Skeer Margie R, Yantsides Konstantina E, Eliasziw Misha, Carlton-Smith Allison, Tracy Migdalia, Spirito Anthony
Tufts University School of Medicine, Department of Public Health and Community Medicine, Boston, MA.
Alpert Medical School of Brown University, Division of Clinical Psychology, Department of Psychiatry and Human Behavior, Providence, RI.
J Child Fam Stud. 2016 Dec;25(12):3739-3748. doi: 10.1007/s10826-016-0525-3. Epub 2016 Sep 12.
Evidence-based interventions to reduce substance misuse among adolescents are resource and time intensive. We conducted a pilot RCT to evaluate a novel, adaptable, and resource-efficient substance misuse preventive intervention for parents/guardians, focusing on talking with children about substance use and on eating family meals. We randomized 70 parents of children in third-through-sixth grades within a large, urban public school system in New England to the intervention or control condition. Over a six-month follow-up period, we assessed feasibility and acceptability of the intervention and examined frequency of parent-child conversations about alcohol, marijuana, and other drugs, and frequency and duration of family meals. A total of 29 parents were assigned to the intervention and 35 to the control condition. The intervention was found to be feasible and acceptable to participants as evidenced by high recruitment and retention rates and positive feedback from qualitative exit interviews. At three- and six-month follow up, 64.3% and 44.5% of parents in the intervention condition were talking "a lot" to their children about alcohol, compared to 8.7% and 8.7% of the parents in the control condition, respectively (<0.01 and =0.03). Patterns in frequency and duration of family meals between the two conditions were not significantly different over time. In conclusion, a higher percentage of parents randomized to the intervention condition spoke with their children about alcohol, marijuana, and other drugs, but the frequency and duration of meals was not impacted. Further testing of the brief intervention with a larger sample to assess efficacy is warranted.
减少青少年药物滥用的循证干预措施需要大量资源和时间。我们开展了一项试点随机对照试验，以评估一种新颖、可调整且资源高效的针对父母/监护人的药物滥用预防干预措施，重点是与孩子谈论药物使用以及共进家庭餐。我们将新英格兰一个大型城市公立学校系统中三至六年级学生的70名家长随机分为干预组或对照组。在为期六个月的随访期内，我们评估了干预措施的可行性和可接受性，并考察了亲子间关于酒精、大麻和其他药物的谈话频率，以及家庭用餐的频率和时长。共有29名家长被分配到干预组，35名家长被分配到对照组。高招募率和留存率以及定性退出访谈中的积极反馈表明，干预措施对参与者来说是可行且可接受的。在三个月和六个月的随访中，干预组中分别有64.3%和44.5%的家长“经常”与孩子谈论酒精，而对照组中这一比例分别为8.7%和8.7%（<0.01和=0.03）。随着时间推移，两组家庭用餐的频率和时长模式没有显著差异。总之，随机分配到干预组的家长中，有更高比例的人与孩子谈论了酒精、大麻和其他药物，但用餐频率和时长并未受到影响。有必要对这种简短干预措施进行更大样本量的进一步测试以评估其效果。
