Feasibility of online parent training to promote parent-adolescent communication

描述(由申请人提供)：本申请建议评估在线育儿培训方法的可行性，以影响母亲-青少年关于药物的沟通。父母与青少年之间的沟通一直是毒品使用开始和发展的重要威慑因素。然而，许多父母和青少年并不就毒品问题进行沟通，对父母和青少年对此类沟通障碍的看法以及影响这些障碍的个人、心理社会和背景因素知之甚少。研究表明，家长培训计划可以有效地促进沟通，从而减少药物使用。然而，许多方案是时间和资源密集型的，方法上是通用的，因此可能很难向一系列家长广泛传播和适用。拟议的项目有两个独立但又相关的目标，以解决关于药物使用的亲子沟通方面的研究和实践中的空白：1)确定有关药物使用的沟通的公认障碍及其相关因素；2)审查在线家长培训方法的可行性，以促进亲子沟通。将与两个城市预防联盟一起采用以社区为基础的参与研究方法。将与母亲和青少年开展重点小组，以获得对特定主题的毒品沟通障碍的看法，并将从这项工作中制定一种衡量沟通障碍的方法。然后，一项评估感知障碍、沟通行为和假设影响障碍的因素的在线调查将对300名母亲-青少年二人实施，并将通过多层次建模技术分析关联。将举行联盟伙伴会议，以了解社区家长的外联需求和现有基础设施内在线培训方法的障碍。这三项活动的结果将为一个在线培训模块的内容和方法提供信息，该模块将与60名母亲一起开发和试行，以评估潜在的有效性和可接受性。该项目将成为一项研究计划的基础，该计划将延伸到R01应用程序，以检查在线父母培训方法对影响青少年吸毒行为的有效性。公共卫生相关性：父母可以在预防青少年吸毒方面发挥重要作用。一种成本和时间效益高的在线资源，可以通过基于证据的有针对性的培训接触到成千上万的父母，具有广泛的公共卫生意义。

DESCRIPTION (provided by applicant): This application proposes to evaluate the feasibility of an online parenting training approach for influencing mother-adolescent communication about drugs. Parent-adolescent communication has consistently emerged as an important deterrent to initiation and progression of drug use. Yet, many parents and adolescents don't communicate about drugs and relatively little is known about parents' and adolescents' perceptions of barriers to such communication and individual, psychosocial, and contextual factors that influence these barriers. Research has shown that parent training programs can be effective in promoting communication that results in reduced drug use. Yet, many programs are time- and resource-intensive and universal in approach, so that widespread dissemination and applicability to a range of parents may be difficult to achieve. The proposed project has two separate, but related, goals to address gaps in the research and practice regarding parent- adolescent communication about drug use: 1) to identify perceived barriers to communication about drug use and the factors associated with them, and 2) to examine the viability of an online parent training approach to promote parent-adolescent communication. A community-based participation research approach will be adopted in concert with two urban prevention coalitions. Focus groups will be conducted with mothers and adolescents to obtain perspectives on topic-specific barriers to communication about drugs, and a measure of perceived barriers to communication will be developed from this work. An online survey that assesses perceived barriers, communication behavior, and factors hypothesized to influence barriers will then be implemented with 300 mother-adolescent dyads, and associations will be analyzed via multilevel modeling techniques. Coalition partner meetings will be conducted to obtain perspectives on community parent outreach needs and barriers to an online training approach within the existing infrastructures. The results of the three activities will inform the content and approach of an online training module that will be developed and piloted tested with 60 mothers to assess potential efficacy and acceptability. The project will form the foundation of a program of research that will extend to an R01 application to examine the efficacy of an online parent training approach for affecting youth drug use behaviors. PUBLIC HEALTH RELEVANCE: Parents can play an important role in preventing adolescent drug use. A cost- and time-effective online resource that could reach thousands of parents with evidence-based targeted training has the potential for broad public health significance.