An e-Parenting Skills Intervention to Decrease Injured Adolescents' Alcohol Use

 描述(由申请人提供)：我们完成了一项由CDC资助的转化性研究，考察了全国儿科创伤中心是否遵守美国外科医生学会对青少年创伤患者进行筛查、简短干预和转诊治疗(SBIRT)的要求。我们的研究发现，创伤中心的干预措施通常是单次干预，很少讨论父母监督或其他育儿策略，但临床实践和研究表明，父母或家庭为基础的部分大大提高了青少年酒精使用干预的效果，而不是仅限青少年的计划。这项提案试图在两个儿科创伤中心测试电子育儿技能干预的可行性和可接受性。我们将随机选择75对酒精使用呈阳性的受伤青少年(12-17岁)及其父母接受标准创伤中心护理(对青少年的简短干预)或标准创伤中心护理(对青少年的简短干预)，以及电子育儿技能干预，包括针对父母技能培养的计算机化干预、一系列短信和基于网络的留言板。这项建议的主要目的是确定在两个儿科创伤中心实施电子育儿干预方案的可行性和可接受性，为更大规模的全功率试验做准备。关于我们未来的中心假设 完全有效的随机对照试验是，与只接受标准创伤中心护理的青少年相比，父母接受电子育儿技能干预的青少年在干预后的6个月内将减少酒精使用和与酒精相关的负面后果。因此，这项建议的次要目的是计算可与其他相关数据一起使用的初步效应量，如可接受性数据和文献中的发现，以在未来的完全有效的随机对照试验中计算样本量。我们还将调查青少年联合使用大麻的情况。这个项目在收集电子育儿技能干预的初步数据方面推进了翻译研究，这种干预可以很容易地在儿科创伤中心高保真地采用。它的发现有可能直接影响使用受伤青少年进行酒精干预的最佳临床实践。

 DESCRIPTION (provided by applicant): We completed a CDC funded translational study examining a national cohort of pediatric trauma centers' compliance with the American College of Surgeons requirement for Screening, Brief Intervention and Referral to Treatment (SBIRT) for adolescent trauma patients. Our study found that trauma center interventions are usually single session interventions with little discussion of parental monitoring or other parenting strategies yet clinical practice and research indicates that a parental or a family based component improves the efficacy of adolescent alcohol use interventions significantly more than adolescent only programs. This proposal seeks to test the feasibility and acceptability of an e-parenting skills intervention at two pediatric trauma centers. We will randomize 75 dyads of injured adolescents (12-17 years old) who screen positive for alcohol use and their parent to receive either standard trauma center care (a brief intervention with the adolescent) or standard trauma center care (a brief intervention with the adolescent) plus an e-parenting skills intervention consisting of a computerized intervention for parent skill building, a series of text messages and a web-based message board. The primary aim of this proposal is to determine the feasibility and acceptability of conducting the e- parenting intervention protocol across two pediatric trauma centers in preparation for a larger fully power trial. The central hypothesis for our future fully powered randomized control trial is that adolescents whose parents receive the e-parenting skills intervention will decrease their alcohol use and alcohol-related negative consequences over the 6 months following the intervention more than adolescents who receive only standard trauma center care. Therefore, a secondary aim of this proposal is to calculate a preliminary effect size that could be used, along with other relevant data, such as the acceptability data and findings in the literature, to calculate sample size in a future fully powered randomized control trial. We will also examine adolescent's conjoint use of marijuana. This project advances translational research in collecting preliminary data on an e- parenting skills intervention that can be easily adopted with high fidelity across pediatric trauma centers. Its findings have the potential to directly impact best clinical practices for intervening with alcohol using injured adolescents.