BMC Public Health | |
Design of a Web-based individual coping and alcohol-intervention program (web-ICAIP) for children of parents with alcohol problems: study protocol for a randomized controlled trial | |
Håkan Leifman2  Nicklas Kartengren2  Ulla Zetterlind1  Helena Hansson1  Tobias H Elgán3  | |
[1] Clinical Health Promotion Centre, Department of Health Sciences, Lund University and Skåne University Hospital MAS, SE-205 02 Malmö, Sweden;The Swedish Council for Information on Alcohol and Other Drugs (CAN), Box 704 12, SE-107 25 Stockholm, Sweden;STAD, Stockholm Centre for Psychiatric Research and Education, Department of Clinical Neuroscience, Stockholm County Council Health Care Provision and Karolinska Institutet, Box 6031, SE-102 31 Stockholm, Sweden | |
关键词: Web-based intervention; RCT; Internet-delivered intervention; ICAIP; Individual Coping and Alcohol Intervention Program; Children of substance abusing parents; CAST; Children of alcoholics screening test; CoA; Children of alcoholics; | |
Others : 1163939 DOI : 10.1186/1471-2458-12-35 |
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received in 2011-12-20, accepted in 2012-01-16, 发布年份 2012 | |
【 摘 要 】
Background
It has been estimated that approximately 20% of all Swedish children grow up with parents having alcohol problems, which may result in negative outcomes among these children. Therefore, most Swedish municipalities provide resources for support, but at the same time figures reveal that not even 2% receive support, mainly due to difficulties in identifying and recruiting these children into support programs. Delivering intervention programs to children and adolescents via the Internet seems a promising strategy, but to date, the number of web-based interventions aimed at this target group is very scarce. We have therefore developed a novel internet-delivered therapist assisted self-management intervention called the web-ICAIP (Individual Coping and Alcohol Intervention Program) for adolescents having parents with alcohol problems. The purpose of the program is to strengthen adolescents' coping behavior, improve their mental health, and postponing the onset or decreasing risky alcohol consumption. This paper describes the web-ICAIP and the design of a randomized controlled trial (RCT) to measure the efficacy of this intervention.
Methods/Design
The RCT will include at least 183 adolescents (15-19 year old) who will be randomly allocated to two conditions where one group has access to the web-ICAIP and the other is a waiting list control group. Participants will be recruited from websites containing information and facts for adolescents about alcohol and other drugs. Possible participants will be screened using the short version of the Children of Alcoholics Screening Test (CAST-6). The assessment consists of a baseline and two follow-up measurements taking place after two and six months, respectively. The primary outcomes include the Center for Epidemiological Studies Depression Scale (CES-DC), a coping behavior scale, and also the short version of the Alcohol Use Disorders Identification Test (AUDIT-C). Additional outcomes include the "Ladder of life" which measures overall life satisfaction and questions concerning program adherence.
Discussion
There is an urgent need for developing and evaluating web-based intervention programs which target children having parents with alcohol problems. This study will therefore make an important contribution to this novel field of research.
Trial registration
【 授权许可】
2012 Elgan et al; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20150413123049337.pdf | 413KB | download | |
Figure 1. | 65KB | Image | download |
【 图 表 】
Figure 1.
【 参考文献 】
- [1]Grant BF: Estimates of US children exposed to alcohol abuse and dependence in the family. Am J Public Health 2000, 90(1):112-115.
- [2]McNeill A: Alcohol problems in the family. A report to the European Union. London, U.K.: Eurocare (European Alcohol Policy Alliance) and COFACE (Confederation of Family Organisations in the EU); 1998.
- [3]Ljungdahl S: Barn i familjer med alkohol- och narkotikaproblem - Omfattning och analys [Children in families having alcohol and drug problems - prevalence and analysis]. R 2008:28. Östersund, Sweden: The Swedish National Institute of Public Health; 2008.
- [4]Johnson JL, Leff M: Children of substance abusers: overview of research findings. Pediatrics 1999, 103(5 Pt 2):1085-1099.
- [5]Lieberman DZ: Children of alcoholics: an update. Curr Opin Pediatr 2000, 12(4):336-340.
- [6]Sher KJ: Psychological characteristics of children of alcoholics. Alcohol Health Res World 1997, 21(3):247-254.
