A Parent-Child Approach to Substance Abuse Prevention for Mexican American Youth

墨西哥裔美国青少年预防药物滥用的亲子方法

• 批准号: 8356031
• 负责人: Flavio Francisco Marsiglia
• 金额: $ 18.48万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-06-01 至 2017-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8356031
• 关键词: Acculturation; Alcohol consumption; Child; Communities; Community based prevention; Cost Effectiveness Analysis; Environment; Family; Goals; Health; Healthy People 2020; Illicit Drugs; Instruction; Intervention; Knowledge; Latino; Marijuana Smoking; Mediator of activation protein; Mexican; Mexican Americans; Minority; Modality; Outcome; Parenting behavior; Parents; Pharmaceutical Preparations; Policies; Prevention; Prevention program; Preventive Intervention; Process; Program Effectiveness; Public Health; Randomized Controlled Trials; Research; Risk; Risk Behaviors; Risk Factors; Schools; Smoking; Social Change; Social support; Stress; Testing; Tobacco; Youth; adolescent substance use; base; cost effective; disability; early alcohol use; health disparity; improved; innovation; prevent; programs; skills; substance abuse prevention; substance use prevention; treatment as usual

PROJECT SUMMARY (See instructions): The proposed study will implement and test an innovative and highly significant prevention program by integrating an existing school-based parent program with a youth prevention intervention into a new community-based approach to prevent substance use among acculturating Mexican heritage youth. This research applies the ecodevelopmental approach to strengthen family functioning, reduce youth's acculturative stress, and increase youth drug refusal skills. The intervention will prevent youth substance use as a means of reducing health disparities. The guiding hypothesis is that by synchronizing the two interventions in a community-based setting, the intervention will yield stronger youth and parent desired outcomes and will be more cost-effective. This hypothesis will be tested through a randomized control trial (RCT) in a community-based setting with hard-to-reach, underserved and vulnerable Latino (mostly of Mexican heritage) families. The RCT will compare 1) The aligned Parent-Youth intervention, with 2) The Parent-Only intervention; and 3) Control (treatment as usual). The study will test hypothesized mediators (e.g., family functioning, parenting skills and social support) and moderators (acculturation and acculturative stress) of the effectiveness of the program. The findings will increase knowledge about sustainable and efficacious community-based prevention and about specific approaches to overcome barriers to prevention that are present in the changing social and school environments of the Southwest and the nation.

项目摘要（参见说明）： 拟议的研究将实施和测试一项创新且非常重要的预防计划，将现有的基于学校的家长计划与青少年预防干预措施整合到一种新的基于社区的方法中，以防止墨西哥传统青少年吸毒。这项研究应用生态发展方法来加强家庭功能，减少青少年的文化压力，并提高青少年的拒绝毒品技能。该干预措施将防止青少年滥用药物，以此作为减少健康差距的一种手段。指导性假设是，通过在社区环境中同步两种干预措施，干预措施将产生更强烈的青少年和家长期望的结果，并且更具成本效益。这一假设将通过随机对照试验 (RCT) 在社区环境中进行检验，该环境中涉及难以接触、服务不足和弱势的拉丁裔（主要是墨西哥裔）家庭。 RCT 将比较 1) 一致的家长-青少年干预措施和 2) 仅家长干预措施； 3) 控制（照常治疗）。该研究将测试项目有效性的假设中介因素（例如家庭功能、养育技能和社会支持）和调节因素（文化适应和文化压力）。研究结果将增加人们对可持续和有效的社区预防的认识，以及克服西南地区和国家不断变化的社会和学校环境中存在的预防障碍的具体方法。