STAD, Stockholm Centre for Psychiatric Research and Education, Department of Clinical Neuroscience, Stockholm County Council Health Care Provision and Karolinska Institutet, Box 6031, SE-102 31 Stockholm, Sweden.
BMC Public Health. 2012 Jan 16;12:35. doi: 10.1186/1471-2458-12-35.
It has been estimated that approximately 20% of all Swedish children grow up with parents having alcohol problems, which may result in negative outcomes among these children. Therefore, most Swedish municipalities provide resources for support, but at the same time figures reveal that not even 2% receive support, mainly due to difficulties in identifying and recruiting these children into support programs. Delivering intervention programs to children and adolescents via the Internet seems a promising strategy, but to date, the number of web-based interventions aimed at this target group is very scarce. We have therefore developed a novel internet-delivered therapist assisted self-management intervention called the web-ICAIP (Individual Coping and Alcohol Intervention Program) for adolescents having parents with alcohol problems. The purpose of the program is to strengthen adolescents' coping behavior, improve their mental health, and postponing the onset or decreasing risky alcohol consumption. This paper describes the web-ICAIP and the design of a randomized controlled trial (RCT) to measure the efficacy of this intervention.
METHODS/DESIGN: The RCT will include at least 183 adolescents (15-19 year old) who will be randomly allocated to two conditions where one group has access to the web-ICAIP and the other is a waiting list control group. Participants will be recruited from websites containing information and facts for adolescents about alcohol and other drugs. Possible participants will be screened using the short version of the Children of Alcoholics Screening Test (CAST-6). The assessment consists of a baseline and two follow-up measurements taking place after two and six months, respectively. The primary outcomes include the Center for Epidemiological Studies Depression Scale (CES-DC), a coping behavior scale, and also the short version of the Alcohol Use Disorders Identification Test (AUDIT-C). Additional outcomes include the "Ladder of life" which measures overall life satisfaction and questions concerning program adherence.
There is an urgent need for developing and evaluating web-based intervention programs which target children having parents with alcohol problems. This study will therefore make an important contribution to this novel field of research.
ISRCTN41545712.
据估计,瑞典约有 20%的儿童在有酗酒问题的父母身边长大,这可能会对这些孩子造成负面影响。因此,大多数瑞典市政当局都提供支持资源,但与此同时,数据显示,甚至不到 2%的儿童得到了支持,这主要是因为难以识别和招募这些儿童参加支持项目。通过互联网向儿童和青少年提供干预计划似乎是一种很有前途的策略,但迄今为止,针对这一目标群体的基于网络的干预措施数量非常有限。因此,我们开发了一种新的基于互联网的、由治疗师辅助的自我管理干预措施,称为 web-ICAIP(个体应对和酒精干预计划),用于有酗酒问题父母的青少年。该计划的目的是增强青少年的应对行为,改善他们的心理健康,推迟或减少危险的饮酒行为。本文描述了 web-ICAIP 以及一项随机对照试验(RCT)的设计,以衡量该干预措施的效果。
方法/设计:该 RCT 将包括至少 183 名青少年(15-19 岁),他们将被随机分配到两个条件组,一个组可以访问 web-ICAIP,另一个组是等待名单对照组。参与者将从包含青少年关于酒精和其他药物信息和事实的网站招募。可能的参与者将使用酒精中毒儿童筛查测试(CAST-6)的简短版本进行筛选。评估包括基线和两次随访,分别在两个月和六个月后进行。主要结果包括流行病学研究抑郁量表(CES-DC)、应对行为量表,以及酒精使用障碍识别测试(AUDIT-C)的简短版本。其他结果包括衡量总体生活满意度的“生活阶梯”和有关方案依从性的问题。
迫切需要开发和评估针对有酗酒问题父母的儿童的基于网络的干预计划。因此,这项研究将对这一新颖的研究领域做出重要贡献。
ISRCTN41545712。