School of Social Work, Columbia University, New York, NY 10027, USA.
Addict Behav. 2009 Dec;34(12):1060-4. doi: 10.1016/j.addbeh.2009.06.007. Epub 2009 Jul 5.
This study tested a computerized gender-specific, parent-involvement intervention program grounded in family interaction theory and aimed at preventing substance use among adolescent girls. Following program delivery and 1 year later, girls randomly assigned to the intervention arm improved more than girls in a control arm on variables associated with reduced risks for substance use, including communication with their mothers, knowledge of family rules about substance use, awareness of parental monitoring of their discretionary time, non-acceptance of peer substance use, problem-solving skills, and ability to refuse peer pressure to use substances. Relative to control-arm girls, those in the intervention arm also reported less 30-day use of alcohol and marijuana and lower intentions to smoke, drink, and take illicit drugs in the future. Girls' mothers in the intervention arm reported greater improvements after the program and relative to control-arm mothers in their communication with their daughters, establishment of family rules about substance use, and monitoring of their daughters' discretionary time. Study findings lend support to the potential of gender-specific, parent-involvement, and computerized approaches to preventing substance use among adolescent girls.
本研究测试了一种基于家庭互动理论的计算机化性别特定、家长参与干预计划，旨在预防少女的物质使用。在计划实施后和 1 年后，随机分配到干预组的女孩在与减少物质使用风险相关的变量上的改善程度超过了对照组的女孩，包括与母亲的沟通、对家庭关于物质使用规则的了解、对父母监督自己自由支配时间的意识、对同伴物质使用的不接受、解决问题的能力和拒绝同伴施加的使用物质的压力的能力。与对照组的女孩相比，干预组的女孩报告的 30 天内使用酒精和大麻的情况较少，未来吸烟、饮酒和使用非法药物的意图也较低。干预组女孩的母亲在计划实施后和对照组母亲相比，在与女儿的沟通、制定家庭关于物质使用的规则以及监督女儿的自由支配时间方面有了更大的改善。研究结果为预防少女物质使用的性别特定、家长参与和计算机化方法提供了支持。
