Effects of the Family Check-Up on Adolescents with Alcohol-Related Events and the

描述（由申请人提供）：青少年越早开始使用药物，长期问题的风险就越大。尽管随着时间的推移，国家药物使用率发生了变化，但这种关联仍然存在，表明其作为预防目标的稳定性和可行性。与此同时，在青少年时期，父母对青少年行为的监督往往减少，从而造成了过早开始使用药物的风险来源。因此，促进父母行为和家庭关系的计划，是保护青少年，以避免药物滥用是一个重要的领域，继续研究。迄今为止，大多数研究都是在学校开展的普遍预防方案。还在学校开展了一些针对高危群体的选择性预防方案。这些普遍或选择性的方案很少涉及父母。家庭检查是这一趋势的一个例外，因为它是一个重点针对父母的选择性干预方案。家庭协调股的一个独特优势是，反馈是个性化的，并针对具体的育儿技能，因为它们通常涉及到一个确定的青少年在家庭中。我们的小组发现，家庭检查对减少在6个月随访时因酒精阳性而到急诊室就诊的青少年的酒精使用有更好的效果，而不是个人动机干预。在本申请中，作为对PA-07-406“未成年和年轻成人酒精人群的筛查和短暂干预”的回应，我们建议评价FCU应用于青少年已识别患者（IP）和年龄相近的兄弟姐妹时的疗效。我们纳入年龄相近的兄弟姐妹的理由来自于一个强有力的经验基础，该经验基础表明：1）兄弟姐妹在饮酒方面的相似性很高，兄弟姐妹共享的环境因素占青少年饮酒差异的很大一部分; 2）兄弟姐妹关系（共谋）的特定干扰动态与青少年饮酒有关。为了确定是否其他类型的家庭为基础的干预措施可能是一样有帮助的FCU，同胞增强FCU的功效将比较育儿心理教育计划，家庭事务（FM）。本申请的主要目的是评价同胞增强FCU在减少出现酒精相关事件且同胞年龄相近的青少年IP中酒精和其他药物使用方面的疗效。父母监控和其他青少年健康风险行为的变化也将在一年内进行测量。

DESCRIPTION (provided by applicant): The earlier an adolescent initiates substance use, the greater the risk of long-range problems. This association persists despite changes in national substance use rates over time, indicating its stability and viability as a target for prevention. At the same time, parent monitoring of youth behavior tends to decrease during the adolescent years, creating a source of risk for the early onset of substance use. Thus, programs that foster parenting behaviors and family relationships that are protective in helping youth to avoid substance abuse are an important area of continuing research. To date, most of the research has been conducted on universal prevention programs based in schools. Some selective prevention programs with high risk groups have also been conducted in schools. Only rarely do these universal or selective programs involve parents. The Family Check-Up (FCU) is an exception to this trend as it is a selective intervention program that focuses on parents. A unique strength of the FCU is that feedback is individualized and tailored to specific parenting skills as they typically pertain to an identified adolescent in the family. Our group has found that the Family Check-Up had better effects on reducing alcohol use in teens presenting to an Emergency Department as alcohol-positive at 6 month follow-up than an individual motivational intervention. In this application, which is submitted in response to PA-07-406, "Screening and Brief Interventions in Underage and Young Adult Alcohol Populations," we propose to evaluate the efficacy of the FCU when applied to both an adolescent Identified Patient (IP) and a sibling close in age. Our rationale for including a sibling close in age derives from a strong empirical base which has shown that: 1) sibling resemblance for alcohol use is high and environmental factors shared by siblings account for substantial portions of variance in adolescent alcohol use; and 2) specific interactional dynamics of the sibling relationship (collusion) are related to teen alcohol use. In order to determine whether other types of family-based interventions might be just as helpful as the FCU, efficacy of the sibling-enhanced FCU will be compared to a parenting psychoeducational program, Family Matters (FM). The major goal of this application is to evaluate the efficacy of a sibling-enhanced FCU in reducing alcohol and other drug use in an adolescent IP presenting with an alcohol-related event and a sibling close in age. Changes in parental monitoring and other adolescent health risk behaviors will also be measured over a 1-year period.