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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >A randomized trial of Parents Who Care: effects on key outcomes at 24-month follow-up.
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A randomized trial of Parents Who Care: effects on key outcomes at 24-month follow-up.

机译：照顾父母的一项随机试验：对24个月随访的关键结果的影响。

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This study was designed to test the efficacy of Parents Who Care (PWC), a seven-session universal prevention program which includes parenting, youth, and family components designed to prevent substance use and other problem behaviors. Using an intent-to-treat experimental design, this study tests the program efficacy across race within a balanced sample of European American (EA) and African American (AA) youth and their parents (n = 331 n AA = 163; n EA = 168). Families were recruited, randomly assigned to three conditions (group-administered [PA], self-administered with telephone support [SA], and no-treatment control) and the intervention was administered when the adolescents were in the eighth grade. Analyses on key teen outcomes of the Parent's Who Care program at 24-month follow-up are reported here and include perceptions of drug use harm; favorable attitudes about drug use; delinquent and violent behavior; and initiation into cigarette, alcohol, other drug use, or sexual activity. Repeated measures mixed model regressions found no effect of the intervention on rate of change in attitudes about drug use or frequency of delinquent or violent behavior. Regression analyses with multiple imputations for missing data detected group differences in means at 24-month follow-up. Both program formats reduced favorable attitudes toward drug use among youth (SA d = 0.39, PA d = 0.22); and AA youth in the self-administered intervention reported significantly less violent behavior than their control counterparts (d = 0.45). No effects were found for drug use harm or delinquency. Finally, logistic regression predicting a combined outcome measure of initiation of alcohol, tobacco, drug use, and/or sexual activity found AA youth in both the group- and self-administered intervention conditions significantly less likely to initiate substance use and/or sexual activity than those in the control condition. Odds ratios indicated the chances of initiating sex or substance use were reduced by almost 70% (OR = 0.31) forAA teens in the SA condition compared to controls, and 75% (OR = 0.25) for the AA teens in the PA compared to controls.
机译：这项研究旨在测试“照顾父母”（PWC）的功效，这是一个七阶段的全民预防计划，其中包括为防止吸毒和其他问题行为而设计的父母，年轻人和家庭组成部分。使用意向性实验设计，本研究在欧洲裔美国人（EA）和非裔美国人（AA）青年及其父母的均衡样本中测试了跨种族的计划功效（n = 331 n AA = 163; n EA = 168）。招募了一些家庭，将他们随机分配给三种情况（小组管理[PA]，电话管理[SA]自我管理和无治疗控制），并在八年级时进行干预。此处报告了在24个月随访中对“父母照料计划”的青少年青少年关键结局进行的分析，其中包括对药物使用危害的看法;对药物使用的良好态度;犯罪行为和暴力行为;并开始吸烟，饮酒，使用其他毒品或进行性行为。重复测量混合模型回归发现，干预对药物使用态度变化率或犯罪或暴力行为频率没有影响。对缺失数据进行多种归因的回归分析在24个月的随访中检测出均值的组差异。两种方案形式都降低了青年人对毒品使用的积极态度（SA d = 0.39，PA d = 0.22）;自我干预措施中的机管局青年表示，其暴力行为明显少于对照组（d = 0.45）。没有发现药物使用危害或犯罪的影响。最后，逻辑回归预测了开始饮酒，吸烟，吸毒和/或性活动的综合结果，发现AA青年在集体和自我管理的干预条件下均不太可能开始吸毒和/或性活动比控制条件下的要好。几率表明，与对照组相比，在SA条件下，AA青少年的性行为或吸毒的机会降低了近70％（OR = 0.31），而在PA中，AA青少年的青少年与对照组相比，降低了75％（OR = 0.25） 。

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