Preventing substance use through hybrid web and in vivo delivery of Coping Power

描述（由申请人提供）：本提案将开发并测试应对能力项目的混合互联网增强版本的可行性，该项目适用于有物质使用风险的攻击性五年级儿童。应对能力是一种预防性干预，对有药物滥用和犯罪风险的青春期前儿童具有明显的疗效和有效性。尽管它已经证明了预防效果，但实施应对能力和类似的以证据为基础的预防项目所需的时间长度已被确定为提供者采用此类项目和家长出席和参与的障碍。为了解决这一障碍，该应用程序将开发一个混合版本的应对能力，这将允许它更有效地交付，大大减少面对面的会议，同时保留所有的核心内容（应对能力-互联网增强；CP-IE）。这种创新的、有针对性的预防方法将包括在6个月期间每隔一周举行的12次儿童会议、7次家长会议和互联网提供的媒体内容，参与者将在面对面会议之间访问这些内容。使用互联网传播的媒体来加强干预，预计将进一步提高儿童和家长对干预相关内容的兴趣和保留。这与经验证据一致，即与仅从口头信息中学习相比，个体更关注多媒体演示，并从其中学习得更深入，从而产生更大的问题解决转移，正如Kennedy在多媒体交互研究的认知交互模型中所描述的那样。这一建议将允许开发和试点测试CP-IE。然后，来自8所学校的96名有风险、有攻击性的五年级学生将被随机分配参加CP-IE或照旧护理，采用配对抽样设计。CP-IE的参与者将在面对面会议之间访问互联网提供的干预内容，包括为模拟关键应对能力主题而开发的动画视频。本提案的主要目的是：1)为有药物滥用风险的儿童及其父母开发一个有效的、互联网增强的应对能力项目的混合版本；2)评估CP-IE项目在留住参与者方面的可行性，并确定儿童和家庭是否对CP-IE互联网提供的内容有很高的看法；3)评估CP-IE计划的可接受性，根据儿童，家长和学校辅导员的评分，以及提供具有高干预完整性和实施性的CP-IE的能力

DESCRIPTION (provided by applicant): This proposal will develop and test the feasibility of a hybrid internet-enhanced version of the Coping Power program for aggressive 5th grade children who are at risk for substance use. Coping Power is a preventive intervention with demonstrated efficacy and effectiveness for preadolescent children at-risk for substance abuse and delinquency. Despite its demonstrated preventive effects, the length of time required to implement Coping Power and similar evidence-based prevention programs has been identified as a barrier to providers' adoption of such programs and parents' attendance and engagement. To address this barrier, this application will develop a hybrid version of Coping Power which will permit it to be delivered more efficiently, with substantially fewer face-to-face sessions, while retaining all of the core content (Coping Power-Internet Enhanced; CP-IE). This innovative, targeted prevention approach will include 12 child sessions held every other week over a 6 month period, 7 parent sessions, and internet-delivered media components, which participants will access between in-person sessions. The use of internet-delivered media to augment the intervention is expected to further enhance children's and parents' interest in and retention of intervention- related content. This is consistent with empirical evidence that individuals pay more attention to and learn more deeply from multimedia presentations than from verbal-only messages, resulting in greater problem-solving transfer, as described in Kennedy's cognitive interaction model of multimedia interactivity research. This proposal will allow CP-IE to be developed and pilot-tested. Then, 96 at-risk, aggressive 5th grade students from 8 schools will be randomly assigned to participate in CP-IE or Care-as-Usual, using a matched pairs sampling design. CP-IE participants will access internet-delivered intervention content between in-person sessions, including animated videos that were developed to model key Coping Power topics. The primary aims of this proposal are to: 1) Develop an efficient, internet-augmented hybrid version of the Coping Power program for children who are at-risk for substance abuse and their parents; 2) Assess the feasibility of the CP-IE program in retaining participants, and in determining if children and families view a high rate of the CP-IE internet- delivered content; 3) Assess the acceptability of the CP-IE program, as indicated by child, parent and school counselor ratings, and ability to deliver CP-IE with high intervention integrity and implementation quality; 4) Assess if CP-IE promotes a high level of participant motivation in the program, comprehension and retention of intervention content, and change in children's social cognition, self-regulation, and social competence abilities and in parents' parenting practices; and 5) Use the planned feasibility study as a basis for a large-scale randomized trial of CP-IE. Preliminary outcome effects of CP-IE within the feasibility study will also be explored. If its feasibility and subsequent efficacy are documented, the hybrid CP-IE program can be disseminated much more widely, and thus have broad public health significance in substance use prevention.