Family Education to Reduce Teen Drinking and Promote Safe Driving

描述（由申请人提供）：这项发展研究将产生和试点创新的家庭教育干预，旨在减少青少年饮酒和促进安全的司机和乘客的行为。干预措施针对的是有15至17岁青少年的家庭，并利用一个可教的时刻，当青少年酒精实验和滥用正在上升，儿子，女儿和他们的朋友开始获得许可证。父母往往感到没有准备好提供有效的监督、规则制定、沟通和支持，以防止自己和其他孩子在驾驶和其他情况下滥用酒精。拟议的音频CD干预，当危险成为真实的：帮助父母解决青少年酒后驾车，将使用理论驱动和经验丰富的戏剧性，基于现实的故事，以积极的育儿实践，以促进理想的青少年行为。其目的是：（1）与父母、青少年和社区知情人进行形成性研究，以确定预防信息，并为音频CD干预制定榜样故事，以减少15- 17岁青少年的饮酒和促进安全驾驶行为，并确定可行的分销渠道（例如，（2）与一位获奖的多媒体专家合作，编写脚本并制作干预措施，包括音频CD、CD包装和附带的印刷材料;（3）在200对父母-青少年配对的随机试验中，对干预措施进行初步试验，以评估其可行性、可接受性和有效性的初步证据，其中一半家庭接受音频CD干预，其他家庭作为注意力控制（接受常规的学校/社区饮酒/驾驶教育加上NIH小册子，预防酒精，烟草和其他药物使用的家长指南）;[将再招募50名家长-青少年配对，以评估在“未受污染”的学校环境中的结果，在这种环境中既不分发干预措施，也不分发注意力控制材料];（4）对父母进行基线和干预后3个月的电话调查，并对青年进行书面调查，以评估饮酒、驾驶以及酒后驾驶的态度、行为和假设的养育机制（例如，监督、规则制定、沟通和支持），以及对可接受性和可行性的持续过程评估。如果干预策略被证明是有希望的，下一步将是疗效试验。如果有效，干预措施可以通过多种渠道传播到家庭，当他们可能面临青少年饮酒，青少年驾驶和酒后驾驶存在的困难问题时。 公共卫生相关性：公共卫生相关性声明：青少年饮酒，青少年驾驶，以及酒后驾车的交叉路口给青少年，父母和社区带来了无数的挑战。这项研究将为15-17岁青少年的父母制定和试行一项简短的干预措施，当饮酒和驾驶危险增加时，父母往往不太愿意提供监督和指导。如果危险变成真实的：在随后的试验中发现，帮助父母解决青少年酒后驾车问题是有效的，这种干预措施可以作为社区努力保持青少年安全和无酒精的一个组成部分广泛传播。

DESCRIPTION (provided by applicant): This developmental study will produce and pilot an innovative family education intervention aimed at reducing teen drinking and promoting safe driver and passenger behaviors. The intervention targets families with youth 15 to 17 years old and capitalizes upon a teachable moment, when teen alcohol experimentation and misuse are on the rise and sons, daughters, and their friends begin getting their licenses. Parents often feel unprepared to provide effective oversight, rule-setting, communication and support to keep their own and other children from misusing alcohol, both in conjunction with driving and in other situations. The proposed audio-CD intervention, When Dangers Become Real: Helping Parents Address Teen Drinking and Driving, will use theoretically driven and empirically informed dramatic, reality-based stories to model positive parenting practices to promote desired adolescent behaviors. The aims are to: (1) Conduct formative research with parents, teens, and community informants to identify prevention messages and develop role model stories for an audio-CD intervention to reduce alcohol use and promote safe driving behaviors among teens, ages 15- 17, and to identify viable distribution channels (e.g., high schools, Department of Motor Vehicles, driver education programs); (2) Collaborate with an award-winning multi-media specialist to develop scripts and produce the intervention, including the audio-CD, CD packaging and accompanying print materials; (3) Pilot test the intervention to assess feasibility, acceptability, and preliminary evidence of effectiveness in a randomized trial of 200 parent-youth dyads, in which half of the families receive the audio-CD intervention and the others serve as attention-controls (receiving routine school/community drinking/driving education plus the NIH pamphlet, A Parent's Guide For the Prevention of Alcohol, Tobacco, and Other Drug Use); [an additional 50 parent-youth dyads will be enrolled to assess outcomes in an "uncontaminated" school setting in which neither intervention nor attention-control materials are distributed]; (4) Conduct baseline and 3-month post-intervention telephone surveys of parents and written surveys of youth to assess drinking, driving, and drinking and driving attitudes, behaviors, and hypothesized parenting mechanisms (e.g., oversight, rule- setting, communication, and support), and ongoing process evaluation of acceptability and feasibility. If the intervention strategy proves promising, the next step would be an efficacy trial. If efficacious, the intervention can be disseminated via multiple channels to reach families when they are likely to be confronting the difficult issues that teen drinking, teen driving, and drinking and driving present. PUBLIC HEALTH RELEVANCE: Public Health Relevance Statement: Teen drinking, teen driving, and the intersections of drinking and driving present myriad challenges to youth, parents, and communities. This study will develop and pilot a brief intervention for parents with teens 15-17 years old, when drinking and driving dangers increase and parents often are less comfortable providing oversight and guidance. If When Dangers Become Real: Helping Parents Address Teen Drinking and Driving is found effective in a subsequent trial, the intervention can be widely disseminated as one component of community efforts to keep adolescents safe and alcohol-free.