ED Based Prevention Intervention to Delay Alcohol Use by Young Adolescents

基于 ED 的预防干预措施可延迟青少年饮酒

基本信息

批准号：
7895294
负责人：
JAMES G LINAKIS
金额：
$ 24.3万
依托单位：
RHODE ISLAND HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-04-01 至 2012-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7895294
关键词：
14 year old Accident and Emergency department Address Adolescent Age Alcohol consumption Alcohol or Other Drugs use Alcohols Attitude Behavior Behavioral Caregivers Caring Child Childhood Communication Consent Data Development Drug usage Effectiveness Enrollment Environment Ethnic group Exhibits Family Future Goals Happiness Healthy People 2010 Individual Intention Intervention Length Literature Location Manuals Mediating Mediator of activation protein Modeling Monitor Motivation National Institute on Alcohol Abuse and Alcoholism Online Systems Outcome Pamphlets Parenting behavior Parents Pharmaceutical Preparations Population Preparation Prevention Prevention program Preventive Intervention Process Psyche structure Randomized Relative (related person)Reporting Research Resources Risk Self Efficacy Series Strategic Planning Techniques Teenagers Telephone Testing Visit Youth alcohol and other drug alcohol use initiation base brief prevention intervention checkup examination design deviant drinking efficacy testing expectation follow up assessment follow-up high risk improved instrument intervention effect intervention program motivational enhancement therapy novel parental monitoring peer pilot trial prevent programs public health relevance racial and ethnic randomized trial response skills social standard care therapy development tool trial comparing underage drinking

项目摘要

DESCRIPTION (provided by applicant): PROJECT SUMMARY: Our long term goal is to develop, implement, and evaluate a program to prevent or delay the initiation of alcohol use in young adolescents by increasing protective factors and reducing risk through a family-based brief prevention intervention started in the pediatric emergency department (PED). The primary aims of the proposed developmental study include: (1) To pilot test a prevention intervention in alcohol-naive adolescents, make necessary revisions, and finalize an intervention manual and (2) conduct a randomized pilot trial comparing the prevention intervention with enhanced standard care. After conducting an open trial of the prevention intervention with 10 adolescents, ages 12-14, and their accompanying parent(s), and refining the intervention, we will use a two-group randomized design to test the hypothesis that the prevention intervention will prevent/delay the initiation of alcohol use significantly more than enhanced standard care only. 100 adolescents, ages 12-14, who present to the PED and their accompanying parent(s)/caregiver will be enrolled into the study. Eligible, assenting adolescents and their consenting parent(s)/caregiver will complete a series of assessment instruments relating to alcohol and other drug (AOD) use, communication styles, parenting styles, and alcohol attitudes and behaviors. Parent/youth family units will then be randomly assigned to one of two conditions: 1) Enhanced Standard Care (ESC) or 2) Brief Targeted Prevention Intervention with Boosters (BTP). The initial session will be comprised of parent-targeted skill building directed primarily at parental monitoring and the importance of parent-adolescent communication as the precursor to successful monitoring. The primary goal of the prevention session will be the mobilization of the parents' own resources to increase communication and monitoring using motivational interviewing techniques. Parents within this condition will also receive periodic brochures and telephone booster sessions at 1 and 3 months to explore parental implementation of the plan from the previous session(s) and make revisions as necessary. Adolescents and parents will then be reassessed six months following their PED visit. Adolescents will also be assessed with monthly, brief, web-based follow-up contacts to determine the status of their alcohol use. PUBLIC HEALTH RELEVANCE: PROJECT NARRATIVE: The aim of the present study is to prevent or delay the initiation of alcohol use among young adolescents being seen in a pediatric emergency department, by enhancing parental monitoring and improving parent/adolescent conversations. Previous studies have shown that the pediatric emergency department is an excellent location for performing prevention interventions. By targeting individuals and their families in the PED, we are capitalizing on the opportunity to perform a prevention intervention among a high risk population when parent and youth may be particularly receptive to the intervention.

描述（由申请人提供）：项目摘要：我们的长期目标是制定、实施和评估一项计划，通过在儿科急诊科启动的基于家庭的简短预防干预措施，增加保护因素并降低风险，以预防或推迟青少年开始饮酒（PED）。拟议的发展研究的主要目标包括：(1) 在未酗酒的青少年中试点测试预防干预措施，进行必要的修订，并最终确定干预手册；(2) 进行一项随机试点试验，将预防干预措施与强化标准进行比较关心。在对 10 名 12-14 岁青少年及其陪同父母进行预防干预的公开试验并完善干预措施后，我们将使用两组随机设计来检验预防干预将预防的假设/延迟开始饮酒的时间明显多于仅加强标准护理。 100 名年龄在 12 至 14 岁之间的青少年将被纳入这项研究，他们必须向 PED 及其随行父母/看护人汇报。符合条件并同意的青少年及其同意的父母/照顾者将完成一系列与酒精和其他药物 (AOD) 使用、沟通方式、养育方式以及酗酒态度和行为有关的评估工具。然后，家长/青少年家庭单位将被随机分配到以下两种情况之一：1) 强化标准护理 (ESC) 或 2) 简短有针对性的加强预防干预 (BTP)。最初的会议将包括以家长为目标的技能建设，主要针对家长监督以及家长与青少年沟通作为成功监督的先导的重要性。预防会议的主要目标是调动家长自己的资源，利用动机访谈技术加强沟通和监督。处于这种情况的家长还将在 1 个月和 3 个月时定期收到小册子和电话加强会议，以探讨家长对上一次会议计划的实施情况，并根据需要进行修改。青少年和家长将在 PED 就诊后六个月接受重新评估。青少年还将接受每月、简短、基于网络的后续联系评估，以确定他们的饮酒状况。公共卫生相关性：项目叙述：本研究的目的是通过加强家长监督和改善家长/青少年的对话，防止或推迟在儿科急诊科就诊的青少年开始饮酒。先前的研究表明，儿科急诊室是进行预防干预的绝佳场所。通过针对 PED 中的个人及其家庭，我们正在利用机会在高危人群中进行预防干预，而此时父母和青少年可能特别愿意接受干预。