- [7]Ohannessian CM, Hesselbrock VM, Kramer J, Kuperman S, Bucholz KK, Schuckit MA, Nurnberger JI Jr: The relationship between parental alcoholism and adolescent psychopathology: a systematic examination of parental comorbid psychopathology. J Abnorm Child Psychol 2004, 32(5):519-533.
- [8]Casas-Gil MJ, Navarro-Guzman JI: School characteristics among children of alcoholic parents. Psychol Rep 2002, 90(1):341-348.
- [9]McGrath CE, Watson AL, Chassin L: Academic achievement in adolescent children of alcoholics. J Stud Alcohol 1999, 60(1):18-26.
- [10]Velleman R, Templeton L, Reuber D, Klein M, Moesgen D: Domestic abuse experienced by young people living in families with alcohol problems: results from a cross-European study. Child Abuse Review 2008, 17:387-409.
- [11]Rothman EF, Edwards EM, Heeren T, Hingson RW: Adverse childhood experiences predict earlier age of drinking onset: results from a representative US sample of current or former drinkers. Pediatrics 2008, 122(2):E298-E304.
- [12]Anda RF, Whitfield CL, Felitti VJ, Chapman D, Edwards VJ, Dube SR, Williamson DF: Adverse, childhood experiences, alcoholic parents, an later risk of alcoholism and depression. Psychiatr Serv 2002, 53(8):1001-1009.
- [13]Chassin L, Rogosch F, Barrera M: Substance use and symptomatology among adolescent children of alcoholics. J Abnorm Psychol 1991, 100(4):449-463.
- [14]Windle M: Concepts and issues in COA research. Alcohol Health Res W 1997, 21(3):185-191.
- [15]Cuijpers P: Prevention programmes for children of problem drinkers: a review. Drug-Educ Prev Policy 2005, 12(6):465-475.
- [16]Emshoff JG, Price AW: Prevention and intervention strategies with children of alcoholics. Pediatrics 1999, 103(5 Pt 2):1112-1121.
- [17]Wannberg H: Fokusera på barnen! Om kommunernas stöd till barn som växer upp med missbrukande föräldrar [Focus on the children! On the municipalities' support to children growing up with substance abusing parents]. Stockholm: Junis, IOGT-NTO's Junior Association; 2011.
- [18]Elgán TH, Leifman H: Children of substance abusing parents: a national survey on policy and practice in Swedish schools. Health Policy 2011, 101(1):29-36.
- [19]Andersson G: Using the Internet to provide cognitive behaviour therapy. Behav Res Ther 2009, 47(3):175-180.
- [20]Bennett GG, Glasgow RE: The Delivery of Public Health Interventions via the Internet: Actualizing Their Potential. Annual Review of Public Health 2009, 30:273-292.
- [21]Strecher V: Internet methods for delivering behavioral and health-related interventions (eHealth). Annu Rev Clin Psychol 2007, 3:53-76.
- [22]King R, Bambling M, Lloyd C, Gomurra R, Smith S, Reid W, Wegner K: Online counselling: the motives and experiences of young people who choose the internet instead of face to face or telephone counselling. Couns Psychother Res 2006, 6(3):169-174.
- [23]Barak A, Hen L, Boniel-Nissim M, Shapira Na: A comprehensive review and a meta-analysis of the effectiveness of internet-based psychotherapeutic interventions. J Technol Hum Serv 2008, 26(2/4):109-160.
- [24]Richardson T, Stallard P, Velleman S: Computerised cognitive Behavioural therapy for the prevention and treatment of depression and anxiety in children and adolescents: a systematic review. Clin Child Fam Psychol Rev 2010, 13(3):275-290.
- [25]Stinson J, Wilson R, Gill N, Yamada J, Holt J: A systematic review of internet-based self-management interventions for youth with health conditions. J Pediatr Psychol 2009, 34(5):495-510.
- [26]Woolderink M, Smit F, van der Zanden R, Beecham J, Knapp M, Paulus A, Evers S: Design of an internet-based health economic evaluation of a preventive group-intervention for children of parents with mental illness or substance use disorders. BMC Publ Health 2010, 10:470. BioMed Central Full Text
- [27]Hansson H, Rundberg J, Zetterlind U, Johnsson KO, Berglund M: An intervention program for university students who have parents with alcohol problems: a randomized controlled trial. Alcohol Alcohol 2006, 41(6):655-663.
