A Web-Based Media Parenting Intervention to Prevent Youth Substance Use

基于网络媒体的育儿干预措施，以防止青少年吸毒

• 批准号: 10441566
• 负责人: Joy Gabrielli
• 金额: $ 22.42万
• 依托单位: UNIVERSITY OF FLORIDA
• 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 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10441566
• 关键词: Accounting; Address; Adolescence; Adolescent; Adoption; Advertising; Age; Attention; Attitude; Behavior; Buffers; Cellular Phone; Child; Child Rearing; Clinical; Data; Development; Devices; Drug usage; Electronic cigarette; Emotional; Environment; Environmental Risk Factor; Expectancy; Exposure to; Failure; Family; Feasibility Studies; Feedback; Focus Groups; Funding; Future; Goals; Grant; Health; Home; Imagery; Individual; Internet; Intervention; Interview; Lead; Life Cycle Stages; Link; Maintenance; Malignant Neoplasms; Malignant neoplasm of lung; Marketing; Methods; Morbidity - disease rate; Music; National Institute of Drug Abuse; Online Systems; Outcome; Parents; Participant; Personality Character; Persons; Phase I Clinical Trials; Pilot Projects; Prevention; Prevention strategy; Prospective Studies; Randomized Controlled Trials; Regulation; Reporting; Research; Research Design; Research Proposals; Risk; Risk Behaviors; Risk Factors; Role; Sampling; School-Age Population; Schools; Shapes; Smoking; Strategic Planning; Stream; Substance Use Disorder; Support Groups; Technology; Testing; Time; Youth; addiction; adolescent substance use; arm; attentional control; base; behavior change; behavior observation; burden of illness; comparison group; design; digital; drinking; early onset; early onset substance use; effective intervention; efficacy testing; evidence base; feasibility testing; follow-up; high risk sexual behavior; improved; innovation; innovative technologies; intervention delivery; intervention participants; intervention program; junior high school; marijuana legalization; mortality; movie; novel; peer; post intervention; prevent; preventive intervention; programs; sexual risk taking; skills; social; social influence; social media; substance use; substance use prevention; substance use treatment; therapy design; trial design; underage drinking; usability; vaping; web-based intervention; willingness

Abstract Youth substance use (SU) is associated with many negative developmental outcomes including morbidity and mortality. Initiation of SU typically occurs during adolescence, and SU behavior often co-occurs with other risk behaviors (e.g., risky sexual behavior). Exposure to SU in the media is a well-documented influence on SU behavior, as it predicts early onset SU and progression to more problematic SU behavior. Media effects, while demonstrated to be consistent, stable, and strong even accounting for other social influences and personality characteristics, have received little attention in preventative SU research; yet youth exposure to media SU is a modifiable environmental risk for youth SU behavior. Parents can mitigate SU risk by limiting media SU exposures and intervening when youth are exposed. Parents report lack of media parenting skills, however, and no media parenting intervention designed specifically to reduce youth risk for SU exists. This project will examine the role of media parenting behaviors to reduce risk for early onset of youth SU. This proposal addresses Objective 2.2 in the NIDA Strategic Plan to “develop and test innovative prevention interventions that target mechanisms underlying risk factors.” This program of research focuses on media depictions of SU, an important social and environmental influence implicated in the development, maintenance, and treatment of SU disorders. Specifically, the aims of this project are to target media-related mechanisms underlying SU initiation and associated risk factors as they relate to youth development. Improved understanding of specific parenting behaviors that contribute to prevention of youth SU, and mechanisms by which parenting behaviors may reduce risk related to media could inform the development of new and more effective interventions. Research aims in this application are designed to progress towards the end goal of developing a scalable, evidence-informed media parenting intervention to reduce youth risk for SU. First, intervention content that follows the T.E.C.H. Parenting framework developed by Gabrielli and Marsch will be refined with two focus groups of approximately 8 parents each (Aim 1). Once intervention content is finalized, using randomized control trial (RCT) design with an attention control comparison group, the T.E.C.H. Parenting intervention will be tested in a sample of 120 parent participants (Aim 2). Innovations include the use of web-based intervention content with supplemental push messaging to participants. Implementation data will be collected as part of the RCT to determine feasibility of web-delivered components of intervention content as well as usability and acceptability of intervention content from participants. This project is highly innovative in the use of technology to support parental engagement and dissemination of intervention. Further, web delivery of content provides an opportunity for parents to practice media parenting skills within the digital environment in a way that is adapted to the needs of the individual family and can be implemented in a range of diverse clinical settings.

抽象的 青年吸毒（SU）与许多负面发展结果有关，包括病态和 死亡率。 行为（例如，有风险的性行为）。 行为可以预测早期发作和促进媒体效果 证明对其他社会影响和个性是一致，稳定且强大的事件 特征几乎没有得到预防性SU研究的参与； 对青年行为的可修改环境风险可以通过限制媒体来减轻SU的风险 当父母暴露时，曝光和干预。 而且，没有专门为减少SU的风险而设计的媒体育儿干预。 检查媒体育儿行为的作用，以减少早期发作的风险 解决NIDA战略计划中的目标2.2，以“制定和测试预防创新的国际干预措施 风险因素的基础机制。 重要的社会和环境影响在发展中的影响，以及有关 SU疾病。 与青年发展有关的启动和相关风险因素。 有助于项目的育儿行为。 可能会降低与媒体相关的风险可以告知新的和更有效的干预措施的发展。 该应用程序中的研究目标旨在进步，以开发可扩展的， 循证媒体育儿干预措施以减少青年人的风险。 遵循Gabrielli和Marsch开发的T.E.C.H. 大约有8个父母（AIM 1）。 控制试验（RCT）设计具有注意力控制比较组，T.E.C.H. 在120个父母参与者的样本中进行测试（AIM 2）。 与参与者的供应推送消息的内容将作为一部分。 RCT确定国际干预内容的网络传递组件以及可用性和可用性的可行性 参与者的干预内容可接受。 支持父母的参与和干预的传播。 父母以适应的方式练习数字设想中的媒体育儿技能 满足个人家庭的需求，可以在各种不同的临床环境中实施。