CAST Intervention for Reducing Adolescent Risk Behaviors

CAST 减少青少年危险行为的干预措施

• 批准号: 7095607
• 负责人: Elaine A Thompson
• 金额: $ 34.99万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-06-01 至 2011-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7095607
• 关键词: behavior; clinical research; health; model; prevention; schools

DESCRIPTION (provided by applicant): The purpose of this study is to extend and rigorously test a promising school-based program for preventing multiple risk behaviors as youth move into their high school years. Coping And Support Training (CAST) is a 12-session, small group prevention program that incorporates a parent component with a subsequent family booster session. The program addresses risk factors associated with adolescent anger/aggression, depression, substance use and school failure by building health-promoting competency skills (problem solving/decision-making, emotion regulation) and social support resources (pro-social peers, family, and school support). This proposal responds to NIH's call: Enhancing Adolescent Health Promotion across Multiple High Risk Behaviors (PA-02-159). Participants will include 320 at-risk 13-to 14 year-old 8th graders from large, public middle schools in 3 school districts. Youth will be randomly assigned (n=160) to one of two conditions (CAST or "school as usual"). Youth in the prevention program compared to the control group are expected to show reduced problem behaviors (anger control problems, aggression, depression); and, at the longer-term follow-up, reduced suicide risk, risky sexual behaviors, ATOD use, and increased school performance. Youth will be assessed 6 times from 8th to 10th grade. Tests will be conducted on short- and longer-term efficacy effects and the potential moderating effects of gender, ethnicity, and risk-level on outcomes. Process evaluation will be used to ensure implementation fidelity, and to monitor and stem negative peer influence. Tests will be conducted on models derived from a theoretically-specified model, positing that CAST reduces co-occurring health risk behaviors through the mediating effects of enhanced personal competencies and pro-social network building, which in turn attenuate the negative effects of antecedent risk factors. This study should provide evidence of program efficacy and begin to explicate mechanisms by which skills-training and social support reduces multiple risk behaviors while enhancing health-promoting behaviors.

描述（由申请人提供）：本研究的目的是扩展并严格测试有前途的基于学校的计划，以防止随着年轻人进入高中时代的多种风险行为。应对和支持培训（CAST）是一项12条课程的小组预防计划，将父母组件与随后的家庭助推器会议结合在一起。该计划通过建立促进健康的能力技能（解决问题/决策，情绪调节）和社会支持资源（亲社会同伴，家庭和学校支持）来解决与青少年愤怒/侵略，抑郁，吸毒，吸毒，吸毒，吸毒和学校失败相关的风险因素。该提案对NIH的呼吁做出了回应：增强了多种高风险行为的青少年健康促进（PA-02-159）。参与者将包括来自3个学区的大型公立中学的320名13至14岁的年龄在13至14岁的八年级学生。年轻人将被随机分配（n = 160）为两个条件之一（像往常一样铸造或“学校”）。预计与对照组相比，预防计划中的青年将显示出减少的问题行为（愤怒控制问题，攻击性，抑郁）；而且，在长期的随访中，自杀风险降低，风险性行为，使用ATOD和增加学校表现。年轻人将从8至10年级评估6次。将对短期和长期疗效效应以及性别，种族和风险水平对结果的潜在调节作用进行测试。过程评估将用于确保实施忠诚度，并监视和茎负面影响。测试将对从理论指定的模型得出的模型进行，这表明，通过增强的个人能力和亲社会网络建立的中介作用，铸造可以减少同时发生的健康风险行为，从而减轻了前危险风险因素的负面影响。这项研究应提供程序疗效的证据，并开始解释技能培训和社会支持减少多种风险行为的同时增强健康行为行为的机制。