In-home prevention of SA risks for Native teen families

本土青少年家庭的 SA 风险家庭预防

• 批准号: 7809180
• 负责人: John T. Walkup
• 金额: $ 78.05万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2011-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7809180
• 关键词: 19 year old; American Indians; Arts; Behavioral; Belief; Child; Communities; Control Groups; Data; Data Collection; Data Quality; Development; Drug usage; Educational Curriculum; Enrollment; Family; Fathers; Frequencies; Funding; Goals; Grant; Health Knowledge, Attitudes, Practice; Home environment; Home visitation; House Call; Indian reservation; Intervention; Life Cycle Stages; Mothers; Motivation; National Institute of Drug Abuse; Occupations; Outcome; Parenting behavior; Parents; Pattern; Pharmaceutical Preparations; Pregnancy; Prevention; Process; Qualitative Research; Randomized; Readiness; Recovery; Recruitment Activity; Reporting; Research; Research Methodology; Risk; Sampling; Site; Spouses; System; Technology; Teenagers; Time; Training; United States National Institutes of Health; Work; behavioral health; design; early childhood; effective intervention; fatherhood; health disparity; high risk behavior; improved; male; maternal drug use; men; offspring; parental role; prenatal; public health relevance; standard care; substance abuse prevention; teenage mother; therapy development; time use

DESCRIPTION (provided by applicant): The overarching goal of this Competitive Revision [Notice Number (NOT-OD-09-058) and Notice Title ("NIH Announces the Availability of Recovery Act Funds for Competitive Revision Applications")] is to expand the scope of our current grant, "In-Home Prevention of Substance Abuse Risks for Native Teen Families," (NIDA 5R01DA019042; FOA: PA-07-070) that is assessing the efficacy of the "Family Spirit" (FS) prenatal and early childhood home- visiting intervention delivered by American Indian (AI) paraprofessionals to AI teen mothers and their children. The current FS intervention is designed to promote mothers' effective parenting practices, reduce maternal drug use, and improve maternal and child outcomes associated with lifetime drug use. The Revision will research current drug use patterns and parenting practices of men who fathered a child with and/or are male partners of AI teen mothers enrolled in the current trial and work with communities to design a data-driven, culturally informed FS supplemental intervention for fathers. Specific aims are to: 1) describe drug use patterns of AI fathers/male partners; 2) explore fathers' and community stakeholders' beliefs and motivations regarding drug use and fatherhood; 3) examine relationships between fathers' drug use patterns and fathering practices; and 4) design a FS fathers curriculum targeting: a) drug refusal and avoidance; b) effective parenting; c) job readiness, and d) improved home environments. At the time of submission of this Competitive Revision, the sample for the current grant (N=322 mother/child pairs) is recruited and randomized to the FS Intervention + Optimized Standard Care vs. Optimized Standard Care alone. At baseline, expectant AI teen mothers at ~32 weeks gestation from four southwestern reservation communities were 12-19 years old and reported high rates of lifetime drug use. This study aims to recruit 120 fathers (30 from each site) evenly distributed across treatment and control groups and 40 community experts (10 from each site) to advise the intervention development process. Research methods will combine in-depth qualitative research processes with state-of-the-art ACASI technologies to maximize data quality and accelerate transmittal, analysis, and dissemination of findings. Long-term expected outcomes are to reduce persistent AI behavioral health disparities related to drug use over the life course of young AI parents and their offspring. PUBLIC HEALTH RELEVANCE: Given American Indian males' known risks for drug use and their impact on partners and children's drug-related outcomes, there is an urgent need to identify effective intervention strategies for young American Indian fathers. First-time fatherhood may provide a pivotal developmental time point for behavioral redirection and decrease related behavioral risks for partners/spouses and children.

描述（申请人提供）：此竞争性修订的总体目标[通知号（NOT-OD-09-058）和通知标题（“ NIH宣布宣布竞争性修订应用程序的恢复ACT资金的可用性”）]是为了扩大我们当前赠款的范围，“对我们当前的滥用药物滥用药物滥用风险的范围” PA-07-070）正在评估“家庭精神”（FS）产前和幼儿期的疗效 - 美洲印第安人（AI）专业人士向AI青少年母亲及其子女提供的干预措施。当前的FS干预措施旨在促进母亲的有效育儿习惯，减少孕产妇使用，并改善与终身吸毒相关的孕产妇和儿童结局。修订将研究当前的药物使用模式和育儿习惯，这些男性与AI青少年母亲的男性和/或是当前审判的男性伴侣的男性，并与社区合作设计了一个数据驱动的，文化知识的FS FS补充干预措施。具体目的是：1）描述AI父亲/男性伴侣的毒品使用模式； 2）探索父亲和社区利益相关者对吸毒和父亲的信念和动机； 3）检查父亲的毒品使用模式与父亲实践之间的关系； 4）设计FS父亲课程的目标：a）拒绝和避免药物； b）有效的育儿； c）工作准备和d）改善家庭环境。在提交此竞争性修订时，招募了当前赠款的样本（n = 322个母亲对），并将其随机分配给FS干预 +优化的标准护理与仅优化的标准护理。在基线时，来自西南四个保留地社区的妊娠约32周的预期AI少年母亲为12-19岁，报告了终生使用率高。这项研究旨在招募120名父亲（每个站点的30个）均匀分布在治疗和对照组中，以及40名社区专家（来自每个站点的10个），以建议干预发展过程。研究方法将将深入的定性研究过程与最先进的ACASI技术相结合，以最大程度地提高数据质量并加速调查结果的传播，分析和传播。长期预期的结果是减少年轻AI父母及其后代的持续性AI行为健康差异。 公共卫生相关性：鉴于美洲印第安人男性对吸毒的已知风险及其对伴侣和儿童与毒品有关的结果的影响，因此迫切需要确定对年轻的美洲印第安人父亲的有效干预策略。首次父亲可能会为行为重定向提供关键的发育时间点，并减少伴侣/配偶和子女相关的行为风险。