Efficacy Trial of a Mindfulness-enhanced Strengthening Families Program

描述(由申请人提供)：这项研究建议在随机研究中测试加强正念版本的强化家庭计划：针对父母和青年10-14(SFP 10-14)的有效性，该研究还将尝试复制和扩展SFP 10-14的研究结果。SFP 10-14计划是一个以证据为基础的计划，展示了对育儿实践和青少年问题行为的影响。研究通常在小到中等范围内产生影响，表明通过修改有可能增强效果。我们还将通过检查SFP 10-14项目对青少年早期性行为的影响来扩展SFP 10-14的研究。正念技术已成为治疗领域中的一种有用工具，并已被纳入各种问题的个人治疗中，包括焦虑、抑郁、身体健康疾病和酗酒。这些技术也被用来增进成年人的健康，并加强已婚夫妇之间的人际关系。我们认为，正念在为人父母的人际环境中也是有用的。使用正念育儿的概念模型，我们调整了SFP计划，整合了新的活动，建立了五种有针对性的正念育儿技能：全神贯注地倾听；对自我和孩子的情感意识；对自我和孩子的不加评判的接受；在育儿关系中的自我调节；以及对自我和孩子的同情。我们将在600名6年级和7年级的青少年样本中测试我们的正念强化家庭计划(MSFP)的有效性，他们将被随机分配到以下三种条件之一：1)正念强化家庭计划10-14；2)强化正念家庭计划；或3)自学对照。将采用多方法、多报告者测量策略，在测试前、测试后和1年随访时对家庭进行评估。多层次建模技术被用来考察计划对彼此和控制的影响，考虑到小组内参与者的嵌套结构。我们期望这项研究的结果将：1)重现SFP的早期效应；2)证明SFP对亲子关系质量、父母注意力和父母幸福感指标的增强效应；3)MSFP对青少年幸福感和问题行为结果的增强效应。我们还假设，影响将通过父母教育维度进行中介，如亲子情感质量、有意识的父母教育和儿童管理。我们将探讨干预措施是否对处于较高压力水平的家庭更有效。这一循证计划的增强效果有可能为公众健康带来显著的好处。公共卫生相关性：该项目旨在测试一种创新的以家庭为重点的预防性干预措施，旨在降低青少年使用药物、行为问题和危险性行为的风险并加强保护。该方案针对的是家庭和个人青年过程，这些过程与高中期间药物使用的开始和升级有关。作为该项目的一部分，我们将实施一个以证据为基础的计划--加强家庭计划：针对父母和青少年10-14岁--该计划展示了对青少年药物使用和行为问题的影响。如果我们的实验性干预被证明具有增强的效果，它将为个人、家庭和社会带来巨大的公共健康好处。

DESCRIPTION (provided by applicant): This study proposes to test the efficacy of a Mindfulness-enhanced version of the Strengthening Families Program: For Parents and Youth 10-14 (SFP 10-14) within a randomized study that will also attempt to replicate and extend research findings for SFP 10-14. The SFP 10-14 program is an evidence-based program with demonstrated effects on parenting practices and youth problem behaviors. Studies have typically produced effects in the small to medium range, suggesting the potential for enhanced effects with modifications. We will also extend the research on SFP 10-14 by examining the effects of the program on adolescent early sexual behavior. Mindfulness techniques have become a useful tool within the treatment arena and have been incorporated into intrapersonal treatments for a variety of problems including anxiety, depression, physical health ailments and alcohol abuse. Techniques have also been used to enhance adult wellness and strengthen interpersonal relationships in married couples. We propose that mindfulness is also useful within the interpersonal context of parenting. Using a conceptual model of mindful parenting we have adapted the SFP program by integrating new activities to build five targeted mindful parenting skills: Listening with full attention; Emotional Awareness of self and child; Nonjudgmental acceptance of self and child; self- regulation in parenting relationships; and compassion for self and child. We will test the efficacy of our Mindfulness-enhanced Strengthening Families Program (MSFP) within a sample of 600 6th and 7th grade youth who will be randomly assigned to one of three conditions: 1) SFP 10-14; 2) MSFP; or 3) Self-study control. Multi-method, multi-reporter measurement strategy will be employed to assess families at pre-test, post-test and 1 year follow-up. Multilevel modeling techniques are used to examine the effects of the program against each other and the control, accounting for the nested structure of participant within group. We anticipate that results from this study will: 1) replicate early effects demonstrated by SFP; 2) demonstrate the enhanced effects of SFP on indicators of parent-youth relationship quality, parental mindfulness, and parental well-being, 3) demonstrate enhanced effects of MSFP on youth outcomes of well-being and problem behaviors. We also hypothesize that effects will be mediated by parenting dimensions such as parent-youth affective quality, mindful parenting and child management. We will explore whether the intervention operates better for families under higher levels of stress. An enhanced effect of this evidence-based program has the potential for significant public health benefits. PUBLIC HEALTH RELEVANCE: This project seeks to test an innovative family-focused preventive intervention designed to reduce risk and increase protection for adolescent substance use, conduct problems and risky sexual behavior. The program targets family and individual youth processes that are linked with onset and escalation of substance use through high school. As part of the project we will implement an evidence-based program - Strengthening Families Program: For Parents and Youth 10-14 - that has demonstrated effects on youth substance use and conduct problems. Should our experimental intervention prove to have enhanced effects, it would have substantial public health benefits for individuals, families and society.