- [28]Hansson H, Rundberg J, Zetterlind U, Johnsson KO, Berglund M: Two-year outcome of an intervention program for university students who have parents with alcohol problems: a randomized controlled trial. Alcohol Clin Exp Res 2007, 31(11):1927-1933.
- [29]Hansson H, Zetterlind U, Aberg-Orbeck K, Berglund M: Two-year outcome of coping skills training, group support and information for spouses of alcoholics: a randomized controlled trial. Alcohol Alcohol 2004, 39(2):135-140.
- [30]Zetterlind U, Hansson H, Aberg-Orbeck K, Berglund M: Effects of coping skills training, group support, and information for spouses of alcoholics: a controlled randomized study. Nord J Psychiatry 2001, 55(4):257-262.
- [31]Hodgins DC, Maticka-Tyndale E, el-Guebaly N, West M: The cast-6: development of a short-form of the children of alcoholics screening test. Addict Behav 1993, 18(3):337-345.
- [32]Hodgins DC, Shimp L: Identifying adult children of alcoholics: methodological review and a comparison of the CAST-6 with other methods. Addiction 1995, 90(2):255-267.
- [33]Schoenbach VJ, Kaplan BH, Grimson RC, Wagner EH: Use of a symptom scale to study the prevalence of a depressive syndrome in young adolescents. Am J Epidemiol 1982, 116(5):791-800.
- [34]Fendrich M, Weissman MM, Warner V: Screening for depressive disorder in children and adolescents: validating the center for epidemiologic studies depression scale for children. Am J Epidemiol 1990, 131(3):538-551.
- [35]Olsson G, von Knorring AL: Depression among Swedish adolescents measured by the self-rating scale Center for Epidemiology Studies-Depression Child (CES-DC). Eur Child Adoles Psy 1997, 6(2):81-87.
- [36]Orford J, Guthrie S, Nicholls P, Oppenheimer E, Egert S, Hensman C: Self-reported coping behavior of wives of alcoholics and its association with drinking outcome. J Stud Alcohol 1975, 36(9):1254-1267.
- [37]Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA: Ambulatory Care Quality Improvement P: the AUDIT alcohol consumption questions (AUDIT-C) - An effective brief screening test for problem drinking. Arch Intern Med 1998, 158(16):1789-1795.
- [38]Bergman H, Källmen H, Rydberg U, Sandahl C: Tio frågor om alkohol identifierar beroendeproblem. Psykometrisk prövning på psykiatrisk akutmottagning [Ten questions about alcohol as identifier of addiction problems. Psychometric tests at an emergency psychiatric department]. Lakartidningen 1998, 95(43):4731-4735.
- [39]Andrews FM, Withey SB: Developing measures of perceived life quality - results from several national surveys. Soc Indic Res 1974, 1(1):1-26.
- [40]Nagy E: Barns känsla av sammanhang - En valideringsstudie av BarnKASAM i årskurserna 1-6 (ålder 7-12 år) [Children's Sense of Coherence - A study validating SOC for children in grades 1-6 (7-12 years old)] In Thesis for bachelor's degree. Lund Unviersity, Sweden; School of Social Work; 2004.
- [41]Saghaei M: Random allocation software for parallel group randomized trials. BMC Med Res Methodol 2004, 4:26. BioMed Central Full Text
- [42]Dimeff LA, Baer JS, Kivlahan DR, Marlatt GA: Brief alcohol screening and intervention for college students. A Harm Reduction Approach. New York: The Guilford Press; 1999.
- [43]Cohen J: A power primer. Psychol Bull 1992, 112(1):155-159.
- [44]Faul F, Erdfelder E, Lang AG, Buchner A: G*power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007, 39(2):175-191.
- [45]Crutzen R, de Nooijer J, Brouwer W, Oenema A, Brug J, de Vries NK: Strategies to facilitate exposure to internet-delivered health behavior change interventions aimed at adolescents or young adults: a systematic review. Health Educ Behav 2011, 38(1):49-62.