Parenting Prevention-Intervention for Mothers of AfricanAmerican Adolescent Males

描述（由申请人提供）：非裔美国男性青少年明显比其他青少年更有可能从事高风险的性活动。在过去的十年里，他们吸食大麻和饮酒的比例也大大增加。这项为期两年的探索性和开发性申请响应了PA-08-218 (R1)，并请求资助修订，标准化和试点测试，以经验为依据，全面的，文化上敏感的非裔美国青少年男孩母亲的父母培训预防干预。该项目旨在向母亲传授社会化原则和具体做法，实证研究表明，这些原则和具体做法与非裔美国男孩的高风险行为发生率较低有关。该初步计划的课程、形式和手册是几年来由PI定期为非裔美国男孩的父母举办的一系列育儿讲习班发展而来的。该计划还利用了许多其他育儿计划的最佳做法。为了进一步修改课程，PI将与成绩优异的非裔美国男孩的父母和成绩较差的男孩的父母进行焦点小组讨论。育儿和翻译研究方面的专家也将对课程和研讨会形式进行评估。这项建议的另一个目的是试点测试预防干预的可行性和有效性。共有72名8年级非裔美国男学生及其母亲将完成干预的基线评估，包括针对性育儿、高风险行为、自我调节、同伴网络和成就。然后，这些家庭将被随机分配到预防干预组或对照组。预防干预将在男孩进入同一所高中之前进行。测试后评估将在干预后6个月进行。还将对该计划的概念模型进行初步假设检验。另一个目的是估计干预参数，如效应大小、反应率、损耗率、保真度、互信度和对统计能力重要的参数。与NIDA的使命和R21资助机制的目的一致，该项目旨在促进开发更大规模的基于科学的预防干预措施，以减少这一人群的高风险行为。

DESCRIPTION (provided by applicant): African American adolescent males are significantly more likely to engage in high- risk sexual activity than other adolescents. Their rates of marijuana and alcohol use have also greatly increased over the past decade. This 2 year exploratory and developmental application is responsive to PA-08-218 (R1) and requests funding to revise, standardize, and pilot test an empirically informed, comprehensive, and culturally sensitive parent-training prevention intervention for mothers of African American adolescent boys. The program is designed to teach mothers the socialization principles and specific practices the empirical research shows to be associated with a lower prevalence of high-risk behaviors among African American boys. The preliminary program curriculum, format, and manual have been developed over several years from a series of parenting workshops regularly conducted by the PI for parents of African American boys. The program also utilizes many of the best practices of other parenting programs. To further revise the curriculum, the PI will conduct focus groups with parents of high-achieving African American boys and other with parents of lower achieving boys. Experts in parenting and translational research will also rate the curriculum and workshop format. Another purpose of this proposal is to pilot test the feasibility and efficacy of the prevention-intervention. A total of 72 8th grade African American male students and their mothers will complete baseline assessments of intervention targeted parenting, high-risk behaviors, self-regulation, peer networks, and achievement. The families will then be randomly assigned to the prevention intervention or the control group. The prevention intervention will occur before the boys attend the same high school. Post test assessments will occur six months post intervention. Preliminary hypothesis tests of the conceptual model underlying the program will also be conducted. Another purpose is to estimate intervention parameters such as effect sizes, response rates, attrition rates, fidelity, interrater reliability, and parameters important for statistical power. Consistent with the mission of NIDA and purpose of the R21 grant mechanism, this project is designed to facilitate the development of larger scientifically-based prevention interventions to reduce high-risk behaviors in this population. PUBLIC HEALTH RELEVANCE: African American adolescent males are significantly more likely than other adolescents to engage in risky sexual activity, and their rates of alcohol and marijuana use have dramatically increased recently. These behaviors place them at elevated risk for HIV/AIDS and substance abuse during adulthood. This project seeks to reduce these risky behaviors among African American adolescent males, which would have enormous implications for public health.