Reducing Alcohol & Risks Among Young Females

描述（由申请人提供）：教育发展中心公司将进行一项干预研究，以确定和解决早期饮酒和危险行为的综合影响，研究对象是城市非洲裔美国人和拉丁裔青少年女性，她们感染艾滋病毒、艾滋病和其他感染的风险很高。调查小组过去的研究表明，在我们的目标人群中，近10%的女性在七年级时有风险，到十年级春季时超过一半。虽然酒精使用与国家数据更具可比性，但早期饮酒和危险行为的结合令人不安，但现有干预措施未得到充分解决。这个随机实验将测试一个理论推导和经验基础的“选择性”干预，专门针对高风险的年轻青少年女性。干预措施建立在一项有希望影响青少年的战略之上：父母教育。研究的目标是影响青少年危险行为的三种养育机制：父母监测（P-PM）、家庭规则制定（HR-PM）和沟通（C-PM）。在继续与纽约市公立学校和一个社区咨询委员会合作的过程中，目标是：(1)编制一套三张音频光盘，在6个月期间每隔一段时间向青春期女儿的父母提供一套音频光盘，内容涉及预防饮酒以及早期饮酒与冒险之间的联系；(2)招募500名家长及其8年级女儿，并随机将家庭分配到以下三个条件之一：(1)以预防酒精使用为重点的音频-cd干预；(2)注意控制疾病；(3)非注意控制状态；(3)对父母进行基线电话调查，评估父母监控（P-PM）、家庭规则（HR-PM）、亲子沟通（C-PM）以及对女儿饮酒和其他行为的认知；(4)对青春期女儿进行基线调查，评估她们对酒精、P-PM、HR-PM和C-PM的态度和行为；(5)对干预后3个月的家长进行电话调查，测试音频-cd干预对P-PM、HR-PM、C-PM的改善效果；(6)对女儿进行干预后3个月的调查，并测试音频-cd干预在培养与减少饮酒和冒险有关的态度和行为方面的效果；(7)检验从基线到随访3个月女儿态度和行为的变化是否可以通过P-PM、HR-PM和C-PM的变化来解释，以及这三种教养机制是否介导了实验条件与女儿结局之间的关系。这项研究有可能提高对早期饮酒与危险行为之间联系的理解，并为解决这些风险提供一种经过验证的、选择性的、以女性为中心的干预措施。其目标是让年轻妇女走上一条保护她们健康的道路，并减轻酗酒问题和艾滋病毒疾病给非洲裔美国人和拉丁裔社区带来的负担。

DESCRIPTION (provided by applicant): Education Development Center, Inc. will conduct an intervention study to characterize and address the combined effect of early alcohol use and risky behavior within a population of urban African American and Latina adolescent females who are at high risk for HIV, AIDS, and other infections. Past research by the investigative team has documented that nearly 10% of females in our target population are at risk in 7thgrade and more than half by spring of 10th grade. Although alcohol use is more comparable with national figures, the combination of early alcohol and risky behavior is troubling, yet under-addressed by existing interventions. This randomized experiment will test a theoretically-derived and empirically-grounded "selective" intervention that specifically targets high-risk young adolescent females. The intervention builds upon a promising strategy for influencing adolescents: parent education. Three parenting mechanisms (PM) shown to influence adolescent risk behavior are targeted: parental monitoring (P-PM), household rule setting (HR-PM), and communication (C-PM). In continuing collaboration with New York City public schools and a community advisory board, the aims are to: (1) Develop a set of three audio-cds to be delivered at intervals over a 6-month period to parents of young adolescent daughters that address alcohol prevention and the link between early alcohol use and risk taking; (2) Enroll 500 parents and their 8th grade daughters and randomly assign families to one of three conditions: (1) an audio-cd intervention focused on prevention of alcohol use; (2) an attention-controlled condition; or (3) a non-attention controlled condition; (3) Conduct a baseline telephone survey of parents to assess parental monitoring (P-PM), household rules (HR-PM), parent-child communication (C-PM) and perceptions of daughters' alcohol and other behaviors; (4) Conduct a baseline survey of adolescent daughters to assess their attitudes and behaviors about alcohol, P-PM, HR-PM, and C-PM; (5) Conduct a 3-month post-intervention telephone survey of parents and test the efficacy of the audio-cd intervention in improving P-PM, HR-PM, and C-PM; (6) Conduct a 3-month post-intervention survey of daughters and test the efficacy of the audio-cd intervention in fostering attitudes and behaviors related to reduced alcohol and risk taking; (7) Examine whether changes from baseline to 3 month follow up in daughters' attitudes and behaviors are explained by changes in P-PM, HR-PM, and C-PM, and whether these three parenting mechanism mediate the relationship between experimental condition and daughters' outcomes. The study has the potential to improve understanding of the link between early alcohol and risky behavior and to provide a proven, selective, female-focused intervention for addressing these risks. The goal is to set young women on a course that protects their health and reduces the burden that problem drinking and HIV disease is taking on African American and Latino communities.