ALTERING FAMILY NORMS RE--ADOLESCENT ALCOHOL MISUSE

总体目标是设计一种基于家庭的青少年酒精 预防滥用干预和开展缩减规模的可行性 学习。方法的目的是评估招聘和保留率。 对于实验条件。实质性目标是进行试点 青少年饮酒和误用概念模型的研究。基座 根据这些测试的结果，针对 改变父母关于青少年饮酒和饮酒的规范和行为 将对误用进行设计和试点测试。试点的具体目标 测试是为了：1)在横断面和纵向研究中，测试 父母与同伴概念模型各组成部分的预测效度研究 青少年酒精使用和滥用的群体影响；2)初步测试 干预措施对改变家长信息的有效性， 态度和行为，以及子女饮酒/误用的意图 和行为，以及3)初步测试父母指导的有效性 使用旨在最大限度地进行干预的程序进行干预 使用可泛化的过程作为 以学校为基础的干预。科目为600名学生，在第四个班 一年级的学生和他们的父母。所有目标学生都将在 他们的教室，这将产生大约340个 非目标同行。600个家庭中的三分之一将被随机分配 对于三种情况的每一种：最大治疗、泛化治疗、 和控制力。每组中的一半将被随机分配到 预先测试到无预测试条件，这些子组中的每一个将有一半 被分配到条件之前和之后的要求说明。三分之一 将被随机分配给三个小组中的每一个 奖励条件(付款、取款、无)。最大限度的治疗 有条件的父母将接受三次访问和关于 青少年饮酒的后果，父母之间的关系 酒精和其他药物的使用与青少年酗酒/误用以及养育子女的关系 旨在防止青少年酗酒的技能。访问将是 然后是电话联系人邮件，或面试官是否有空来回答 问题。一概而论的治疗条件家长将收到 邮寄小册子中的信息相同，但没有家访和后续电话 呼叫，或面试者是否有空回答问题。对照组 将不会收到任何信息。所有学生都将在他们的 教室。每种情况下的父母中有一半将接受预先测试 干预前的家庭访谈。所有学生都将接受后测 在他们的教室里，所有的家长都将通过家庭访谈进行后测 干预后每年一次。数据分析将包括 重复测量的方差分析和交互检验 父母行为与青少年饮酒的协方差结构模型 使用/误用。将定期评估儿童性别影响。民族 我们会尽量以先导研究样本评估成效。 尺码。

The overall objectives are to design a family-based adolescent alcohol misuse prevention intervention and conduct a reduced scale feasibility study. Methodological aims are to assess recruitment and retention rates for the experimental conditions. Substantive aims are to conduct pilot studies of conceptual models of adolescent alcohol use and misuse. Based on the results of those tests, a family-based intervention directed at altering parental norms and behavior regarding adolescent alcohol use and misuse will be designed and pilot tested. The specific aims of the pilot test are to: 1) test, in cross-sectional and longitudinal studies, the predictive validity of components of a conceptual model of parent and peer group influences on adolescent alcohol use and misuse; 2)pilot test the effectiveness of the intervention in changing parents' information, attitudes and behavior, and their children's alcohol use/misuse intentions and behavior, and 3)pilot test the effectiveness of the parent-directed intervention using procedures designed to maximize intervention effectiveness with procedures generalizable to use as a component of a school-based intervention. Subjects will be 600 students, in the fourth grade in year one and their parents. All target students will be tested in their classrooms, which will yield additional data on approximately 340 non-target peers. One third of the 600 families will be randomly assigned to each of three conditions: maximum treatment, generalizable treatment, and control. Half of each of those groups will be randomly assigned to pretest to no-pretest conditions, and half of each of these subgroups will be assigned to demand instructions before and after conditions. One third of each of these groups will be randomly assigned to each of three incentive conditions (payment, drawing, none). The maximum treatment condition parents will receive three visits and discussion concerning the consequences of adolescent alcohol use, the relationship of parental alcohol and other drug use to adolescent alcohol use/misuse, and parenting skills designed to prevent adolescent alcohol misuse. The visits will be followed by phone contacts mailings, or interviewer availability to answer questions. The generalizable treatment condition parents will receive the same information in mailed pamphlets, but no home visits, follow-up phone calls, or interviewer availability to answer questions. The control group will receive no information. All students will be pretested in their classrooms. Half of the parents in each condition will be pretested with home interviews prior to the intervention. All students will be posttested in their classroom, and all parents will be posttested via home interviews once each year following the intervention. The data analyses will consist of repeated measures analysis of variance and interactive testing of covariance structure models of parental practices and adolescent alcohol use/misuse. Child gender effects will be routinely assessed. Ethnicity effects will be assessed insofar as possible with the pilot study sample size.