Enhancing Parent-Child Communication to Reduce Media Influence on Substance Use

加强亲子沟通，减少媒体对药物使用的影响

• 批准号: 10301709
• 负责人: Tracy Marie Scull
• 金额: $ 25.05万
• 依托单位: INNOVATION RESEARCH AND TRAINING, INC.
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-07-01 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10301709
• 关键词: Address; Adolescent; Adolescent Development; Advertisements; Advertising; Affect; Age; Alcohols; Awareness; Behavior; Belief; Child; Child Health; Communication; Communication Methods; Communications Media; Communities; Computer software; Consumption; Control Groups; Development; Drug usage; Education; Electronic cigarette; Environment; Evaluation; Evidence based program; Exposure to; Family; Feasibility Studies; Feedback; Feeling; Foundations; Frequencies; Funding; Health; Health Promotion; Internet; Knowledge; Letters; Literature; Marijuana; Mediation; Medical; Mind; Modeling; Music; Nicotine; Online Systems; Opioid; Outcome; Parents; Pharmaceutical Preparations; Prevention; Prevention program; Process; Program Effectiveness; Public Health; Randomized; Readiness; Research; Resources; Risk Behaviors; Sampling; School-Age Population; Sexual Health; Solid; Specialist; Statistical Data Interpretation; Students; Teenagers; Television; Testing; Time; Tobacco; Youth; active control; adolescent health; adolescent substance abuse; adolescent substance use; base; design; elementary school; evidence base; experience; feasibility testing; group intervention; high risk sexual behavior; improved; improved outcome; innovation; interest; junior high school; literacy; marijuana legalization; misuse of prescription only drugs; novel; online resource; opioid epidemic; overdose death; parent-adolescent communication; parent-child communication; prescription pain reliever; prevent; programs; protective factors; sexual relationship; skills; social media; substance abuse prevention; substance use; substance use prevention; success; vaping; vapor

Abstract The rates of adolescent substance use in the U.S. indicate the need for evidence-based prevention programs that include a discussion of alcohol, tobacco, electronic vapor products, marijuana, and opioids. Parents can significantly impact their children’s substance use beliefs and behaviors and are vital to prevention. Unfortunately, many parents feel that they have little influence on whether or not their child uses drugs. While high-quality parent-child communication about substances is a protective factor, parents often find it challenging to effectively engage in these conversations with their children. Youth consume a plethora of media messages that promote and glamorize drugs (e.g., advertising, social media, popular music, television shows), and exposure to these media messages predicts youth substance use. Media literacy education (MLE), which includes the critical analyses of media messages, is an effective approach to youth substance use prevention, including family-based youth prevention programming. The first aim of this project is to create Media World Parent (MWP), a self-paced program designed to provide parents of middle school-aged students with knowledge about teen substance use, media mediation skills, and practice in high quality parent-adolescent communication methods delivered through a highly interactive web-based software application. It is hypothesized that this program will enhance parents’ feelings of efficacy for and participation in open, responsive, comprehensive, and accurate parent-child communication about substance use, including critically analysis of media messages that promote substance use. In turn, we hypothesize that these parent-child conversations will positively impact children’s media literacy skills and outcomes related to substance use (e.g., beliefs, intentions, behavior). The proposed program will utilize a media literacy framework (e.g., Message Interpretation Process model) found to be effective in reducing risk behaviors, including substance use. This project is innovative because the program expands upon a successful theoretical prevention framework, uses MLE to address the typically unaddressed influence of media on youth substance use, covers multiple substances including electronic vapor products and opioids, and uses highly interactive web-based functionality with mobile boosters. The program will be iteratively developed and refined with input from a diverse Advisory Panel of parents, youth, and prevention specialists. The second aim is to conduct a feasibility study of the MWP program in which a diverse sample of parent-child pairs (N=286) are randomly assigned to an intervention group (MWP) or an active control group (e.g., medically-accurate web content on adolescent substance use). Parents and youth will complete pre-post assessments, which will provide a preliminary test of program effectiveness for positively affecting outcomes. Program feedback ratings will also be used to evaluate program feasibility. If feasibility is determined, findings will be used to inform program revisions and the design of a larger-scale RCT to examine the program’s impact on adolescent outcomes over time.

抽象的 美国的青少年物质使用率表明需要基于证据的预防计划 其中包括讨论酒精，烟草，电子蒸气产品，大麻和阿片类药物。父母可以 显着影响其子女的物质使用信仰和行为，对预防至关重要。 不幸的是，许多父母认为他们对孩子是否使用毒品几乎没有影响。尽管 关于物质的高质量亲子交流是受保护因素，父母经常发现 具有效的与孩子进行这些对话的挑战。青年消耗大量媒体 促进和迷人药物的消息（例如广告，社交媒体，流行音乐，电视节目）， 这些媒体信息的暴露预测了青年物质的使用。媒体扫盲教育（MLE）， 包括对媒体信息的批判性分析，是一种有效的预防青年药物使用的方法， 包括基于家庭的青年预防计划。该项目的第一个目的是创建媒体世界 父母（MWP），一个自定进度的计划，旨在为中学生的父母提供 有关青少年主题使用，媒体调解技能和练习的知识高质量的父母青少年 通过高度交互式网络的软件应用程序提供的通信方法。这是 假设该计划将增强父母对公开的效率和参与的感觉 响应迅速，全面且准确的亲子关于物质使用的沟通，包括批判性 分析促进药物使用的媒体信息。反过来，我们假设这些亲子 对话将对儿童媒体素养技巧和与药物使用相关的成果产生积极影响（例如， 信念，意图，行为）。拟议的程序将利用媒体素养框架（例如，消息 解释过程模型）被发现有效减少风险行为，包括使用物质。这 项目具有创新性，因为该计划在成功的理论预防框架上扩展了 MLE解决媒体对青年吸毒的通常没有解决的影响，涵盖多个 物质包括电子蒸气产品和阿片类药物，并使用高度交互式网络 移动助推器的功能。该程序将通过一个来自 父母，青年和预防专家的多元化咨询小组。第二个目的是提高可行性 MWP计划的研究，其中潜水员对亲子对的样本（n = 286）被随机分配给 干预组（MWP）或活动对照组（例如，在青少年的医学上精确的Web内容 物质使用）。父母和青年将完成前评估，这将提供初步测试 积极影响结果的计划有效性。程序反馈评级也将用于评估 程序可行性。如果确定可行性，将使用发现来告知程序修订和 大规模RCT的设计，以检查该计划对青少年结果的影响。