The proposed study will implement and test an innovative and highly significant prevention program by integrating an existing school-based parent program with a youth prevention intervention into a new community-based approach to prevent substance use among acculturating Mexican heritage youth. This research applies the ecodevelopmental approach to strengthen family functioning, reduce youth's acculturative stress, and increase youth drug refusal skills. The intervention will prevent youth substance use as a means of reducing health disparities. The guiding hypothesis is that by synchronizing the two interventions in a community-based setting, the intervention will yield stronger youth and parent desired outcomes and will be more cost-effective. This hypothesis will be tested through a randomized control trial (RCT) in a community-based setting with hard-to-reach, underserved and vulnerable Latino (mostly of Mexican heritage) families. The RCT will compare 1) The aligned Parent-Youth intervention, with 2) The Parent-Only intervention;and 3) Control (treatment as usual). The study will test hypothesized mediators (e.g., family functioning, parenting skills and social support) and moderators (acculturation and acculturative stress) of the effectiveness of the program. The findings will increase knowledge about sustainable and efficacious community-based prevention and about specific approaches to overcome barriers to prevention that are present in the changing social and school environments of the Southwest and the nation.
This community-based intervention follows an effective public health approach to reduce youth risk factors and enhance protective factors that can prevent early use of alcohol and tobacco, subsequent use of illicit drugs, and related risk behaviors leading to illness/disability. Findings can improve the health of Latinos and other minorities, advancing a main goal of Healthy People 2020.The cost-effectiveness analysis will inform Policy decisions regarding the dissemination of communitv-based prevention modalities.
|Kulis, Stephen S; Ayers, Stephanie L; Harthun, Mary L (2017) Substance Use Prevention for Urban American Indian Youth: A Efficacy Trial of the Culturally Adapted Living in 2 Worlds Program. J Prim Prev 38:137-158|
|Williams, Allison N; Konopken, Yolanda P; Keller, Colleen S et al. (2017) Culturally-grounded diabetes prevention program for obese Latino youth: Rationale, design, and methods. Contemp Clin Trials 54:68-76|
|Petrov, Megan E; Vander Wyst, Kiley B; Whisner, Corrie M et al. (2017) Relationship of Sleep Duration and Regularity with Dietary Intake Among Preschool-Aged Children with Obesity from Low-Income Families. J Dev Behav Pediatr 38:120-128|
|Sangalang, Cindy C; Tran, Alisia G T T; Ayers, Stephanie L et al. (2016) Bullying among Urban Mexican-heritage Youth: Exploring Risk for Substance Use by Status as a Bully, Victim, and Bully-Victim. Child Youth Serv Rev 61:216-221|
|Muñoz-Ruiz, Miguel; Ribot, Julie C; Grosso, Ana R et al. (2016) TCR signal strength controls thymic differentiation of discrete proinflammatory ?? T cell subsets. Nat Immunol 17:721-727|
|Kulis, Stephen S; Robbins, Danielle E; Baker, Tahnee M et al. (2016) A latent class analysis of urban American Indian youth identities. Cultur Divers Ethnic Minor Psychol 22:215-28|
|Kulis, Stephen S; Jager, Justin; Ayers, Stephanie L et al. (2016) Substance Use Profiles of Urban American Indian Adolescents: A Latent Class Analysis. Subst Use Misuse 51:1159-73|
|Ayón, Cecilia; Baldwin, Adrienne; Umaña-Taylor, Adriana J et al. (2016) Agarra el momento/seize the moment: Developing communication activities for a drug prevention intervention with and for Latino families in the US Southwest. Qual Soc Work 15:281-299|
|Lopez, Vera; Dustman, Patricia; Williams, Tiffany (2016) Drug-involved Mexican-origin girls' HIV prevention needs: A pilot study. Women Health 56:326-44|
|Yoo, Hyung Chol; Jackson, Kelly F; Guevarra, Rudy P et al. (2016) Construction and initial validation of the Multiracial Experiences Measure (MEM). J Couns Psychol 63:198-209|
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