Adolescent Involvement in Parental Substance Abuse Treatment: Evaluation of EBFT

青少年参与父母药物滥用治疗：EBFT 评估

• 批准号: 8081265
• 负责人: NATASHA SLESNICK
• 金额: $ 63.37万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-01 至 2014-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8081265
• 关键词: Address; Adolescent; Adolescent Behavior; Adult; Affect; Aftercare; Age; Alcohol dependence; Alcohol or Other Drugs use; Alcohols; Area; Attention; Behavior; Caring; Child; Client; Clinical Trials; Cognitive; Couples; Couples Therapy; Development; Discipline; Drug abuse; Drug usage; Ecology; Effectiveness; Emotional; Evaluation; Family; Family dynamics; Family history of; Family member; Family psychotherapy; Focus Groups; Future; Gender; Health; Health education; Home environment; Illicit Drugs; Individual; Intervention; Life; Lifestyle-related condition; Maintenance; Mediating; Mediator of activation protein; Medical; Modeling; Mothers; Nature; Outcome; Parent-Child Relations; Parenting behavior; Parents; Patients; Pharmaceutical Preparations; Problem behavior; Process; Quality of life; Randomized; Randomized Clinical Trials; Recovery; Relapse; Relative (related person); Reporting; Research; Research Personnel; Resources; Risk; SF-36; Services; Substance Addiction; Substance abuse problem; Substance of Abuse; Supervision; System; Testing; Time; Treatment Effectiveness; Woman; Women' s Health; Youth; adolescent substance abuse; base; child well being; cost effective; cost effectiveness; drug abuser; economic cost; economic evaluation; effective therapy; emotional experience; health care service utilization; improved; prospective; psychologic; psychosocial; public health relevance; response; skills; social; substance abuse treatment; substance abuser; therapy development; treatment as usual; treatment center; treatment effect; treatment planning; treatment program; treatment response

DESCRIPTION (provided by applicant): Many researchers have studied the effects of parental alcohol and drug use on child outcomes. These studies conclude that parental substance use has the potential to negatively impact children's psychosocial development by depriving them of adequate care and supervision, impeding their socioemotional and cognitive development and/or influencing them to become substance users as well. Considering a bidirectional, systemic model for understanding the development, maintenance and recovery of substance use problems, it follows that the child impacts parents' behaviors as well. Family therapy has consistently shown that involvement of family members in the treatment of substance users is associated with higher levels of engagement and retention in treatment. Many studies report pre to post treatment reductions in substance use and related problems among those receiving couples and family therapy. While randomized clinical trials of family therapy have involved adult identified patients (IPs) in couples therapy and adolescent IPs in family therapy, this study will evaluate a family systems intervention involving an adolescent child in the treatment plan of the adult treatment seeker. In the current study, alcohol and drug treatment seeking adult mothers of an adolescent child (11-15) living in the home will be engaged. All clients will be randomized to (1) ecologically-based family therapy (EBFT) in the home + treatment as usual (TAU), (2) EBFT at the office + TAU, or (3) TAU + attention control. The relative efficacy of this approach will be evaluated at 3, 6, 12, and 18 months post-baseline. Proposed change mechanisms (mediators) for family therapy will be evaluated. Differential treatment response as a function of gender, family history of alcohol or drug use, and primary alcohol v. drug abuse (moderators) will be investigated to better understand the intervention. The study will also examine how, if at all, treatment engagement and retention impact parent and adolescent response to treatment. Information gained through this project will help evaluate the utility of including adolescent family members in the treatment plan of their adult parents. Finally, the study will include an economic evaluation component to estimate the economic cost of each intervention and determine which condition is most cost effective. Intervention that includes a focus on parent-child interaction has the potential to enhance substance use reductions, reduce parent relapse, and improve family and emotional health among adults. Involvement of the adolescent offers the opportunity to increase the potential protection of a positive parent-child relationship which is shown to be associated with positive developmental outcomes. Narrative Given the reciprocal nature of parent-child interaction, involvement of the adolescent in their mother's substance abuse treatment plan might be associated with reductions in adult relapse and improvements in child functioning. These findings would support the assertion that focus on family dynamics in substance abuse treatment programs is an effective use of resources and an important target of intervention efforts. PUBLIC HEALTH RELEVANCE: Given the reciprocal nature of parent-child interaction, involvement of the adolescent in their mother's substance abuse treatment plan might be associated with reductions in adult relapse and improvements in child functioning. These findings would support the assertion that focus on family dynamics in substance abuse treatment programs is an effective use of resources and an important target of intervention efforts.

描述（由申请人提供）：许多研究人员研究了父母饮酒和吸毒对儿童结局的影响。这些研究得出的结论是，父母的物质使用有可能通过剥夺足够的护理和监督，阻碍他们的社会情感和认知发展和/或影响他们成为药物使用者来对儿童的社会心理发展产生负面影响。考虑到理解物质使用问题的发展，维护和恢复的双向，系统性模型，因此，孩子也影响了父母的行为。家庭疗法一直表明，家庭成员参与药物使用者的治疗与更高水平的参与度和治疗中的保留有关。许多研究报告了接受夫妇和家庭疗法的药物使用和相关问题的治疗后减少治疗前的。虽然家庭疗法的随机临床试验涉及夫妻疗法中的成年患者（IP）和青少年IPS在家庭疗法中，但本研究将评估涉及成人治疗者治疗计划中的青少年儿童的家庭系统干预措施。在当前的研究中，居住在家庭中的青少年儿童（11-15）的成年母亲的饮酒和药物治疗将被订婚。所有客户都将像往常一样（TAU），（2）Office + Tau或（3）Tau +注意控制的家庭 +治疗中的（1）基于生态的家庭疗法（1）基于生态的家庭疗法（EBFT）。这种方法的相对疗效将在基线后的3、6、12和18个月进行评估。将评估拟议的变更机制（介体）用于家庭治疗。将研究差异治疗反应与性别，酒精或吸毒家族史以及初级酒精诉药物滥用（主持人）的关系，以更好地理解干预措施。该研究还将研究治疗参与和保留率是否影响父母和青少年对治疗的反应。通过该项目获得的信息将有助于评估将青少年家庭成员纳入其成年父母的治疗计划的实用性。最后，该研究将包括一个经济评估部分，以估计每种干预的经济成本，并确定哪种条件最具成本效益。包括专注于亲子互动的干预措施有可能增强物质使用的减少，减少父母复发，并改善成年人的家庭和情绪健康。青少年的参与提供了增加积极的亲子关系的潜在保护，这被证明与积极的发展成果有关。鉴于亲子互动的相互性质，叙述，青少年参与其母亲的药物滥用治疗计划可能与成人复发的减少和儿童功能的改善有关。这些发现将支持这样的断言，即专注于药物滥用治疗计划中的家庭动态是有效利用资源和干预工作的重要目标。公共卫生相关性：鉴于亲子互动的相互性质，青少年参与其母亲的药物滥用治疗计划可能与成人复发的减少和儿童功能的改善有关。这些发现将支持这样的断言，即专注于药物滥用治疗计划中的家庭动态是有效利用资源和干预工作的重要目标。