Prevention of Substance Use in At-risk Students: A Family-centered Web Program

描述(由申请人提供)：以学校为基础、以家庭为中心的青少年减少药物使用的干预措施已被证明是非常有效的，随着时间的推移，问题行为、成就问题、抑郁和药物使用的减少。尽管这些干预措施在全美的有效性试验中被证明是有效的，但在没有实质性支持的情况下，很少有学校有资源来实施这些干预措施。人员编制不足、工作人员培训不足和资源有限等障碍阻碍了在学校成功采用以家庭为中心的干预措施，但大多数学校系统支持加强家庭与学校的伙伴关系。这项拟议的研究将建立在我们成功的研究计划的基础上，通过开发和测试针对学校的在线版本的家庭体检(FCU)的有效性，家长可以在学校或家里使用。FCU-Online将纳入原始FCU的成功组成部分，例如以常模为参考的基于优势的评估、使用激励性访谈的反馈，以及侧重于在青春期早期加强育儿技能和家庭管理的后续模块。在这项拟议的研究中，300个家庭将被随机分配到像往常一样接受中学教育，只接受FCU-在线网络/手机，或FCU-在线网络/手机+教练版本。关于通过互联网提供心理健康干预的研究表明，教练或“面对面”接触可以提高结果；然而，不需要教练或面对面接触的项目可能会对公共健康产生更大的影响。教练版的干预将与仅在线版本的干预进行比较，后者不需要在学校配备人员。我们将测试这个在线版本在改变关键的父母教育结构方面的有效性，例如积极的父母教育和父母监督。我们预测，父母教养方式的改变将导致危险行为的减少，例如在学校的问题行为和药物使用。这项研究将大大有助于我们理解对青少年的有效干预措施，以减少向高中过渡期间的危险行为和药物使用，并有助于在学校全面接受和传播以家庭为中心的干预措施。

DESCRIPTION (provided by applicant): School-based, family-centered interventions for reducing substance use in adolescence have been shown to be highly effective and result in reductions in problem behavior, achievement problems, depression, and substance use over time. Although these interventions have been shown to be effective in efficacy trials across the United States, few schools have the resources to implement these interventions without substantial support. Barriers such as low staffing, poorly trained staff, and limited resources prevent the successful uptake of family-centered interventions in schools, yet most school systems are supportive of enhancing family-school partnerships. The proposed study will build upon our successful program of research by developing and testing the efficacy of an online version of the Family Check-Up (FCU) for schools that parents can use either at the school or at home. The FCU-Online will incorporate the successful components of the original FCU, such as a strengths-based assessment that is norm referenced, feedback using motivational interviewing, and follow-up modules that focus on enhancing parenting skills and family management in early adolescence. In the proposed research, 300 families will be randomly assigned to receive middle school as usual, the FCU-Online web/mobile only, or the FCU-Online web/mobile+coach version. Research on the delivery of mental health interventions via the Internet suggests that a coach or "in person" contact enhances outcomes; however, programs that require no coaching or in-person contact may have a larger public health impact. A coach version of the intervention will be compared with an online-only version that requires no staffing at schools. We will test the efficacy of this online version with respect to changing key parenting constructs, such as positive parenting and parental monitoring. We predict that changes in parenting will lead to reductions in risk behavior, such as problem behavior at school and substance use. This research will significantly contribute to our understanding of effective interventions for adolescents that reduce risk behavior and substance use during the transition to high school, and it can significantly contribute to the overall uptake and dissemination of family- centered interventions in schools.