Ameral Victoria, Yule Amy, McKowen James, Bergman Brandon G, Nargiso Jessica, Kelly John F
Addiction Recovery Management Service, Massachusetts General Hospital, 15 Parkman Street, Boston, MA 02114.
VA Boston Healthcare System, 150 South Huntington Avenue, Boston, MA 02130.
Alcohol Treat Q. 2020;38(3):379-394. doi: 10.1080/07347324.2019.1633978. Epub 2019 Jul 1.
Parents of youth with substance use disorders (SUDs) often play a vital role in successful treatment, yet little is known about interventions designed to help them cope with the stress of this role, especially as delivered in real-world settings. Evaluations of such interventions could potentially inform adaptations to enhance their clinical utility. Parents of youth with SUDs attending a clinician-led group based on the CRAFT model completed measures at intake, 4- and 8-weeks. Parents (=545) attended an average of 3.7 sessions; 12% completed all 8 weeks. Analysis of demographic predictors of retention indicated that older parents attended more sessions on average. Overall stress did not change across time points (>0.05). However, parents reported improvement in parent empowerment as measured by the Parent Empowerment Scale, a novel measure of parent empowerment in coping with their child's SUD (<0.001). Clinician led evidence-informed group services may improve parents' perceived ability to help their child with their SUD. Low retention rates highlight the need to better understand the factors contributing to retention, and the potential value of adaptations to shorten the intervention. Programs serving youth with SUDs may wish to consider integrating such group services to support parents.
患有物质使用障碍（SUDs）的青少年的父母在成功治疗中往往起着至关重要的作用，但对于旨在帮助他们应对这一角色压力的干预措施知之甚少，尤其是在现实世界环境中实施的干预措施。对此类干预措施的评估可能会为改进措施提供依据，以提高其临床效用。参加基于CRAFT模型的临床医生主导小组的患有SUDs的青少年的父母在入组时、4周和8周时完成了测量。父母（=545人）平均参加了3.7次会议；12%的人完成了全部8周的课程。对留存率的人口统计学预测因素的分析表明，年龄较大的父母平均参加的会议更多。总体压力在各时间点没有变化（>0.05）。然而，根据父母赋权量表（一种衡量父母在应对孩子的SUD方面赋权的新指标）的测量，父母报告称在父母赋权方面有所改善（<0.001）。临床医生主导的循证小组服务可能会提高父母帮助孩子应对SUD的感知能力。低留存率凸显了更好地了解影响留存率的因素以及缩短干预措施的调整的潜在价值的必要性。为患有SUDs的青少年提供服务的项目可能希望考虑整合此类小组服务以支持父母。
