescent alcohol misuse. The visits will be followed by phone contacts mailings, or interviewer availability to answer questions. The generalizable treatment condition parents will receive the same information in mailed pamphlets, but no home visits, follow-up phone calls, or interviewer availability to answer questions. The control group will receive no information. All students will be pretested in their classrooms. Half of the parents in each condition will be pretested with home interviews prior to the intervention. All students will be posttested in their classroom, and all parents will be posttested via home interviews once each year following the intervention. The data analyses will consist of repeated measures analysis of variance and interactive testing of covariance structure models of parental practices and adolescent alcohol use/misuse. Child gender effects will be routinely assessed. Ethnicity effects will be assessed insofar as possible with the pilot study sample size.

总体目标是设计一个以家庭为基础的青少年酒精 误用预防干预和进行规模缩小的可行性 study. 方法上的目标是评估征聘和保留率 实验条件。 实质性目标是进行试点 研究青少年饮酒和滥用酒精的概念模型。 基于 根据这些测试的结果， 改变父母关于青少年饮酒的规范和行为， 将设计和试验滥用。 试点的具体目标 测试是：1）测试，在横截面和纵向研究中， 父母-同伴概念模型各组成部分的预测效度 小组对青少年酒精使用和滥用的影响; 2）试点测试 改变父母信息的干预措施的有效性， 态度和行为，以及他们孩子的酒精使用/滥用意图 和行为，3）试点测试家长指导的有效性 使用旨在最大限度地干预的程序进行干预 有效性，程序可普遍用作 学校的干预。 主题将是600名学生，在第四届 一年级和他们的父母 所有目标学生将在 他们的教室，这将产生额外的数据约340 非目标对等体。 600个家庭中的三分之一将被随机分配 三个条件：最大限度的治疗，普遍的治疗， 防治的攻坚 每组中的一半将被随机分配到 预测试到无预测试条件，这些亚组中的每一个的一半将 被分配到需求指令之前和之后的条件。 三分之一 将被随机分配到三组中的每一组， 激励条件（付款、提款、无）。 最大治疗 父母将接受三次访问和讨论， 青少年饮酒的后果，父母的关系 酒精和其他药物使用与青少年酒精使用/滥用，以及养育子女 旨在防止青少年滥用酒精的技能。 此次访问将 其次是电话联系邮件，或面试官是否有空回答 问题. 一般的治疗条件父母将收到 在邮寄的小册子中提供相同的信息，但没有家访，后续电话 电话或面试官是否有空回答问题。 对照组 不会收到任何信息。 所有学生将在他们的 教室 在每种情况下，一半的父母将被预先测试， 干预前的家庭访谈。 所有的学生都将接受后测 所有家长都将通过家庭访谈进行事后测试 干预后每年一次。 数据分析将包括 重复测量方差分析和交互检验 父母行为与青少年饮酒的协方差结构模型 使用/误用。 将定期评估儿童性别影响。 族裔 将尽可能使用试点研究样本评估影响 尺寸