Understanding Parent Retention in Indicated Prevention

描述（由申请人提供）： 家长出勤率是一个重大挑战，以家庭为重点的预防在所有级别的预防工作（普遍，选择和指示），但也许最具挑战性的和最少的研究与风险青少年的父母指示预防方案。高危青少年的父母和青少年本身往往遭受一些个人、家庭和经济困难，这可能会降低父母对养育子女的兴趣和满意度，并影响参加养育子女会议的意愿和能力。与此同时，所示方案要求参与者在时间和参与程度方面更多，以便取得成功。PAYS项目（家长和学校中的青少年）的家长作为合作伙伴（合作伙伴）部分是对NIDA呼吁为高危青少年制定包括家庭干预在内的药物滥用预防方案的回应（PA 96-013）。PAYS是一个指定的预防方案，旨在解决社会上最令人不安的趋势之一：在有高中辍学风险的青年中同时出现药物使用/滥用、攻击和抑郁。伙伴课程解决家庭风险因素与共同发生的青年问题行为。 合作伙伴要求家长参加15次会议，家庭和小组会议相结合，旨在培养育儿技能和支持青少年在RY的成功，并采取了一些战略来招募和留住父母。由此产生的家长参与率超过了典型的出席率，同时显示了家长之间的有用变化：162个符合条件的家长家庭中有95%以上至少参加了一次会议，一半以上完成了系列。拟议中的研究是一个二级分析的家长出席的合作伙伴计划，利用家长和青年的自我报告，干预过程中的收视率相关的会议出席率，并深入访谈，以研究因素，提高和阻碍家长的参与。这一分析提供了一个机会，以审查各种因素，因为它们有助于了解每届会议的出席模式。多来源、多方法的数据可用于这一分析，增加了这些研究结果的普遍性和适用性，以实施更受关注、因此更有效的预防工作。

DESCRIPTION (provided by applicant): Parent attendance is a significant challenge to family-focused prevention across all levels of prevention work (universal, selected and indicated), but perhaps most challenging and least studied for indicated prevention programs with parents of at-risk teens. Parents of at-risk teens, and the teens themselves, often suffer a number of personal, family and economic hardships that can diminish a parent's interest and satisfaction in parenting, and affect willingness and ability to attend parenting sessions. At the same time, indicated programs ask more of participants in terms of time and level of involvement in order to be successful. The Parents as Partners (Partners) component of Project PAYS (Parents and Youth in Schools) was a response to NIDA's call for drug abuse prevention programs for high risk youth that included family intervention (PA 96-013). PAYS is an indicated prevention program designed to address one of society's most disturbing trends: the co-occurrence of drug use/abuse, aggression, and depression among youth who are at risk for dropping out of high school. The Partners curriculum addresses family risk factors linked to co-occurring youth problem behaviors. Partners requires a parent attend 15 sessions, a combination of home and group meetings, designed to foster parenting skills and support teen success in RY, and a number of strategies were used to recruit and retain parents. The resulting parent participation rates exceeded typical attendance while showing a useful variation across parents: over 95% of 162 eligible parent households attended at least one session, and more than half completed the series. The proposed study is a secondary analysis of parent attendance in the Partners program, utilizing parent and youth self-report, interventionist process ratings related to session attendance, and in-depth interviews to examine factors that enhance and impede parent participation. This analysis offers an opportunity to examine a wide range of factors as they contribute to understanding session-by-session attendance patterns. The multi-source, multi-method data available for this analysis increase the generalizability and applicability of these research findings to the implementation of more well attended and hence more effective indicated prevention efforts.