This study examines the efficacy and effectiveness of two theory based, universal family prevention programs that have shown efficacy for reducing adolescent alcohol and other drug use: Family Matters (FM) (Bauman, 1996) and (Iowa) Strengthening Families Program (Spoth, 1999) when implemented with families randomly assigned to one of two different conditions: a family """"""""choice"""""""" condition (two-groups--FM or SFP) and a traditional random control trial condition (three groups--FM, SFP, and control) called the """"""""assigned"""""""" condition. The two conditions (choice vs. assigned) will be compared for differences in: (a) adolescent outcomes related to alcohol use and related behaviors; (b) family characteristics for those who participate; (c) family recruitment, retention and completion rates; (d) costs for program implementation. The sample is drawn from families (N=725) with a child aged 11 or 12 currently enrolled in Kaiser Permanente Health Care Plan (KP), in one of four medical centers in Northern California. An initial face-to-face interview will be conducted (separately) with the parent and adolescent prior to program delivery and two follow-up interviews (12 and 24 months later) will be conducted over the telephone with the parent and adolescent (separately). The health care system represents an important new mode for delivering adolescent alcohol use prevention programs to families.
The specific aims of this project will provide a real world test of implementation issues and feasibility. Finally, the choice condition represents an innovative, realistic condition under which families make participation decisions outside of the traditional experimental study design protocols. Choosing a treatment based on personal preference may increase patient's sense of autonomy and self-efficacy for behavior change thereby improving outcomes (Williams,1998; Clarke, 1999). Social cognitive theory and principles of self-regulation provide a connection between these psychological constructs and behavioral choices/health outcomes (Bandura, 1986; Clark & Zimmerman, 1990).

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA015323-03
Application #
7218654
Study Section
Special Emphasis Panel (ZAA1-HH (20))
Program Officer
Arroyo, Judith A
Project Start
2005-04-20
Project End
2010-03-31
Budget Start
2007-04-01
Budget End
2008-03-31
Support Year
3
Fiscal Year
2007
Total Cost
$569,168
Indirect Cost
Name
Pacific Institute for Research and Evaluation
Department
Type
DUNS #
021883350
City
Beltsville
State
MD
Country
United States
Zip Code
20705
Byrnes, Hilary F; Miller, Brenda A; Laborde, Nicole (2013) A comparison of maternal outcomes from an alcohol, tobacco, and other drug prevention program for mothers choosing an intervention versus being randomized. Health Educ Behav 40:206-15
Aalborg, Annette E; Miller, Brenda A; Husson, Gail et al. (2012) Implementation of adolescent family-based substance use prevention programs in health care settings: Comparisons across conditions and programs. Health Educ J 71:53-61
Byrnes, Hilary F; Miller, Brenda A (2012) The Relationship between Neighborhood Characteristics and Effective Parenting Behaviors: The Role of Social Support. J Fam Issues 33:1658-1687
Byrnes, Hilary F; Miller, Brenda A; Aalborg, Annette E et al. (2012) The relationship between neighborhood characteristics and recruitment into adolescent family-based substance use prevention programs. J Behav Health Serv Res 39:174-89
Miller, Brenda A; Aalborg, Annette E; Byrnes, Hilary F et al. (2012) Parent and child characteristics related to chosen adolescent alcohol and drug prevention program. Health Educ Res 27:1-13
Byrnes, Hilary F; Miller, Brenda A; Aalborg, Annette E et al. (2010) Implementation fidelity in adolescent family-based prevention programs: relationship to family engagement. Health Educ Res 25:531-41