Parenting to Prevent Substance Use in Late Adolescence

养育子女以防止青春期后期吸毒

• 批准号: 8316763
• 负责人: ELIZABETH A STORMSHAK
• 金额: $ 59.9万
• 依托单位: UNIVERSITY OF OREGON
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-08-15 至 2017-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8316763
• 关键词: Accounting; Adaptive Behaviors; Adolescence; Adolescent; Adult; Age; Alcohol or Other Drugs use; Area; Automobile Driving; Behavior; Communication; Communities; Conflict (Psychology); Data; Dependence; Development; Drug usage; Economics; Emotional; Family; Family Process; Family Relationship; Fostering; Freedom; Goals; Growth; Health; Health behavior; Home environment; Independent Living; Individual; Intervention; Lead; Life; Link; Literature; Long-Term Effects; Maintenance; Mediating; Modeling; Monitor; Outcome; Parent-Child Relations; Parenting behavior; Parents; Phase; Play; Population Group; Preventive Intervention; Problem behavior; Recruitment Activity; Research; Risk; Risk Behaviors; Risk Factors; Role; Sampling; Schools; Services; Staging; Students; Substance abuse problem; Testing; Time; United States; Work; Youth; adolescent substance abuse; age group; alcohol and other drug; base; checkup examination; college; cost effective; design; deviant; drinking; early adolescence; early onset; effective intervention; emerging adult; emerging adulthood; family management; follow-up; high risk sexual behavior; high school; middle school; parent-child communication; parental monitoring; parental role; peer; premature; prevent; resilience; skills; socioeconomics; substance use prevention; successful intervention; therapy design; young adult

DESCRIPTION (provided by applicant): Across developmental transitions, relationships with family, peers, and intimate partners can be contexts of risk or resilience. Ideally, these relationships protect and support positive adaptation to new roles, but sometimes they expose the individual to risk that is predictive of later problem behaviors, such as substance abuse. Our research team has developed an effective intervention that targets these key relationships in order to reduce substance use and other risk behaviors while simultaneously enhancing protective factors that lead to healthy, adaptive behavior. This intervention, called the Family Check-Up (FCU), has been studied across various ages and samples. We propose to now focus on the transition to adulthood, the period associated with the highest rates of substance use and life-threatening risk behaviors (e.g., high-risk sexual behavior, drinking and driving). This study will extend our previous work by offering the FCU as youth transition out of high school. It will examine how parent-child relationships in late adolescence may be protective or may contribute to escalating substance use and abuse typically observed during the transition to adulthood. We propose to follow up an existing community sample of 593 ethnically and socioeconomically diverse youth and their families who were originally recruited at age 11 as part of a school-based, family-centered intervention for substance use prevention during the middle school years. Families assigned to the original treatment condition will be offered an additional intervention that would target parent-youth relationships during this transition, and would provide critical information about developmental changes in family processes that protect youth from substance abuse during this period. The late-adolescence version of the FCU intervention is designed to (a) prevent escalation of substance use, (b) focus on parent-youth relationships that foster independent living, (c) discourage unhealthy peer relationships and activities that promote drug use, and (d) provide support to enhance adaptive behavior and healthy adult outcomes during the transition to adulthood. We will also evaluate the enduring efficacy of the FCU and the preliminary efficacy of the FCU for late adolescence in terms of reducing growth in substance use and problem behaviors and supporting healthy adaptation. The study will significantly contribute to our understanding of parenting in late adolescence and risk factors associated with substance use, as well as protective factors that lead to health and adaptive behavior in early adulthood. If successful, this intervention will be a cost-effective means to reduce substance use and other risk behavior that can be embedded into high schools as youth transition to independent living. PUBLIC HEALTH RELEVANCE: The focus of this study is to examine how parent-youth relationships in late adolescence may be protective or may contribute to escalating substance use and abuse during the transition to adulthood. We propose to follow up an existing community sample in order to understand unique aspects of parenting during this period, and to administer a family-based intervention designed to (a) prevent escalation in late adolescence substance use, and (b) promote protective factors that lead to health and adaptive behavior in emerging adulthood. It is anticipated that this intervention will be a cost-effective means to reduce substance use and other risk behavior that could be easily implemented in a variety of service settings across the United States.

描述（由申请人提供）：在发展转型过程中，与家人、同龄人和亲密伴侣的关系可能会带来风险或恢复力。理想情况下，这些关系可以保护和支持对新角色的积极适应，但有时它们会使个人面临风险，而这些风险可以预测以后的问题行为，例如药物滥用。我们的研究团队针对这些关键关系开发了一种有效的干预措施，以减少药物使用和其他危险行为，同时增强导致健康、适应性行为的保护因素。这种称为家庭检查（FCU）的干预措施已在不同年龄和样本中进行了研究。我们建议现在重点关注向成年期的过渡，这是与药物使用率和危及生命的危险行为（例如高危性行为、酒后驾驶）最高相关的时期。这项研究将通过提供 FCU 作为高中毕业的青少年过渡来扩展我们之前的工作。它将研究青春期后期的亲子关系如何具有保护作用，或如何导致成年过渡期间通常观察到的药物使用和滥用升级。我们建议对现有的 593 名不同种族和社会经济的青少年及其家人的社区样本进行跟踪，这些样本最初是在 11 岁时招募的，作为以学校为基础、以家庭为中心的中学期间预防药物使用干预措施的一部分。分配到原始治疗条件的家庭将获得额外的干预，该干预将针对这一过渡期间的父母与青少年关系，并将提供有关家庭过程发展变化的重要信息，以保护青少年在此期间免受药物滥用。 FCU 干预的青春期后期版本旨在 (a) 防止物质使用升级，(b) 关注促进独立生活的父母与青少年关系，(c) 阻止不健康的同伴关系和促进吸毒的活动，以及(d) 提供支持，以增强向成年过渡期间的适应性行为和健康的成年结果。我们还将评估 FCU 的持久功效以及 FCU 对青春期后期在减少物质使用和问题行为的增长以及支持健康适应方面的初步功效。这项研究将极大地有助于我们了解青春期后期的养育方式和与药物使用相关的危险因素，以及导致成年早期健康和适应行为的保护因素。如果成功，这种干预措施将成为减少药物使用和其他危险行为的一种具有成本效益的手段，随着青少年过渡到独立生活，这些干预措施可以融入高中。 公共卫生相关性：本研究的重点是研究青春期后期的父母与青少年关系如何可能具有保护作用，或如何导致成年过渡期间物质使用和滥用的升级。我们建议对现有的社区样本进行跟踪，以了解这一时期养育子女的独特方面，并实施以家庭为基础的干预措施，旨在（a）防止青春期后期物质使用的升级，以及（b）促进保护因素导致成年初期的健康和适应性行为。预计这种干预措施将成为减少药物使用和其他风险行为的一种经济有效的手段，可以在美国各地的各种服务环境中轻松实施。