Evidence strongly suggests that Thai adolescents are significantly at risk for HIV/STDs (Crispin, 2004), and that associations between alcohol use and risky sexual behaviors exist (Thato et al.,2003; Allen etal., 2003). There are few behavioral-driven interventions, especially family-based interventions, targeting both alcohol use and risky sexual behaviors among young Thais (Allen et al.,2003; Thato et al.,2003). Accordingly, the goal of this proposed international collaborative research project is to conduct a four year feasibility study for adaptation of Family Matters (P.M.-U.S.), a universal prevention program for substance abuse that involves parents and adolescents, to the Thai culture. This adapted program will be called the Thai Family Matters (TFM) program. Using a family-based approach in Thailand is appropriate for several reasons. The family is a very supportive unit in Thailand. The family unit is the primary provider of fundamental training for deferential behaviors and culturally acceptable norms that are relevant to sexual behavior and alcohol/drug use (Spielman, 1994). There are three specific aims: (1) to assess the relative importance of a U.S.-derived risk and protective factor theoretical model to the Thai culture; (2) to adapt the FM program to Thai families with youth 12to 14years old, creating the TFM; and (3) to pilot test the TFM using a randomized control group design with a six-month follow-up assessment. Both process and outcome evaluations will be conducted to determine the feasibility of program implementation, the cultural appropriateness of program adaptations, program acceptability by the target population, and its influence on risk and protective factors associated with alcohol use and risky sexual behaviors. The study also will examine the short-term effects on alcohol use and risky sexual behaviors. Thai investigators will collaborate in all phases of this proposed study, including program adaptation, dissemination of study findings, and the preparation of a future application to assess the efficacy of TFM.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA015672-03
Application #
7494609
Study Section
Behavioral and Social Consequences of HIV/AIDS Study Section (BSCH)
Program Officer
Bryant, Kendall
Project Start
2006-09-30
Project End
2010-08-31
Budget Start
2008-09-01
Budget End
2009-08-31
Support Year
3
Fiscal Year
2008
Total Cost
$594,372
Indirect Cost
Name
Pacific Institute for Research and Evaluation
Department
Type
DUNS #
021883350
City
Beltsville
State
MD
Country
United States
Zip Code
20705
Chamratrithirong, Aphichat; Miller, Brenda A; Byrnes, Hilary F et al. (2013) Intergenerational transmission of religious beliefs and practices and the reduction of adolescent delinquency in urban Thailand. J Adolesc 36:79-89
Cupp, Pamela K; Atwood, Katharine A; Byrnes, Hilary F et al. (2013) The impact of Thai family matters on parent-adolescent sexual risk communication attitudes and behaviors. J Health Commun 18:1384-96
Byrnes, Hilary F; Miller, Brenda A; Chamratrithirong, Aphichat et al. (2013) The Roles of Perceived Neighborhood Disorganization, Social Cohesion, and Social Control in Urban Thai Adolescents' Substance Use and Delinquency. Youth Soc 45:404-427
Rosati, Michael J; Cupp, Pamela K; Chookhare, Warunee et al. (2012) Successful implementation of Thai Family Matters: strategies and implications. Health Promot Pract 13:355-63
Fongkaew, Warunee; Cupp, Pamela K; Miller, Brenda A et al. (2012) Do Thai parents really know about the sexual risk taking of their children? A qualitative study in Bangkok. Nurs Health Sci 14:391-7
Rhucharoenpornpanich, Orratai; Chamratrithirong, Aphichat; Fongkaew, Warunee et al. (2012) Parent-teen communication about sex in urban Thai families. J Health Commun 17:380-96
Byrnes, Hilary F; Miller, Brenda A; Chamratrithirong, Aphichat et al. (2011) Neighborhood perceptions and parent outcomes in family based prevention programs for Thai adolescents: the role of program engagement. J Drug Educ 41:161-81
Miller, Brenda A; Byrnes, Hilary F; Cupp, Pamela K et al. (2011) Thai Parenting Practices, Family Rituals and Risky Adolescent Behaviors: Alcohol Use, Cigarette Use and Delinquency. Int J Child Adolesc health 4:367-378
Chamratrithirong, Aphichat; Miller, Brenda A; Byrnes, Hilary F et al. (2010) Spirituality within the family and the prevention of health risk behavior among adolescents in Bangkok, Thailand. Soc Sci Med 71:1855-63
Rhucharoenpornpanich, Orratai; Chamratrithirong, Aphichat; Fongkaew, Warunee et al. (2010) Parenting and adolescent problem behaviors: a comparative study of sons and daughters in Thailand. J Med Assoc Thai 93:293-300

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