Development and Pilot of a Parent Based Intervention for Reducing High-risk Social Networking Site Cognitions, Alcohol Use, and Negative Consequences Among Adolescents

项目摘要/摘要 未成年人饮酒的盛行仍然是一个公共卫生问题。许多研究都有 据报道，青少年饮酒倾向与父母的态度和信仰、父母的意识 青少年饮酒、父母监督以及亲子关系和沟通的质量。这个 在这一领域的广泛工作导致了以父母为基础的干预(PBI)努力预防或减少 青少年饮酒。几项独立研究表明，父母接受PBI的青少年 报告说，饮酒较少，与酒精相关的后果也较少。尽管有这些优势，但一个主要的 PBI的局限性在于，它们目前没有考虑到社交网站(SNS) 在青少年的生活中使用游戏，并与他们的酒精使用有关。大多数(90%)的青少年使用社交网络，而且 他们的Facebook、Instagram和Twitter个人资料中都有酒精内容。因此，我们建议发展和 完善交互式PBI，旨在减少高危SNS认知(即态度和规范)、饮酒、 以及对青少年的负面影响。为了达到研究目的，我们提出了一种迭代过程 在线焦点小组，以开发和完善将在试点研究中交付的互动PBI，其中包括1 并对100对父母/青少年夫妇进行6个月的随访。此R34应用程序的目标是建立 新开发的关注社交网络作用的交互式PBI的可行性和可接受性 青少年饮酒以及为今后的研究确定初步效果大小。这项管理工作 正在提交补编(PA-20-272)申请，以支付在以下范围内增加的费用 获奖已获批准，但由于新冠肺炎的原因而未被预见。具体而言，拟议的补编将使我们能够 最大限度地利用我们最初的时间表中的剩余时间来完成开发并在 2021年秋末。随着新冠肺炎疫情的蔓延，由于以下原因，第一阶段焦点小组的启动被推迟 我们机构对面对面研究的限制。因此，我们需要将项目作为交付的轴心 完全在线。因此，我们遇到了编程成本增加和时间表延迟的问题 焦点小组形式的变化以及必要的人类主体审批和流程 机构。此外，如果没有能力进行许多常规的面对面招聘策略(例如， 去学校、社区活动和亲自分发传单)基于大学和社区 指导方针和预防措施，我们已经花费并预计需要继续在网上花费更多的钱 广告选择(社交媒体、在线报纸)比最初预期的要多。最后，由于 项目时间表的延迟我们目前人手不足，无法充分满足我们的研究目标并成功 完成项目的剩余部分。因此，为了实现这些目标，我们需要更多的教员和 根据本补编的要求，工作人员的努力以及广告和节目费用的增加。

PROJECT SUMMARY/ABSTRACT The prevalence of underage alcohol use continues to be a public health concern. Numerous studies have reported associations between teen drinking tendencies and parental attitudes and beliefs, parental awareness of teen drinking, parental monitoring and the quality of the parent–teen relationship and communication. The extensive work in this area has resulted in parent-based intervention (PBI) efforts to prevent or reduce adolescent alcohol use. Several independent studies have indicated that teens whose parents received a PBI reported less alcohol use and fewer alcohol-related consequences. Despite these strengths, one major limitation of PBI is that they do not currently take into account the large role that social networking sites (SNS) use plays in adolescents’ lives and in relation to their alcohol use. Most (90%) adolescents are on SNS, and their Facebook, Instagram, and Twitter profiles include alcohol content. As such, we propose to develop and refine an interactive PBI designed to reduce high-risk SNS cognitions (i.e. attitudes and norms), alcohol use, and negative consequences among adolescents. To achieve study aims, we propose an iterative process of online focus groups in order to develop and refine the interactive PBI to be delivered in the pilot study with 1 and 6 month follow-up among 100 parent/teen dyads. The objective of this R34 application is to establish feasibility and acceptability of the newly developed interactive PBI that focuses on the role of SNS in adolescent alcohol use as well as to determine preliminary effect sizes for future studies. This administrative supplement (PA-20-272) request is being submitted to meet increased costs that are within the scope of the approved award but were unforeseen due to COVID-19. Specifically, the proposed supplement will allow us to maximize the remaining time in our original timeline to finish developing and launch the Phase 2 pilot study in late Fall 2021. With the COVID-19 pandemic, there was a delay in launching Phase 1 Focus Groups due to restrictions on in-person research at our institution. As such, we needed to pivot the project to be delivered completely online. As a result, we experienced increased programming costs and a delay in timeline based on this change in focus group format and the necessary human subjects approvals and processes at our institution. Further, without the ability to do many of our routine in-person recruitment strategies (e.g., such as going to schools, community events, and handing out flyers in person) based on university and community guidelines and precautions, we have spent and anticipate needing to continue to spend more money on online advertising alternatives (social media, online newspapers) than originally expected. Finally, because of the delay in project timeline we are currently understaffed to sufficiently meet our study aims and to successfully carry out the remainder of the project. Thus, in order to achieve these goals, we will need additional faculty and staff effort and increased advertising and programming costs as requested in this supplement.