Efficacy Trial of a Mindfulness-enhanced Strengthening Families Program

描述（由申请人提供）：本研究建议在一项随机研究中测试正念增强版强化家庭计划的有效性：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项目是一个以证据为基础的项目，在育儿实践和青少年问题行为方面有明显的效果。研究通常在小到中等范围内产生效果，这表明通过修改可能会增强效果。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。正念技术已经成为治疗领域的一种有用的工具，并已被纳入各种问题的个人治疗中，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夫妻之间的人际关系。我们认为，正念在养育子女的人际关系中也很有用。利用正念育儿的概念模型，我们调整了SFP计划，通过整合新的活动来建立五种有针对性的正念育儿技能：全神贯注地倾听；自我与孩子的情感意识；对自己和孩子不加评判的接受；亲子关系中的自我调节；以及对自己和孩子的同情。我们将在600名六年级和七年级的青少年样本中测试正念增强强化家庭计划（MSFP）的有效性，他们将被随机分配到三个条件之一：1)SFP 10-14；2) MSFP;或3)自学控制。采用多方法、多报告者测量策略对家庭进行测试前、测试后和1年随访。多层建模技术用于检查程序对彼此和控制的影响，考虑到组内参与者的嵌套结构。我们预计本研究的结果将：1)重复SFP证明的早期效应；2)证明了SFP对亲子关系质量、父母正念和父母幸福感指标的增强效应；3)证明了MSFP对青少年幸福感和问题行为结果的增强效应。我们还假设这种影响将由父母-青年情感质量、正念父母和儿童管理等养育维度介导。我们将探讨这种干预是否对压力较大的家庭更有效。这种以证据为基础的方案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：该项目旨在试验一种创新的以家庭为重点的预防干预措施，旨在减少青少年药物使用、行为问题和危险的性行为的风险并加强对其的保护。该计划的目标是与高中时期药物使用的开始和升级有关的家庭和个人青少年过程。作为该项目的一部分，我们将实施一个以证据为基础的方案——加强家庭方案：针对10-14岁的父母和青少年——该方案已证明对青少年药物使用和行为问题有效果。如果我们的实验性干预被证明具有增强的效果，它将为个人、家庭和社会带来巨大的公共卫生效益。

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.