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

• 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
• 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

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：我们的长期目标是通过增加保护因素来开发，实施和评估一项计划，以通过基于家庭的简短预防干预措施在儿科急诊室（PED）开始，以增加或延迟年轻青少年的饮酒开始。拟议的发展研究的主要目的包括：（1）试点对酒精中毒青少年进行预防干预，进行必要的修订，并最终确定干预手册，以及（2）进行随机试验试验，将预防干预与增强标准护理进行比较。在对10名青少年（12-14岁）及其伴随的父母进行了预防干预的开放试验，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措施的假设，即预防干预将防止/延迟饮酒的起源明显大于增强的标准护理。 100名12-14岁的青少年将招募到PED及其伴随的父母/照顾者。合格的，同意的青少年及其同意的父母/护理人员将完成与酒精和其他药物（AOD）使用，交流方式，育儿方式以及酒精的态度和行为有关的一系列评估工具。然后，父母/青年家庭单位将被随机分配到两个条件之一：1）增强的标准护理（ESC）或2）对助推器（BTP）的简短靶向预防干预。初始会议将由主要针对父母监测的父母定位的技能构建以及父母 - 青春期通信作为成功监控的先驱的重要性。预防会议的主要目标是动员父母自己的资源，以使用动机访谈技术来增加沟通和监测。在这种情况下的父母还将在1和3个月的时间接受定期的小册子和电话助推器会议，以探索上一届会议的父母实施计划，并根据需要进行修订。然后，青少年和父母将在PED访问后六个月重新评估。青少年还将通过每月，简短的，基于网络的后续接触来评估，以确定其饮酒状态。 公共卫生相关性： 项目叙述：本研究的目的是通过增强父母的监测和改善父母/青少年的对话，以防止或延迟在儿科急诊科中看到的年轻青少年的饮酒开始。先前的研究表明，小儿急诊室是进行预防干预措施的绝佳地点。通过针对PED中的个人及其家人，当父母和青年可能特别接受干预时，我们将利用有机会在高风险人群中进行预防干预。