The impact of a parent‐directed intervention on parent – child communication about tobacco and alcohol

Drug and Alcohol Review - Tập 27 Số 6 - Trang 591-601 - 2008
S. Beatty1,2, Donna Cross3,1, Thérèse Shaw1,4
1School of Public Health, Curtin University of Technology, Bentley, Western Australia
2Shelley E. Beatty PhD, Doctoral student, School of Public Health, Curtin University of Technology, Bentley, Western Australia
3Donna S. Cross EdD, Associate Professor, School of Public Health, Curtin University of Technology, Bentley, Western Australia
4Thérèse M. Shaw MSc, Biostatistician, School of Public Health, Curtin University of Technology, Bentley, Western Australia.

Tóm tắt

AbstractIntroduction and Aim. Given the likelihood of engaging in the hazardous use of tobacco and alcohol increases during teenage years, pre‐adolescence is a critical time to implement prevention programmes. While social factors other than those associated with parenting play a role in determining a child's risk for initiation of tobacco and alcohol use, parents can have a significant influence on their children's decisions about these issues. The aim of this study was to assess the impact of an in‐home parent‐directed drug education intervention on parent – child communication about tobacco and alcohol. Design and Methods. A group randomised intervention trial was conducted in Perth, Western Australia. Schools were selected using stratified random sampling and randomised to three study conditions. A total of 1201 parents of 10–11‐year‐old children were recruited from 20 schools. The impact of a self‐help intervention, comprised of five communication sheets containing information and activities designed to encourage parents to talk with their 10–11‐year‐old child about issues related to smoking cigarettes and drinking alcohol, was assessed. Results. Intervention‐group parents were more likely to have spoken with their children, to have spoken more recently, to have engaged the child during the discussion and to have addressed the topics identified as being protective of children's involvement in tobacco and alcohol. In addition, the duration of talks about alcohol was longer than for parents in the comparison group. Discussion and Conclusions. Parents of 10–11‐year‐old children appear to be receptive to participating in a home‐based drug‐related educational intervention and the parent‐directed intervention seems to have enhanced parent – child tobacco‐ and alcohol‐related communication.

Từ khóa


Tài liệu tham khảo

Australian Institute of Health and Welfare, 2007, Statistics on drug use in Australia

Loxley W., 2004, The prevention of substance use, risk and harm in Australia: a review of the evidence

Catalano R., 1996, Delinquency and crime: current theories, 149

10.15288/jsa.2001.62.179

10.1001/archpedi.153.3.226

10.1016/j.drugpo.2005.05.005

Australian Institute of Family Studies, 2004, Parenting influences on adolescent alcohol use

10.1002/(SICI)1520-6629(199707)25:4<337::AID-JCOP3>3.0.CO;2-R

10.1111/1469-7610.00681

10.1016/0306-4603(88)90040-8

10.1007/BF02512025

10.1111/j.1746-1561.1991.tb07414.x

10.2190/4WCH-86HE-7B0T-RB4A

10.1007/BF02407336

10.15288/jsas.1999.s13.112

10.1300/J029v05n04_03

10.1006/jado.1998.0155

Brook D., 1992, Family therapy of drug and alcohol abuse, 15

10.3122/jabfm.12.6.436

10.2190/Y0ND-8UG8-MLQR-6NWM

10.1111/j.1753-6405.1994.tb00227.x

10.1111/j.1741-3737.2001.00048.x

Hartos J., 2000, Association between mother and adolescent reports for assessing relations between parent–adolescent communication and adolescent adjustment, J Youth Adolesc, 29, 441, 10.1023/A:1005158425861

10.2190/JEBQ-WLH0-XCYL-U3TN

Kafka R., 1991, Communication in relationships and adolescent substance use: the influence of parents and friends, Adolescence, 26, 587

10.1016/S1054-139X(98)00013-5

10.2190/8YXM-K9GB-B8FD-82NQ

Cohen D., 1994, Parenting behaviours and the onset of smoking and alcohol use: a longitudinal study, Pediatrics, 94, 368, 10.1542/peds.94.3.368

Catalano R., 1998, Drug abuse prevention through family interventions, 130

Spoth R., 1998, Drug abuse prevention through family interventions, 459

10.1093/her/16.1.59

10.2190/PCYV-NTFH-DY0V-EULY

10.1111/j.1746-1561.1996.tb06268.x

10.2190/21BQ-TCYF-FVAP-P947

10.1016/S0306-4603(00)00128-3

McLennan W., 1996, Census of population and housing: how Australia takes a census

10.1111/j.1741-3729.2000.00013.x

Catania A., 1980, The psychology of learning and motivations, 97

Rodin J., 1986, Aging and health: effects of a sense of control, Science, 233, 1271, 10.1126/science.3749877

10.1037/0278-6133.14.2.109

10.1080/09595230600741172

Bandura A., 1986, Social foundations of thought and action: a social cognitive theory

Knowles M., 1988, The adult learner. The definitive classic in adult education and human resource development

Windsor R., 1994, Evaluation of health promotion, health education and disease prevention programs

US Department of Health and Human Services, 1992, Making health communication programs work

Rogers E., 1983, Diffusion of innovations

Orlandi M., 1990, Health behavior and health education, 288

10.2105/AJPH.91.4.604

10.1207/s15327795jra0402_7

10.2105/AJPH.86.7.956

Hawkins J., 1992, Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: implications for substance abuse prevention, Psychol Bull, 12, 64, 10.1037/0033-2909.112.1.64

10.2307/352012

Brook J., 1990, A network of influences on adolescent drug involvement: neighborhood, school, peer and family, Genet Soc Gen Psychol Monogr, 115, 123

Thombs D., 1997, Perceptions of parent behavior as correlates of teenage alcohol problems, Am J Health Behav, 21, 279

10.2307/585496

10.1023/A:1021639617667

Liddle H., 1998, Drug abuse prevention through family interventions, 324

10.1111/j.1746-1561.1990.tb05972.x

10.1093/her/8.1.125

Dishion T., 1984, Parent telephone interview

Szapocznik J., 1985, Manual for the structural family systems rating

Dishion T., 1998, Drug abuse prevention through family interventions, 260

10.1016/B978-0-12-590241-0.50006-X

Ministerial Council on Drug Strategy, 2004, The national drug strategy: Australias integrated framework 2004–09

Alcohol and Other Drugs Program, Health Department of Western Australia (HDWA), 2001, Illicit and licit use of drugs by Western Australian school students in 1999, 1

Ministerial Council on Drug Strategy, 2004, The prevention of substance use, risk and harm in Australia: a review of the evidence

10.1017/CBO9780511526787