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优化时间安排和剂量:家长类型是否会调节基于家长的干预措施变化的效果,以减少大学生饮酒?

Optimizing timing and dosage: does parent type moderate the effects of variations of a parent-based intervention to reduce college student drinking?

机构信息

Department of Biobehavioral Health, The Pennsylvania State University, 219 Biobehavioral Health Building, University Park, PA, 16802, USA,

出版信息

Prev Sci. 2014 Feb;15(1):94-102. doi: 10.1007/s11121-012-0356-4.

Abstract

Research on parent-based interventions (PBIs) to reduce college student drinking has explored the optimal timing of delivery and dosage. The present study extended this work by examining the effectiveness of three different PBI conditions on student drinking outcomes as a function of parenting types and students' pre-college drinking patterns. Four hypotheses were evaluated (early intervention, increased dosage, invariant, and treatment matching risk). A random sample of 1,900 college students and their parents was randomized to four conditions: (1) pre-college matriculation, (2) pre-college matriculation plus booster, (3) post-college matriculation, or (4) control, and was assessed at baseline (summer prior to college) and 5-month follow-up. Baseline parent type was assessed using latent profile analysis (positive, pro-alcohol, positive, anti-alcohol, negative mother, and negative father). Student drinking patterns were classified at baseline and follow-up and included: non-drinker, weekend light drinker, weekend heavy episodic drinker, and heavy drinker. Consistent with the treatment matching risk hypothesis, results indicated parent type moderated the effects of intervention condition such that receiving the intervention prior to college was associated with lower likelihood of being in a higher-risk drinking pattern at follow-up for students with positive, anti-alcohol, or negative father parent types. The findings are discussed with respect to optimal delivery and dosage of parent-based interventions for college student drinking.

摘要

基于父母的干预措施(PBIs)研究旨在减少大学生饮酒问题,探讨了最佳的实施时间和剂量。本研究通过考察三种不同 PBI 条件对学生饮酒结果的有效性,进一步扩展了这一工作,其考察因素包括父母类型和学生在大学前的饮酒模式。评估了四个假设(早期干预、增加剂量、不变和治疗匹配风险)。一项对 1900 名大学生及其父母的随机抽样调查被随机分配到四个条件:(1)大学前入学,(2)大学前入学加强化,(3)大学后入学,或(4)对照组,并在基线(大学前的暑假)和 5 个月随访时进行评估。基线期父母类型采用潜在剖面分析进行评估(积极、支持饮酒、积极、反对饮酒、消极母亲和消极父亲)。学生的饮酒模式在基线和随访时进行分类,包括:不饮酒者、周末轻度饮酒者、周末重度间歇性饮酒者和重度饮酒者。与治疗匹配风险假设一致,结果表明干预条件受父母类型的调节,对于具有积极、反对饮酒或消极父亲的父母类型的学生,在大学前接受干预与在随访时处于更高风险饮酒模式的可能性较低有关。研究结果结合了最佳的大学前学生饮酒的父母干预措施的实施时间和剂量进行了讨论。

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