Efficacy Trial of a Mindfulness-enhanced Strengthening Families Program

正念增强强化家庭计划的功效试验

• 批准号: 7921464
• 负责人: J DOUGLAS COATSWORTH
• 金额: $ 65.78万
• 依托单位: PENNSYLVANIA STATE UNIVERSITY, THE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-01 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7921464
• 关键词: AIDS/HIV problem; Accounting; Address; Adolescent; Adult; Affect; Affective; Alcohol abuse; Alcohol consumption; Alcohol or Other Drugs use; Anxiety; Attention; Behavior; Behavioral; Child; Communication; Compassion; Contracts; Controlled Study; Couples; Dimensions; Drug usage; Educational Curriculum; Emotional; Evidence based program; Family; Health; Health Benefit; Hylobates Genus; Illicit Drugs; Individual; Informal Social Control; Intervention; Link; Measurement; Mediating; Mental Depression; Methods; Modeling; Modification; Multiple Partners; Observational Study; Outcome; Parenting behavior; Parents; Participant; Pennsylvania; Personal Satisfaction; Practice Management; Pre-Post Tests; Prevention; Prevention program; Preventive Intervention; Problem behavior; Process; Public Health; Randomized; Randomized Controlled Trials; Relapse; Reporter; Reporting; Research; Risk; Risk Factors; Sampling; Schools; Self Perception; Sex Behavior; Societies; Stress; Structure; Students; Substance abuse problem; Techniques; Testing; United States; Waiting Lists; Well in self; Youth; adolescent substance use; base; design; efficacy testing; efficacy trial; evidence base; follow-up; high risk sexual behavior; high school; improved; innovation; mindfulness; multilevel analysis; parental monitoring; physical conditioning; prevent; programs; public health relevance; randomized trial; skills; therapy design; tool; trend

DESCRIPTION (provided by applicant): This study proposes to test the efficacy of a Mindfulness-enhanced version of the Strengthening Families Program: For Parents and Youth 10-14 (SFP 10-14) within a randomized study that will also attempt to replicate and extend research findings for SFP 10-14. The SFP 10-14 program is an evidence-based program with demonstrated effects on parenting practices and youth problem behaviors. Studies have typically produced effects in the small to medium range, suggesting the potential for enhanced effects with modifications. We will also extend the research on SFP 10-14 by examining the effects of the program on adolescent early sexual behavior. Mindfulness techniques have become a useful tool within the treatment arena and have been incorporated into intrapersonal treatments for a variety of problems including anxiety, depression, physical health ailments and alcohol abuse. Techniques have also been used to enhance adult wellness and strengthen interpersonal relationships in married couples. We propose that mindfulness is also useful within the interpersonal context of parenting. Using a conceptual model of mindful parenting we have adapted the SFP program by integrating new activities to build five targeted mindful parenting skills: Listening with full attention; Emotional Awareness of self and child; Nonjudgmental acceptance of self and child; self- regulation in parenting relationships; and compassion for self and child. We will test the efficacy of our Mindfulness-enhanced Strengthening Families Program (MSFP) within a sample of 600 6th and 7th grade youth who will be randomly assigned to one of three conditions: 1) SFP 10-14; 2) MSFP; or 3) Self-study control. Multi-method, multi-reporter measurement strategy will be employed to assess families at pre-test, post-test and 1 year follow-up. Multilevel modeling techniques are used to examine the effects of the program against each other and the control, accounting for the nested structure of participant within group. We anticipate that results from this study will: 1) replicate early effects demonstrated by SFP; 2) demonstrate the enhanced effects of SFP on indicators of parent-youth relationship quality, parental mindfulness, and parental well-being, 3) demonstrate enhanced effects of MSFP on youth outcomes of well-being and problem behaviors. We also hypothesize that effects will be mediated by parenting dimensions such as parent-youth affective quality, mindful parenting and child management. We will explore whether the intervention operates better for families under higher levels of stress. An enhanced effect of this evidence-based program has the potential for significant public health benefits. PUBLIC HEALTH RELEVANCE: This project seeks to test an innovative family-focused preventive intervention designed to reduce risk and increase protection for adolescent substance use, conduct problems and risky sexual behavior. The program targets family and individual youth processes that are linked with onset and escalation of substance use through high school. As part of the project we will implement an evidence-based program - Strengthening Families Program: For Parents and Youth 10-14 - that has demonstrated effects on youth substance use and conduct problems. Should our experimental intervention prove to have enhanced effects, it would have substantial public health benefits for individuals, families and society.

描述（由申请人提供）：本研究建议在一项随机研究中测试加强家庭计划的正念增强版的有效性：针对父母和青少年10-14（SFP 10-14），该研究还将尝试复制和扩展SFP 10-14的研究结果。SFP 10-14计划是一个以证据为基础的计划，对父母的做法和青年问题行为有明显的影响。研究通常产生小到中等范围的效果，表明修改后可能会增强效果。我们还将通过检查该计划对青少年早期性行为的影响来扩展SFP 10-14的研究。正念技巧已成为治疗竞技场中的一种有用工具，并已被纳入各种问题的自我治疗中，包括焦虑，抑郁，身体健康疾病和酗酒。技术也被用来提高成年人的健康和加强已婚夫妇的人际关系。我们认为，正念在养育子女的人际背景下也是有用的。使用正念育儿的概念模型，我们通过整合新的活动来调整SFP计划，以建立五种有针对性的正念育儿技能：全神贯注地倾听;自我和孩子的情感意识;对自我和孩子的非评判性接受;在育儿关系中的自我调节;以及对自我和孩子的同情。我们将在600名6年级和7年级的青少年样本中测试我们的正念增强强化家庭计划（MSFP）的有效性，这些青少年将被随机分配到三种条件之一：1）SFP 10-14; 2）MSFP;或3）自学对照。将采用多方法、多报告者测量策略在测试前、测试后和1年随访时对家庭进行评估。多层次建模技术被用来检查对彼此和控制程序的影响，占嵌套结构的参与者在组内。我们预计，这项研究的结果将：1）复制SFP所证明的早期效果; 2）证明SFP对父母与青少年关系质量，父母正念和父母幸福感指标的增强效果; 3）证明MSFP对青少年幸福感和问题行为结果的增强效果。我们还假设，影响将介导的养育维度，如父母的青少年情感质量，用心养育和儿童管理。我们将探讨这种干预措施是否对压力较大的家庭更有效。这一循证计划的增强效果有可能带来重大的公共卫生效益。公共卫生相关性：该项目旨在测试一种创新的以家庭为重点的预防性干预措施，旨在减少风险和增加对青少年药物使用、行为问题和危险性行为的保护。该方案的目标是家庭和个人的青年过程，这些过程与高中阶段药物使用的开始和升级有关。作为该项目的一部分，我们将实施一项以证据为基础的方案-加强家庭方案：针对父母和10-14岁青年-该方案已证明对青年药物使用和行为问题有影响。如果我们的实验性干预被证明具有增强效果，它将对个人，家庭和社会产生重大的公共卫生效益。