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.
|Soltero, Erica G; Olson, Micah L; Williams, Allison N et al. (2018) Effects of a Community-Based Diabetes Prevention Program for Latino Youth with Obesity: A Randomized Controlled Trial. Obesity (Silver Spring) 26:1856-1865|
|Rentería-Mexía, Ana; Vega-López, Sonia; Olson, Micah L et al. (2018) Effects of a lifestyle intervention on markers of cardiometabolic risk and oxidized lipoproteins among obese adolescents with prediabetes. Public Health Nutr :1-8|
|Marsiglia, Flavio F; Ayers, Stephanie L; Han, SeungYong et al. (2018) The Role of Culture of Origin on the Effectiveness of a Parents-Involved Intervention to Prevent Substance Use Among Latino Middle School Youth: Results of a Cluster Randomized Controlled Trial. Prev Sci :|
|Petrov, Megan E; Weng, Jia; Reid, Kathryn J et al. (2018) Commuting and Sleep: Results From the Hispanic Community Health Study/Study of Latinos Sueño Ancillary Study. Am J Prev Med 54:e49-e57|
|Olson, Micah L; Rentería-Mexía, Ana; Connelly, Margery A et al. (2018) Decreased GlycA after lifestyle intervention among obese, prediabetic adolescent Latinos. J Clin Lipidol :|
|Sangalang, Cindy C; Vang, Cindy (2017) Intergenerational Trauma in Refugee Families: A Systematic Review. J Immigr Minor Health 19:745-754|
|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|
|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|
|Sangalang, Cindy C; Jager, Justin; Harachi, Tracy W (2017) Effects of maternal traumatic distress on family functioning and child mental health: An examination of Southeast Asian refugee families in the U.S. Soc Sci Med 184:178-186|
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