Early Intervention to Engage Parents in Socializing Children Against Alcohol Use

早期干预，让父母参与社会活动，让孩子反对酗酒

• 批准号: 8066790
• 负责人: CHRISTINE JACKSON
• 金额: $ 52.2万
• 依托单位: RESEARCH TRIANGLE INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-07-01 至 2014-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8066790
• 关键词: 8 year old; Abstinence; Address; Adolescence; Adolescent; Adult; Age; Alcohol consumption; Alcohols; Antismoking; Awareness; Behavioral; Cessation of life; Child; Childhood; Communication; Consumption; Data; Early treatment; Educational process of instructing; Enrollment; Family; Female; Future; Health; Home environment; Image; Intervention; Interview; Knowledge; Link; Measures; Mediator of activation protein; Modeling; Monitor; Mothers; Outcome; Parenting behavior; Parents; Performance; Phase; Predisposition; Pregnancy; Prevention program; Primary Prevention; Randomized; Randomized Controlled Trials; Recruitment Activity; Regression Analysis; Relative (related person); Research; Research Project Grants; Risk; Risk Behaviors; Sampling; School-Age Population; Schools; Series; Socialization; Structure; Survival Analysis; Telephone Interviews; Television; Testing; United States; alcohol availability; alcohol related problem; alcohol use initiation; base; binge drinking; design; deter alcohol use; drinking; elementary school; eligible participant; experience; follow-up; high risk; intervention effect; motor vehicle injury; peer; primary outcome; programs; therapy design; underage drinking; volunteer

DESCRIPTION (provided by applicant): Nearly 40% of young people in the United States first consume alcohol by age 12. Initiation of alcohol use during childhood increases significantly the likelihood of habitual alcohol use, high risk alcohol use, and alcohol-related health risk behaviors during adolescence. Aim I: Develop a parent-child intervention designed to increase the likelihood of an alcohol-free childhood. The intervention will engage parents and children in activities that instill and reinforce attitudinal and behavioral norms against any underage consumption of alcohol. Within the context of normal parenting practices (e.g., communication, modeling, rule setting, monitoring), the intervention will, for example, enable parents to communicate norms that prohibit ever sipping another's drink with alcohol and ever having a drink of one's own; eliminate child access to alcohol products at home; eliminate any child involvement in adult alcohol use (e.g., fetching drinks); communicate family norms regarding child sipping, access, serving, etc. to relatives and other parents; teach children how to respond to peers or adults who might offer alcohol; counter pro-drinking images and messages from television and other media; and reinforce children for staying alcohol-free. This comprehensive program of protective alcohol use socialization will be modeled after a successful anti-smoking socialization intervention. Aim II: Conduct a two-group, randomized controlled trial to test the effect of the intervention on initiation of alcohol use by children. Recruit 1,406 mothers, stepmothers, or other female guardians who have an eldest 8-year old child who has never consumed alcohol for a nonreligious purpose. Randomize eligible participants who complete baseline telephone interviews to a treatment (intervention plus two annual boosters) or alternative control (fact sheet) condition. Evaluate implementation following delivery of each intervention unit. Measure intervention effects by interviewing children and mothers 1, 2, 3, and 4 years post-baseline. Test primary hypothesis: Children exposed to the intervention will be significantly less likely than controls to initiate alcohol use by age 12. Test secondary hypothesis: Among children who remain abstinent to age 12, those exposed to the intervention will have significantly lower susceptibility to initiating alcohol use than controls. Conduct analyses to identify mediators and moderators of intervention effects. PUBLIC HEALTH RELEVANCE: Early initiation of alcohol use increases significantly the likelihood of alcohol use, high risk alcohol use (e.g., binge drinking), alcohol-related problems (e.g., diminished school performance), and other health risk outcomes (e.g., motor vehicle injury or death; pregnancy) during adolescence. A primary prevention program is needed that begins during childhood, engages parents, and successfully promotes an alcohol- free childhood. This research project will design and evaluate a home-based alcohol use prevention program for parents and their elementary-school-aged children.

描述（由申请人提供）：近40％的年轻人在12岁时首次食用酒精。童年时期的饮酒开始大大增加了习惯性饮酒的可能性，高风险饮酒和与酒精有关的健康风险行为。目标I：开发一种旨在增加无酒精童年可能性的亲子干预措施。干预将使父母和子女参与灌输和加强态度和行为规范的活动，以与任何未成年的酒精消费。在正常的育儿习惯（例如，沟通，建模，规则设置，监视）的背景下，例如，干预将使父母能够传达禁止曾经用酒精饮料并曾经喝一杯饮料的规范；消除在家中使用酒精产品的儿童；消除任何儿童参与成人饮酒（例如，饮料）；将有关儿童的家庭规范，访问，服务等传达给亲戚和其他父母；教孩子如何应对可能提供酒精的同龄人或成年人；电视和其他媒体的反饮用图像和消息；并加强儿童保持无酒精的状态。这项保护性饮酒社会化的全面计划将在成功的反吸烟社会化干预措施之后进行建模。 AIM II：进行两组，随机对照试验，以测试干预对儿童使用饮酒的影响。招募1,406位母亲，继母或其他有8岁儿童的女性监护人，他们从未出于非宗教目的而饮酒。随机将完成基线电话采访的合格参与者进行治疗（干预加两个年度助推器）或替代控制（情况说明书）条件。评估每个干预单元交付后的实施。基线后通过采访儿童和母亲1、2、3和4年来衡量干预效果。测试主要假设：暴露于干预措施的儿童将在12岁之前发起酒精使用的可能性要小得多。测试次要假设：在戒酒的儿童中，暴露于12岁的儿童中，与对照相比，暴露于12岁的孩子的启动酒精使用易感性将显着降低。进行分析以识别干预效果的介体和主持人。公共卫生相关性：早期饮酒的开始大大增加了饮酒的可能性，高风险的饮酒（例如暴饮暴食），与酒精相关的问题（例如，学校绩效减少）以及其他健康风险结果（例如，在青春期期间汽车损伤或死亡）。需要一个初级的预防计划，该计划在童年时期开始，与父母交往并成功促进无酒精的童年。该研究项目将为父母及其小学生设计和评估一项基于家庭的酒精使用预防计划。