实施和评估《家庭强化计划 10-14 年》的德国适应性——一项随机对照多中心研究。
Implementing and evaluating the German adaptation of the "Strengthening Families Program 10 - 14"- a randomized-controlled multicentre study.
机构信息
Centre for Psychosocial Medicine, German Centre for Addiction Research in Childhood and Adolescence, University Medical Centre Hamburg-Eppendorf, Martinistraße 52, D-20246 Hamburg, Germany.
出版信息
BMC Public Health. 2014 Jan 27;14:83. doi: 10.1186/1471-2458-14-83.
BACKGROUND
Substance use problems in childhood and adolescence can severely impact youth's physical and mental well-being. When substance use is initiated early, the risk for moving from hazardous substance use to substance use disorders (SUD) is particularly high to developmentally induced biological and psychological vulnerability towards chronic trajectories in youth. Thus, risk factors for developing SUD should be addressed early in life by adequate preventive measures reaching out to children, adolescents, and their families. The study described in this protocol will test the effectiveness of the German adaptation of the Strengthening Families Program for Parents and Youth 10-14 (SFP 10-14) aimed at ten to 14 year old adolescents and their caregivers.
METHODS/DESIGN: The study is conducted in four large German cities by counselling centres in the areas of youth welfare, social work and addiction aid. The effectiveness of the manualised group programme "Familien Stärken" consisting of seven sessions and four booster-sessions is tested among N = 288 children and participating parents in a multicentre randomised controlled trial with standardised assessment instruments. The control condition receives a minimal 2-hour intervention on parenting delivered in a school setting. Data are collected shortly before and after as well as six and 18 months after the intervention. We expect to replicate the favourable effects of the SFP 10-14 programme in the United States in the area of substance use initiation, family functioning and individual psychosocial adjustment.
DISCUSSION
The trial is expected to contribute to the growing literature on family-based preventive interventions, their effectiveness and feasibility. It is in line with several other current European efforts aimed at strengthening families against the detrimental effects of substance abuse in youth. The results of these trials will expand our knowledge on adapting evidence-based interventions and delivering them in diverse cultures and settings.
TRIAL REGISTRATION
Current Controlled Trials ISRCTN90251787.
背景
儿童和青少年时期的物质使用问题会严重影响其身心健康。如果早期开始使用物质，那么从危险物质使用向物质使用障碍（SUD）发展的风险特别高，因为这与青少年时期发育引起的生物和心理脆弱性有关。因此，应该通过针对儿童、青少年及其家庭的适当预防措施，尽早解决导致 SUD 的风险因素。本研究方案描述了对德国版《强化家庭计划：父母与青少年 10-14 岁》（SFP 10-14）的有效性测试，该计划针对 10 至 14 岁的青少年及其照顾者。
方法/设计：该研究在德国四个大城市进行，由青年福利、社会工作和成瘾援助领域的咨询中心进行。通过一项多中心随机对照试验，使用标准化评估工具，对包含七个疗程和四个强化疗程的 SFP 10-14 手册化小组计划“家庭强化”的有效性进行测试。对照组在学校环境中接受 2 小时的标准化育儿干预。在干预前后、干预后 6 个月和 18 个月收集数据。我们预计该计划会在美国复制 SFP 10-14 计划在物质使用开始、家庭功能和个体心理社会调整方面的积极效果。
讨论
该试验有望为基于家庭的预防干预措施及其有效性和可行性的不断增长的文献做出贡献。它与其他几个旨在加强家庭抵御青少年滥用物质的负面影响的欧洲当前努力一致。这些试验的结果将扩大我们对适应循证干预措施并在不同文化和环境中提供这些干预措施的知识。
试验注册
当前对照试验 ISRCTN90251787。
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