Reducing Alcohol & Risks Among Young Females

减少饮酒

• 批准号: 6944538
• 负责人: LYDIA N O'DONNELL
• 金额: $ 39.2万
• 依托单位: EDUCATION DEVELOPMENT CENTER, INC.
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6944538
• 关键词: AIDS; African American; HIV infections; Hispanic Americans; adolescence (12-20); alcoholic beverage consumption; alcoholism /alcohol abuse prevention; attention; attitude; audiotape; behavioral /social science research tag; clinical research; disease /disorder proneness /risk; early experience; female; high risk behavior /lifestyle; human subject; outcomes research; parent offspring interaction; perception; sex behavior; sexually transmitted diseases

DESCRIPTION (provided by applicant): Education Development Center, Inc. will conduct an intervention study to characterize and address the combined effect of early alcohol use and risky behavior within a population of urban African American and Latina adolescent females who are at high risk for HIV, AIDS, and other infections. Past research by the investigative team has documented that nearly 10% of females in our target population are at risk in 7thgrade and more than half by spring of 10th grade. Although alcohol use is more comparable with national figures, the combination of early alcohol and risky behavior is troubling, yet under-addressed by existing interventions. This randomized experiment will test a theoretically-derived and empirically-grounded "selective" intervention that specifically targets high-risk young adolescent females. The intervention builds upon a promising strategy for influencing adolescents: parent education. Three parenting mechanisms (PM) shown to influence adolescent risk behavior are targeted: parental monitoring (P-PM), household rule setting (HR-PM), and communication (C-PM). In continuing collaboration with New York City public schools and a community advisory board, the aims are to: (1) Develop a set of three audio-cds to be delivered at intervals over a 6-month period to parents of young adolescent daughters that address alcohol prevention and the link between early alcohol use and risk taking; (2) Enroll 500 parents and their 8th grade daughters and randomly assign families to one of three conditions: (1) an audio-cd intervention focused on prevention of alcohol use; (2) an attention-controlled condition; or (3) a non-attention controlled condition; (3) Conduct a baseline telephone survey of parents to assess parental monitoring (P-PM), household rules (HR-PM), parent-child communication (C-PM) and perceptions of daughters' alcohol and other behaviors; (4) Conduct a baseline survey of adolescent daughters to assess their attitudes and behaviors about alcohol, P-PM, HR-PM, and C-PM; (5) Conduct a 3-month post-intervention telephone survey of parents and test the efficacy of the audio-cd intervention in improving P-PM, HR-PM, and C-PM; (6) Conduct a 3-month post-intervention survey of daughters and test the efficacy of the audio-cd intervention in fostering attitudes and behaviors related to reduced alcohol and risk taking; (7) Examine whether changes from baseline to 3 month follow up in daughters' attitudes and behaviors are explained by changes in P-PM, HR-PM, and C-PM, and whether these three parenting mechanism mediate the relationship between experimental condition and daughters' outcomes. The study has the potential to improve understanding of the link between early alcohol and risky behavior and to provide a proven, selective, female-focused intervention for addressing these risks. The goal is to set young women on a course that protects their health and reduces the burden that problem drinking and HIV disease is taking on African American and Latino communities.

描述（由申请人提供）：教育发展中心公司将开展一项干预研究，以描述和解决艾滋病毒高危城市非裔美国人和拉丁裔青少年女性中早期饮酒和危险行为的综合影响、艾滋病和其他感染。调查小组过去的研究表明，目标人群中近 10% 的女性在七年级时面临风险，到十年级春季，这一比例超过一半。尽管饮酒情况与全国数据更具可比性，但早期饮酒和危险行为的结合令人不安，但现有干预措施尚未得到充分解决。这项随机实验将测试一种从理论上得出、以经验为基础的“选择性”干预措施，专门针对高风险的年轻女性。该干预措施建立在影响青少年的一项有前景的策略之上：家长教育。研究目标是影响青少年危险行为的三种养育机制（PM）：父母监督（P-PM）、家庭规则制定（HR-PM）和沟通（C-PM）。在与纽约市公立学校和社区咨询委员会的持续合作中，目标是： (1) 开发一套三张音频 CD，每隔 6 个月的时间间隔向青春期女儿的父母提供，以解决以下问题：酒精预防以及早期饮酒与冒险之间的联系； (2) 招募 500 名家长及其 8 年级女儿，并随机将家庭分配到以下三个条件之一：(1) 侧重于预防饮酒的音频 CD 干预； (2) 注意力控制状态； (3) 注意力不受控制的情况； （3）对家长进行基线电话调查，评估家长监督（P-PM）、家庭规则（HR-PM）、亲子沟通（C-PM）以及对女儿酗酒等行为的看法； (4) 对青春期女儿进行基线调查，评估她们对酒精、P-PM、HR-PM和C-PM的态度和行为； （5）对家长进行为期3个月的干预后电话调查，测试音频CD干预对改善P-PM、HR-PM和C-PM的效果； (6) 对女儿进行为期3个月的干预后调查，并测试音频CD干预在培养与减少饮酒和冒险相关的态度和行为方面的功效； (7) 检查女儿的态度和行为从基线到3个月随访的变化是否可以通过P-PM、HR-PM和C-PM的变化来解释，以及这三种养育机制是否介导了实验条件和行为之间的关系。女儿们的成果。该研究有可能提高对早期酗酒与危险行为之间联系的理解，并为解决这些风险提供经过验证的、有选择性的、以女性为中心的干预措施。目标是让年轻女性走上一条保护她们健康的道路，并减轻饮酒问题和艾滋病毒疾病给非裔美国人和拉丁裔社区带来的负担。