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一项针对拉丁裔中学生物质使用规范的家长和青少年联合干预的随机有效性试验。

Randomized effectiveness trial of a parent and youth combined intervention on the substance use norms of Latino middle school students.

机构信息

Southwest Interdisciplinary Research Center, School of Social Work, Arizona State University, United States of America.

Southwest Interdisciplinary Research Center, School of Social Work, Arizona State University, United States of America.

出版信息

J Subst Abuse Treat. 2019 Feb;97:75-83. doi: 10.1016/j.jsat.2018.11.012. Epub 2018 Nov 27.

DOI:10.1016/j.jsat.2018.11.012
PMID:30577903
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9343055/
Abstract

This article advances knowledge about the effectiveness of applying a community-based efficacious parenting intervention in parallel with an efficacious preadolescent intervention in changing substance abuse norms among preadolescent Latino youth. The study employed a longitudinal, randomized control group design comparing three groups: (1) Parent intervention combined with a Youth intervention: Parent/Youth; (2) Parent intervention without a Youth intervention: Parent Only; and (3) Treatment as usual: Comparison. In the comparison group, parents participated in a standard parenting program delivered by the community partner, and the youth received the usual drug use prevention programming offered in their schools. Data from both parents and youth at the19 participating schools were collected at pre-test, immediate post-test (4 months after pre-test), and two follow-up (8 & 20 months after the pre-test). The total sample includes 532 families (parent-child dyads). The parent-child dyads consisted of one parent and one youth ages 12-14. The retention rates for both parents and preadolescent were high across the different waves of data collection (79%-96%). Regression results of youth substance use norms were calculated based on three permutations of data: (a) original data, with no imputation and no propensity score matching; (b) imputed data but no propensity score matching; and (c) imputed data plus propensity score matching. Compared to the Comparison group, the Parent/Youth condition was the most effective in changing youth's norms, closely followed by the Parent Only condition. These findings make a significant contribution in advancing knowledge on family/youth substance use prevention for Latinos in a community environment. Although the study took place in a specific urban center in the Southwest US, its findings can be generalized to other urban communities of similar characteristics across the country.

摘要

本文增进了关于在青少年前阶段实施基于社区的有效亲职教育干预与有效青少年前阶段干预并行,以改变拉丁裔青少年前阶段滥用物质规范的知识。该研究采用了纵向随机对照分组设计,比较了三个组:(1)父母干预与青少年干预相结合:父母/青少年;(2)仅父母干预:仅父母;(3)常规治疗:对照组。在对照组中,父母参加了社区合作伙伴提供的标准亲职教育计划,青少年则接受了他们学校提供的常规药物预防计划。来自 19 所参与学校的父母和青少年的数据分别在预测试、即时后测(预测试后 4 个月)和两个随访(预测试后 8 个月和 20 个月)收集。总样本包括 532 个家庭(父母-子女对子)。父母-子女对子由一位家长和一位 12-14 岁的青少年组成。在不同的数据收集阶段,父母和青少年的保留率都很高(79%-96%)。青少年物质使用规范的回归结果是根据数据的三种排列计算的:(a)原始数据,无插补且无倾向得分匹配;(b)插补数据但无倾向得分匹配;(c)插补数据加倾向得分匹配。与对照组相比,父母/青少年条件在改变青少年规范方面最为有效,紧随其后的是仅父母条件。这些发现为在社区环境中为拉丁裔人开展家庭/青少年物质使用预防工作提供了重要的知识贡献。尽管该研究在美国西南部的一个特定城市中心进行,但研究结果可以推广到全国具有类似特征的其他城市社区。

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