Riesch Susan K, Brown Roger L, Anderson Lori S, Wang Kevin, Canty-Mitchell Janie, Johnson Deborah L
University of Wisconsin-Madison, Madison, WI 53792, USA.
West J Nurs Res. 2012 Apr;34(3):340-76. doi: 10.1177/0193945911399108. Epub 2011 Mar 14.
This study examined whether parent-youth dyads participating in the Strengthening Families Program 10-14 (SFP 10-14) would demonstrate greater postprogram family cohesion, communication, involvement, and supervision and if youth would report less alcohol, tobacco, and other drugs involvement in contrast to a comparison group. From 16 randomly selected schools, we recruited 167 parent-youth dyads: 86 from intervention and 81 from comparison schools. The intention-to-treat analysis found one significant change in family environment. Considering dose, it was found that among dyads receiving a full dose, all the outcomes were in the expected direction and effect sizes were moderate. Among dyads receiving a partial dose, 10 of 18 outcomes were in the direction opposite that expected. Youth participation in alcohol, tobacco, and other drugs was very low and did not differ postprogram. Although the expected outcomes were not realized, findings descriptive of dosage effects make a valuable contribution to the field. Study of factors that distinguish intervention completers from noncompleters is recommended.
本研究考察了参与“强化家庭计划10 - 14”(SFP 10 - 14)的亲子二元组在项目结束后是否会展现出更强的家庭凝聚力、沟通、参与度和监督,以及与对照组相比,青少年报告的酒精、烟草和其他毒品使用情况是否会减少。从16所随机选取的学校中,我们招募了167个亲子二元组:86个来自干预组学校,81个来自对照组学校。意向性分析发现家庭环境有一项显著变化。考虑到剂量,研究发现,在接受全剂量的二元组中,所有结果都朝着预期方向发展,效应量适中。在接受部分剂量的二元组中,18项结果中有10项与预期方向相反。青少年在酒精、烟草和其他毒品方面的参与度非常低,且在项目结束后没有差异。尽管未实现预期结果,但关于剂量效应的描述性结果为该领域做出了有价值的贡献。建议对区分干预完成者和未完成者的因素进行研究。