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对德文版《强化家庭计划10 - 14》的评估:一项随机对照试验。

Evaluation of a German version of the Strengthening Families Programme 10-14: a randomised controlled trial.

作者信息

Baldus Christiane, Thomsen Monika, Sack Peter-Michael, Bröning Sonja, Arnaud Nicolas, Daubmann Anne, Thomasius Rainer

机构信息

University Medical Center Hamburg-Eppendorf, German Center for Addiction Research in Childhood and Adolescence, Martinistraße 52, Hamburg D-20246, Germany

University Medical Center Hamburg-Eppendorf, German Center for Addiction Research in Childhood and Adolescence, Martinistraße 52, Hamburg D-20246, Germany.

出版信息

Eur J Public Health. 2016 Dec;26(6):953-959. doi: 10.1093/eurpub/ckw082. Epub 2016 Jul 3.

Abstract

BACKGROUND

The purpose of this study is to evaluate the effects of a German adaptation of the Strengthening Families Programme 10-14 (SFP 10-14; Familien Stärken).

METHODS

A multi-centre randomised controlled trial comparing the German SFP version consisting of seven sessions and four booster-sessions with a minimal intervention on parenting as control condition. Outcomes comprise measures of adolescent substance use (initiation) and behaviour problems and are assessed at baseline, after programme delivery and at 6- and 18-month follow-ups. Primary outcomes were lifetime tobacco, alcohol and cannabis use at 18 months. Data of n = 292 families were analysed using baseline adjusted logistic regressions and mixed models.

RESULTS

We observed reduced rates of lifetime tobacco use in analyses with follow-up respondents, but not in data using the complete intention to treat sample with multiple imputation estimates for missing data. Parents reported fewer adolescent behaviour problems in analyses with the total sample and multiple imputed data, but not in data with follow-up respondents only. There were no other significant effects of SFP 10-14.

CONCLUSION

Overall the medium size effects found in previous US trials could not be replicated in a German context.

摘要

背景

本研究旨在评估德国版强化家庭计划10 - 14(SFP 10 - 14;家庭强化)的效果。

方法

一项多中心随机对照试验,将由七个课程和四个强化课程组成的德国版SFP与作为对照条件的对育儿进行的最小干预进行比较。结果包括青少年物质使用(开始)和行为问题的测量指标,并在基线、课程结束后以及6个月和18个月随访时进行评估。主要结局是18个月时的终身烟草、酒精和大麻使用情况。使用基线调整后的逻辑回归和混合模型对n = 292个家庭的数据进行了分析。

结果

在对随访受访者的分析中,我们观察到终身烟草使用率有所降低,但在使用对缺失数据进行多次插补估计的完整意向性治疗样本的数据中未观察到。在对总样本和多次插补数据的分析中,父母报告的青少年行为问题较少,但仅在随访受访者的数据中未观察到。SFP 10 - 14没有其他显著效果。

结论

总体而言,先前在美国试验中发现的中等规模效应在德国背景下无法复制。

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