FAMILY BASED PREVENTION FOR CHILDREN OF ALCOHOLICS

该项目的具体目标是：(1)测试加强家庭计划(SFP)对酒精依赖父母的子女的有效性；(2)检查关于SFP的卫生服务研究；(3)为酒精依赖父母的儿童进行病因学理论测试。这些目标将由一个国际研究团队进行测试，这将使我们能够确定(1)SFP是否将具有类似的成功率，(2)是否存在与卫生服务相关的类似结果，(3)以及病因学模型的建立是否将在不同的社会环境和卫生服务系统环境中推广。SFP是一个高度结构化的、以家庭为重点的预防计划，由三个部分组成：父母培训、儿童技能培训以及为依赖酒精和其他药物(AOD)的父母的儿童提供家庭技能培训。研究对象将包括720个学龄儿童(9-12岁)家庭。这些家庭将在两年半的时间里从来自两个环境背景(布法罗和多伦多)的六个治疗机构的144个COA家庭的五个队列中招募。一半(N=360个家庭)将被随机分配到试验组，另一半将被分配到最低限度的接触控制干预，包括一次视频育儿会议。将采用真实实验的3年纵向研究设计，包括几个重复的测量(即前测、后测和纵向随访)，并随机分配家庭。将从儿童和父母那里收集风险/保护因素(例如，药物使用/滥用、自尊、应对技能、家庭环境、生活压力)的标准化结果衡量标准。综合流程数据(例如，计划保真度、消费者满意度、参与率和培训师变量)将与结果数据相关联。将对一些协变量(年龄、性别、种族、地点、儿童功能障碍、酒精/药物使用水平)进行分析，以确定不同的计划有效性。数据分析将包括方差分析、结构方程分析、中介分析、潜在增长模型和分层线性模型。

The specific aims of this project are (1) to test the effectiveness of the Strengthening Families Program (SFP) for children of alcohol dependent parents; (2) to examine health services research on the SFP; and (3) to conduct etiological theory testing for children of alcohol dependent parents. These aims will be tested by an international research team that will allow us to determine whether (1) the SFP will have similar success rates, (2) there are similar health services-related outcomes, (3) and whether etiological model building will generalize, across different social environmental contexts and health service system milieus. The SFP is a highly structured, family-focused prevention program composed of three components: parent training, children's skills training, and family skills training for children of alcohol and other drug (AOD) dependent parents. The subjects will include 720 families of school-aged (9-12 years old) children. These families will be recruited in five cohorts of 144 COA families each from six treatment agencies across two environmental contexts (Buffalo and Toronto) over two and a half years. Half (N=360 families) will be randomly assigned to the experimental group and half to a minimal contact control intervention consisting of a single video parenting session. A true-experimental, 3 year longitudinal research design consisting of several repeated measures (i.e., a pre-test, post-test, and longitudinal follow-ups) and with random assignment of families will be utilized. Standardized outcome measures of risk/protective factors (e.g., substance use/abuse, self-esteem, coping skills, family environment, life stressors) will be gathered from both children and parents. Comprehensive process data (e.g., program fidelity, consumer satisfaction, participation rates, and trainer variables) will be linked to outcome data. A number of co-variates (age, gender, ethnicity, site, child dysfunction, level of alcohol/drug use) will be analyzed to determine differential program effectiveness. Data analyses will include analyses of variance, SEM, mediational analysis, latent growth modeling and hierarchical linear modeling.