An e-Parenting Skills Intervention to Decrease Injured Adolescents' Alcohol Use

减少受伤青少年饮酒的电子育儿技能干预

• 批准号: 9145612
• 负责人: Michael J Mello
• 金额: $ 19.66万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-20 至 2018-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9145612
• 关键词: 17 year old; Address; Adolescent; Adopted; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; American College of Surgeons; Caring; Centers for Disease Control and Prevention (U.S.); Certification; Child Rearing; Cigarette; Clinical Research; Computers; Counseling; Data; Drug usage; Enrollment; Evaluation; Family; Frequencies; Funding; Future; Goals; Health; Healthy People 2020; Hospitalization; Hospitals; Illicit Drugs; Intervention; Knowledge; Literature; Measures; Monitor; Online Systems; Outcome; Parents; Participant; Patient Self-Report; Performance; Persons; Policies; Preparation; Protocols documentation; Public Health; Randomized; Randomized Controlled Trials; Reporting; Research; Risk; Sample Size; Series; Site; Structure; Substance abuse problem; Technology; Teenagers; Testing; Text; Time; Training; Translational Research; Trauma; Trauma patient; Violent injury; Withdrawal; Work; Youth; adolescent patient; aged; alcohol screening; alcohol screening and brief intervention; base; binge drinking; brief intervention; clinical practice; cohort; computerized; cost; design; drinking; effective intervention; follow-up; improved; indexing; injured; marijuana use; parental monitoring; pediatric trauma; portability; problem drinker; programs; satisfaction; school violence; screening; screening, brief intervention, referral, and treatment; skills; standard care; translational study; trauma centers; underage drinking

 DESCRIPTION (provided by applicant): We completed a CDC funded translational study examining a national cohort of pediatric trauma centers' compliance with the American College of Surgeons requirement for Screening, Brief Intervention and Referral to Treatment (SBIRT) for adolescent trauma patients. Our study found that trauma center interventions are usually single session interventions with little discussion of parental monitoring or other parenting strategies yet clinical practice and research indicates that a parental or a family based component improves the efficacy of adolescent alcohol use interventions significantly more than adolescent only programs. This proposal seeks to test the feasibility and acceptability of an e-parenting skills intervention at two pediatric trauma centers. We will randomize 75 dyads of injured adolescents (12-17 years old) who screen positive for alcohol use and their parent to receive either standard trauma center care (a brief intervention with the adolescent) or standard trauma center care (a brief intervention with the adolescent) plus an e-parenting skills intervention consisting of a computerized intervention for parent skill building, a series of text messages and a web-based message board. The primary aim of this proposal is to determine the feasibility and acceptability of conducting the e- parenting intervention protocol across two pediatric trauma centers in preparation for a larger fully power trial. The central hypothesis for our future fully powered randomized control trial is that adolescents whose parents receive the e-parenting skills intervention will decrease their alcohol use and alcohol-related negative consequences over the 6 months following the intervention more than adolescents who receive only standard trauma center care. Therefore, a secondary aim of this proposal is to calculate a preliminary effect size that could be used, along with other relevant data, such as the acceptability data and findings in the literature, to calculate sample size in a future fully powered randomized control trial. We will also examine adolescent's conjoint use of marijuana. This project advances translational research in collecting preliminary data on an e- parenting skills intervention that can be easily adopted with high fidelity across pediatric trauma centers. Its findings have the potential to directly impact best clinical practices for intervening with alcohol using injured adolescents.

 描述（由适用提供）：我们完成了一项CDC资助的翻译研究，研究了国家外科医生学院对青少年创伤患者的筛查，简短干预和转诊（SBIRT）的要求。我们的研究发现，创伤中心干预通常是单一会话干预措施，几乎没有关于父母监测或其他育儿策略的讨论，但临床实践和研究表明，父母或基于家庭的成分提高了青少年酒精使用干预措施的效率，而不是仅仅是青少年计划。该建议旨在测试两个儿科创伤中心的电子育儿技能干预的可行性和可接受性。我们将随机分配75个受伤的青少年（12-17岁），他们对酒精使用及其父母进行筛查，以接受标准的创伤中心护理（与青少年的短暂干预）或标准创伤中心护理（对青少年的短暂干预），以及一系列基于网络的信息委员会和网络信息委员会的计算机干预措施。该提案的主要目的是确定在两个儿科创伤中心进行电子育儿干预方案的可行性和可接受性，以准备进行更大的全功率试验。我们未来的中心假设 完全动力的随机控制试验是，在干预后的6个月内，父母接受电子育儿技能的青少年将减少其酒精使用和与酒精相关的负面后果，而不是仅接受标准创伤中心护理的青少年。因此，该提案的次要目的是计算可以使用其他相关数据的初步效应大小，例如文献中的可接受性数据和发现，以计算未来全功耗的随机控制试验中的样本量。我们还将研究青少年对大麻的联合使用。该项目推进了转化研究，以收集有关电子育儿技能的初步数据，这些数据可以轻松地在小儿创伤中心以高保真度采用。它的发现有可能直接影响使用受伤的青少年与酒精进行干预的最佳临床实践。

项目成果

Alcohol and Other Drug Use in a Sample of Admitted Adolescent Trauma Patients.

入院青少年创伤患者样本中的酒精和其他药物使用情况。

• 发表时间: 2018
• 期刊: Journal of substance abuse and alcoholism
• 作者: Mello,MichaelJ;Bromberg,JulieR;Wills,Hale;Gaines,BarbaraA;Lapidus,Garry;Ranney,MeganL;Spirito,Anthony;Parnagian,Christina;Baird,Janette
• 通讯作者: Baird,Janette

Feasibility and Acceptability of an Electronic Parenting Skills Intervention for Parents of Alcohol-Using Adolescent Trauma Patients.

酗酒青少年创伤患者父母电子育儿技能干预的可行性和可接受性。

• DOI: 10.1089/tmj.2018.0201
• 发表时间: 2019
• 期刊: Telemedicine journal and e-health : the official journal of the American Telemedicine Association
• 作者: Mello,MichaelJ;Bromberg,JulieR;Baird,Janette;Wills,Hale;Gaines,BarbaraA;Lapidus,Garry;Ranney,MeganL;Parnagian,Christina;Spirito,Anthony
• 通讯作者: Spirito,Anthony