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: 10441537
• 负责人: Tracy Marie Scull
• 金额: $ 20.88万
• 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 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10441537
• 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; Persons; 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 美国青少年药物使用率表明需要基于证据的预防计划 包括酒精、烟草、电子蒸气产品、大麻和阿片类药物的讨论。 显着影响孩子的药物使用信念和行为，对于预防至关重要。 不幸的是，许多父母认为他们对孩子是否吸毒影响不大。 关于物质的高质量亲子沟通是一个保护因素，父母经常发现它 青少年消耗大量媒体，难以有效地与孩子进行这些对话。 宣传和美化毒品的信息（例如广告、社交媒体、流行音乐、电视节目）， 接触这些媒体信息可以预测青少年的药物使用情况。 包括对媒体信息的批判性分析，是预防青少年滥用药物的有效方法， 该项目的首要目标是创建媒体世界。 家长（MWP），一个自定进度的项目，旨在为中学生家长提供 关于青少年药物滥用的知识、媒体调解技巧以及高质量父母-青少年实践 通过高度交互的基于网络的软件应用程序提供的通信方法。 促进该计划将增强家长对开放、 关于药物使用的反应灵敏、全面和准确的亲子沟通，包括批判性的 分析促进物质使用的媒体信息，我们进而追踪这些亲子关系。 对话将对儿童的媒体素养技能和与药物使用相关的结果产生积极影响（例如， 所提议的计划将利用媒体素养框架（例如，消息）。 解释过程模型）被发现可以有效减少危险行为，包括物质使用。 该项目具有创新性，因为该项目扩展了成功的理论预防框架，使用 MLE 旨在解决媒体对青少年药物使用的通常未被解决的影响，涵盖多个领域 物质包括电子蒸气产品和阿片类药物，并使用高度互动的基于网络的 该程序将根据来自移动助推器的输入进行迭代开发和完善。 由家长、青少年和预防专家组成的多元化咨询小组第二个目标是进行可行性研究。 MWP 项目的研究，其中不同样本的亲子对 (N=286) 被随机分配到 干预组 (MWP) 或主动对照组（例如，关于青少年的医学上准确的网络内容） （物质使用）。家长和青少年将完成事前评估，这将提供初步测试。 项目有效性对结果产生积极影响也将用于评估。 如果确定了可行性，调查结果将用于通知计划的修订和实施。 设计更大规模的随机对照试验，以检验该项目对青少年结局随时间的影响。