Drug Abuse Prevention: A Mother-Daughter Intervention

预防药物滥用：母女干预

• 批准号: 7084671
• 负责人: STEVEN Paul SCHINKE
• 金额: $ 60.68万
• 依托单位: COLUMBIA UNIV NEW YORK MORNINGSIDE
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-07-01 至 2010-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7084671
• 关键词: DVD /CD ROM; adolescence (12-20); behavioral /social science research tag; clinical research; computer assisted instruction; drug abuse education; education evaluation /planning; educational resource design /development; ethnic group; female; human subject; longitudinal human study; low socioeconomic status; medically underserved population; mother child interaction; racial /ethnic difference; substance abuse related behavior; women' s health

DESCRIPTION (provided by applicant): Although boys have engaged historically in more drug use than girls, recent data reveal few gender differences. Gender differences exist in risk factors for adolescent substance use, however. Because of the singular pressures that girls face in their relationships with their mothers during adolescence, girls may profit greatly from prevention programs that develop and strengthen positive connections with their mothers. Yet formidable barriers to implementing family-centered strategies exist. For family intervention to reach and impact large numbers of people, it must be delivered with fidelity; be engaging, affordable, and flexible; meet tight scheduling demands; and reflect participant families' cultures. Computer-mediated intervention fits these requirements. The planned investigation will engage a sample of poor, minority girls and their mothers who live in New York City Housing Authority units. We will deliver gender-specific drug abuse intervention (GSI) via CD-ROM to girls and their mothers on-site at their housing developments. Study aims are: to develop and test the efficacy of GSI compared to a no-intervention control arm in preventing girls' substance use; to test the efficacy of GSI to improve girls' mother-daughter affective quality, coping, refusal skills, mood management, conflict resolution, problem solving, self-efficacy, body esteem, normative beliefs, social supports, and mother-daughter communication and relate these mediating factors to girls' substance use behavior; to test the efficacy of GSI to improve mothers' family rituals, rules against substance use, child management, mother-daughter affective quality, and communication with their daughters and relate these mediating factors to girls' substance use behavior; to test the effects of dose on participants' outcomes; to determine if intervention effects differ for ethnic-racial groups; and to quantify the costs of intervention development and delivery. The study will occur in three phases. In a 12-month preparation phase, we will refine and complete intervention and measurement protocols, assign housing projects to study arms, recruit participants, and pretest. A 12-month implementation phase includes intervention delivery, process data collection, booster 1 development, and posttest. Follow-up in the last 36 months will involve longitudinal measurements of girls and mothers, booster 1 delivery, booster 2 development and delivery, and data analyses.

描述（由申请人提供）：尽管男孩从历史上参与吸毒比女孩更多，但最近的数据显示出几乎没有性别差异。但是，在使用青少年物质使用的危险因素中存在性别差异。由于女孩在青春期与母亲的关系中面临的奇异压力，女孩可能会从与母亲建立和加强积极联系的预防计划中获利。然而，存在实施以家庭为中心的策略的强大障碍。为了使家庭干预涉及并影响大量人，必须以忠诚度进行交付；具有参与，负担得起和灵活；满足紧迫的安排要求；并反映参与者家庭的文化。计算机介导的干预符合这些要求。计划的调查将与居住在纽约市住房管理局部门的贫困，少数女孩及其母亲的样本进行样本。我们将通过CD-ROM向女孩及其母亲的住房发展提供特定于性别的药物滥用干预措施（GSI）。 研究目的是：与无干预控制臂相比，开发和测试GSI的功效，以防止女孩使用吸毒；测试GSI的功效，以改善女孩的母女情感质量，应对，拒绝技能，情绪管理，解决冲突，解决问题，自我效能，身体自尊，规范性信仰，社会支持和母女交流，并将这些中介因素与女孩的药物使用行为联系起来；测试GSI改善母亲家庭仪式的功效，反对药物使用的规则，儿童管理，母女情感质量以及与女儿的沟通，并将这些中介因素与女孩的药物使用行为联系起来；测试剂量对参与者结果的影响；确定种族种族群体的干预效果是否有所不同；并量化干预开发和交付的成本。 该研究将分为三个阶段。在一个12个月的准备阶段，我们将完善并完成干预和测量方案，将住房项目分配以研究武器，招募参与者和预测试。一个12个月的实施阶段包括干预交付，过程数据收集，助推器1开发和后测。在过去的36个月中的随访将涉及女孩和母亲的纵向测量，Booster 1分娩，Booster 2开发和交付以及数据分析。