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CDC资助的转化研究，检查了一个国家儿童创伤中心队列对美国外科医生学会青少年创伤患者筛查、短暂干预和转诊治疗（SBIRT）要求的依从性。我们的研究发现，创伤中心的干预措施通常是单次干预，很少讨论父母的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组件，提高青少年酒精使用干预的有效性显着超过青少年只有程序。这项建议旨在测试的可行性和可接受性的电子育儿技能干预在两个儿科创伤中心。我们将随机选取75对受伤的青少年（12-17岁）酒精使用筛查呈阳性的人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）加上电子育儿技能干预，包括父母技能建设的计算机化干预，一系列的短信和一个网络留言板本提案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。我们未来的核心假设 一项完全有效的随机对照试验表明，父母接受电子育儿技能干预的青少年在干预后6个月内比仅接受标准创伤中心护理的青少年更多地减少饮酒和酒精相关的负面后果。因此，本提案的次要目的是计算可用于沿着其他相关数据（如文献中的可接受性数据和结果）的初步效应量，以计算未来完全把握度随机对照试验的样本量。我们还将研究青少年的大麻联合使用。该项目推进了转化研究，收集了关于电子育儿技能干预的初步数据，这些数据可以在儿科创伤中心以高保真度轻松采用。其研究结果有可能直接影响干预酒精使用受伤青少年的最佳临床实践。

 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.