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

7.项目总结/摘要 以学校为基础，以家庭为中心的干预措施，以减少青少年的物质使用已被证明， 高效，减少问题行为，成就问题，抑郁症， 随着时间的推移，物质的使用。尽管这些干预措施在疗效试验中显示有效， 在美国，很少有学校有资源实施这些干预措施，而没有实质性的 支持.人员配备不足、人员培训不足和资源有限等障碍阻碍了成功吸收 在学校以家庭为中心的干预措施，但大多数学校系统是支持加强家庭-学校 伙伴关系。拟议的研究将建立在我们成功的研究计划，通过开发和测试 为学校而设的“家庭健康检查”网上版的成效，家长可在 学校或家里。在线FCU将整合原有FCU的成功组件，例如 以优势为基础的评估，即规范参考，使用动机性访谈进行反馈，并进行随访 这些单元侧重于提高青少年早期的育儿技能和家庭管理。在 拟议的研究，300个家庭将被随机分配到接收中学像往常一样，FCU在线 仅限Web/移动的，或FCU在线Web/移动的+教练版。关于提供心理健康的研究 通过互联网进行的干预表明，教练或“亲自”接触会提高结果;然而， 不需要指导或亲自接触的项目可能会对公共卫生产生更大的影响。教练 将把干预措施的在线版本与不需要学校工作人员的在线版本进行比较。我们 将测试这个在线版本的有效性，改变关键的养育结构，如积极的 养育和父母监督。我们预测，父母养育方式的改变将导致风险行为的减少， 例如在学校问题行为和物质使用。这项研究将大大有助于我们 了解对青少年的有效干预措施，以减少青少年的危险行为和物质使用， 过渡到高中，它可以大大有助于全面吸收和传播家庭- 以学校为中心的干预措施。

7. Project Summary/Abstract 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.