Parenting to Prevent Substance Use in Late Adolescence

养育子女以防止青春期后期吸毒

基本信息

批准号：
8848416
负责人：
ELIZABETH A STORMSHAK
金额：
$ 55.74万
依托单位：
UNIVERSITY OF OREGON
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-08-15 至 2016-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8848416
关键词：
Accounting Adaptive Behaviors Adolescence Adolescent Adolescent and Young Adult Adult Age Alcohol or Other Drugs use Area Automobile Driving Behavior Child Rearing 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 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 junior high school parent-child communication parental monitoring parental role peer premature prevent reduced substance use resilience skills socioeconomics substance use prevention successful intervention therapy design young adult

项目摘要

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.

描述（由申请人提供）：跨发育过渡，与家庭，同龄人和亲密伴侣的关系可能是风险或韧性的背景。理想情况下，这些关系保护并支持对新角色的积极适应，但有时它们会使个人面临可预测后来问题行为（例如滥用药物）的风险。我们的研究团队已经开发了一种有效的干预措施，该干预措施针对这些关键关系，以减少药物使用和其他风险行为，同时增强导致健康，适应性行为的保护因素。在各个年龄和样本中，已经研究了这种称为家庭检查（FCU）的干预措施。我们现在建议专注于成年期的过渡，这与最高的药物使用率和威胁生命的风险行为（例如，高风险的性行为，饮酒和驾驶）相关的时期。这项研究将通过将FCU作为高中毕业的青年过渡来扩展我们以前的工作。它将研究青春期后期的亲子关系如何保护或可能导致通常在过渡到成年期间通常观察到的物质使用和滥用。我们建议在中学期间以学校为基础的，以家庭为中心的以家庭为中心的预防药物使用的干预措施的一部分，在11岁时招募593个种族和社会经济上的593个社区样本。分配给原始治疗条件的家庭将得到一项额外的干预措施，该干预措施将针对这种过渡期间的父母与青年的关系，并将提供有关在此期间保护青年免受药物滥用的家庭过程发展变化的关键信息。青春期后期的FCU干预措施旨在（a）防止药物使用升级，（b）专注于促进独立生活的父母关系，（c）劝阻不健康的同伴关系和活动，以促进毒品使用，并促进吸毒和活动（d）在过渡到成年期间，提供支持以增强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在减少药物使用和问题行为的生长以及支持健康适应性方面的FCU对青春期晚期的初步疗效。这项研究将极大地有助于我们对青春期晚期育儿的理解以及与药物使用相关的危险因素，以及导致成年初期健康和适应行为的保护因素。如果成功的话，这种干预将是减少物质使用和其他风险行为的一种经济有效手段，这些行为可以嵌入到高中，以作为青年过渡到独立生活。