针对大学新生饮酒行为的家长干预随机试验。

Michael A Ichiyama, Anne M Fairlie, Mark D Wood, Rob Turrisi, Diane P Francis, Anne E Ray, Louise A Stanger
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引用次数: 0

摘要

目的:尽管有研究表明父母的参与会影响青少年的酗酒行为,但很少有研究关注大学本科生中以父母为基础的酒精预防策略。我们报告了在大学新生样本中开展的基于父母的干预(PBI)随机试验的结果:方法:在两组样本中,724 名大一新生和家长完成了基线评估,并被随机分配到 PBI 或照常干预(为家长提供酒精知识手册)。学生在 4 个月和 8 个月时完成后续评估:采用两部分潜在增长曲线模型来检验假设的干预效果。结果变量为每周饮酒量(过去一个月)、大量偶发性饮酒(过去两周)和酒精相关问题(过去三个月)。在 8 个月的随访期间,PBI 对每周饮酒量有显著影响,但对严重偶发性饮酒或酒精相关问题没有影响。具体来说,与 "照常干预 "条件下的学生相比,接受 "酗酒干预 "的学生从 "不饮酒 "转变为 "饮酒 "的可能性要小得多,而且在大一期间饮酒量的增长也较少。然而,PBI对酒量增长的直接影响受到了PBI x 性别交互作用的限制,探究表明,这种影响适用于PBI条件下的女性,而不适用于男性:本研究扩展了之前的研究,证明了PBI在降低过渡到酗酒状态的可能性方面的潜在作用,至少对女性而言,PBI可以减缓大一期间酗酒人数的增长。
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A randomized trial of a parent-based intervention on drinking behavior among incoming college freshmen.

Objective: Despite research suggesting that parental involvement can affect alcohol involvement among adolescents, few studies have focused on parent-based alcohol prevention strategies among college undergraduates. We report the results of a randomized trial of a parent-based intervention (PBI) in a sample of college freshmen.

Method: Across two cohorts, 724 incoming freshman-parent dyads completed baseline assessments and were randomly assigned to PBI or intervention as usual (an alcohol fact sheet for parents). Student follow-up assessments were completed at 4 and 8 months.

Results: Two-part latent growth curve modeling was used to test hypothesized intervention effects. Outcome variables were drinks per week (past month), heavy episodic drinking (past 2 weeks), and alcohol-related problems (past 3 months). Over the 8-month follow-up period, PBI had a significant effect on drinks per week but not heavy episodic drinking or alcohol-related problems. Specifically, compared with students in the intervention-as-usual condition, students receiving the PBI were significantly less likely to transition from nondrinker to drinker status and showed less growth in drinking over the freshman year. However, the direct PBI effect on growth was qualified by a PBI x Gender interaction, with probes indicating that the effect applied to women but not men in the PBI condition.

Conclusions: This study extends previous research by demonstrating the potential utility for PBIs to decrease the likelihood of transitioning into drinker status and, at least for women, for slowing growth in drinking over the freshman year.

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