A Randomized Trial of Letting Go and Staying Connected, an Interactive Parenting Intervention to Reduce Risky Behaviors Among Students

放手和保持联系的随机试验，减少学生危险行为的互动育儿干预

基本信息

批准号：
9348598
负责人：
Laura Griner Hill
金额：
$ 53.09万
依托单位：
WASHINGTON STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-09-15 至 2021-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9348598
关键词：
Administrator Alcohol abuse Alcohol consumption Alcohol or Other Drugs use Alcohols Analgesics Anxiety Baseline Surveys Behavior Behavior Control Belief Cardiac Cause of Death Cessation of life Child Rearing Communication Decision Making Development Economic Burden Electronic Mail Emotional Event Exhibits Faculty Failure Family Frequencies Goals Graduation Rates Growth HIV Home environment Incidence Influentials Informal Social Control Injury Intervention Knowledge Lead Learning Legal Life Marijuana Mediating Modeling Monitor Multiple Partners Opiates Outcome Parents Participant Pathway interactions Performance Persons Pharmaceutical Preparations Pilot Projects Policies Population Pregnancy Prevalence Prevention Preventive Intervention Psychotic Disorders Randomized Reporting Research Research Design Rewards Risk Risk Behaviors Role Science Self-Administered Series Services Sex Behavior Sexual Partners Social Development Societies Specific qualifier value Stroke Students Substance abuse problem Sum Surveys Testing Text Time Universities Unsafe Sex Washington addiction base binge drinking cohort college cost design efficacy testing evidence base experience falls family management follow-up handbook high risk high risk sexual behavior improved innovation malleable risk marijuana use nonmedical use peer prescription opiate programs protective effect public health relevance randomized trial reduced substance use research and development sex risk sexual assault skill acquisition skills social substance misuse substance use prevention success theories tool university student young adult

项目摘要

DESCRIPTION (provided by applicant): During the transition from home to college, students exhibit a dramatic increase in substance use, high- risk HIV/sex-risk behaviors, and associated harms. Prevalence of alcohol and marijuana use, and of non- medical prescription stimulant and painkiller use, is high among college students, who represent 40% of our young adult population. Parents remain influential with young adult students, but the mechanisms of risk and protection at this developmental stage in the family domain are not well understood. Our overarching goal is to reduce the incidence of death, injury, sexual assault, and academic failure related to substance use and related risk behaviors among college students. Our immediate objective is to test the efficacy of a preventive intervention for parents as their students transition to college. The rationale for this project, an interactive parent handbook, is that it wll provide college administrators with a new, low-cost tool that will (a) significantly reduce risk behaviors, injuries, sexual assault, and deaths; and (b) increase academic success among first- year students. The handbook, Letting Go and Staying Connected, is interactive, theoretically guided, and developmentally targeted. It will provide parents with evidence-based parenting skills during a transitional period in which they often seek guidance and support. Preliminary results from a pilot study indicate that students whose parents participated in the intervention were significantly less likely to use substances and experience harms during their first semester than were control students. We will randomly assign parent-student dyads (450 dyads per cohort; two cohorts) to one of three groups: Handbook, Handbook Plus (an innovative "booster" condition in which some Handbook parents receive tailored text messages), and Control. All participants will complete a baseline survey during summer before the first year of college. Handbook parents then receive the mailed handbook; Handbook Plus parents also receive booster messages in fall semester. Follow-up surveys will occur once a semester for two years. Our aims are 1) to test the efficacy of the Handbook: we expect that students of parents receiving the handbook will engage in less substance use and fewer high-risk sex behaviors than control students; 2) to evaluate mediating and moderating factors: our hypothesized model specifies that parent behaviors will mediate associations between Handbook use and student outcomes; and 3) to identify specific attributes of parent-student communication (e.g., content; tone; timing) that predict risk behaviors. The project will allow us to test protective effects of specific aspects of parenting behaviors, and results will extend our limited knowledge about malleable risk and protective factors in the family domain for this developmental period. Additionally, the project will take place in Washington, a state where the purchase, possession, and use of marijuana have recently been legalized, providing timely information about effects of parent communication specifically about marijuana. In sum the project has practical, scientific, and policy significance.

描述（由申请人提供）：从家庭到大学的过渡期间，学生的物质使用、高危艾滋病毒/性行为以及相关危害的流行程度急剧增加。大学生占年轻人口的 40%，处方兴奋剂和止痛药的使用率很高。父母对年轻成人学生仍然有影响力，但家庭领域这一发展阶段的风险和保护机制尚不清楚。我们的总体目标是减少大学生中与药物使用和相关危险行为相关的死亡、伤害、性侵犯和学业失败的发生率。我们的近期目标是测试家长在学生过渡到大学时预防性干预的有效性。这个交互式家长手册项目的基本原理是，它将为大学管理人员提供一种新的低成本工具，该工具将（a）显着减少危险行为、伤害、性侵犯和死亡；（b）提高学业水平；一年级学生的成功手册，《放手和保持联系》是互动的、有理论指导的、有发展针对性的，它将为家长提供基于证据的育儿技能，在这个过渡时期，他们经常从一项试点研究中寻求指导和支持，这些结果表明学生的父母。与对照学生相比，参与干预的学生在第一学期使用药物和遭受伤害的可能性明显较低。我们将随机将家长-学生二人组（每组 450 人；两个组）分配到以下三组之一：手册、手册、 Handbook Plus（一种创新的“助推器”条件，其中一些 Handbook 家长会收到定制的短信），以及 Control。所有参与者将在大学第一年之前的夏季完成一份基线调查，然后收到邮寄的 Handbook Plus 家长手册；我们还将在秋季学期收到加强信息，为期两年，每学期进行一次。我们的目标是 1) 测试手册的有效性：我们希望收到手册的学生能够减少药物滥用。高危性行为比控制学生；2) 评估中介和调节因素：我们训练有素的模型指定家长行为将调解手册使用与学生成绩之间的关联；3) 识别家长与学生沟通的具体属性（例如内容、语气、时间安排）该项目将使我们能够测试养育行为特定方面的保护作用，结果将扩展我们对这一发展时期家庭领域可塑性风险和保护因素的有限知识。在华盛顿州购买、拥有和使用大麻最近已合法化，及时提供有关家长沟通特别是大麻方面的影响的信息。总之，该项目具有实际、科学和政策意义。