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（由申请人提供）：我们完成了一项 CDC 资助的转化研究，检查全国儿科创伤中心队列是否符合美国外科医生学会对青少年创伤患者进行筛查、简短干预和转诊治疗 (SBIRT) 的要求。研究发现，创伤中心的干预措施通常是单次干预，很少讨论父母监测或其他养育策略，但临床实践和研究表明，父母或基于家庭的干预措施比仅针对青少年的计划更能提高青少年饮酒干预的效果。力求我们将在两个儿科创伤中心测试电子育儿技能干预的可行性和可接受性，我们将随机抽取 75 名酗酒筛查呈阳性的受伤青少年（12-17 岁）及其父母，接受标准创伤中心护理（对青少年的简短干预）或标准创伤中心护理（对青少年的简短干预）加上电子育儿技能干预，包括用于家长技能培养的计算机化干预、一系列短信和基于网络的留言板。此举的主要目的该提案的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，为更大规模的全功率试验做准备。这是我们未来的中心假设。 完全有效的随机对照试验表明，父母接受电子育儿技能干预的青少年在干预后 6 个月内比仅接受标准创伤中心护理的青少年更能减少饮酒和与酒精相关的负面后果。该提案的目的是计算可与其他相关数据（例如可接受性数据和文献中的发现）一起使用的初步效应量，以计算未来全动力随机对照试验中的样本量。青少年联合使用大麻。推进转化研究，收集电子育儿技能干预的初步数据，这些数据可以在儿科创伤中心以高保真度轻松采用，其研究结果有可能直接影响使用受伤青少年进行酒精干预的最佳临床实践。

项目成果

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。

• 发表时间: 2019
• 作者: Mello, Michael J;Bromberg, Julie R;Baird, Janette;Wills, Hale;Gaines, Barbara A;Lapidus, Garry;Ranney, Megan L;Parnagian, Christina;Spirito, Anthony
• 通讯作者: Spirito, Anthony

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
• 作者: Mello, Michael J;Bromberg, Julie R;Wills, Hale;Gaines, Barbara A;Lapidus, Garry;Ranney, Megan L;Spirito, Anthony;Parnagian, Christina;Baird, Janette
• 通讯作者: Baird, Janette