The purpose of this project is to develop, evaluate, and disseminate a community-based cancer risk reduction program for Hispanic migrant youth. A social influence model provides the basis for the intervention approach which concentrates on social skills development (e.g., refusal skills, norm setting). To increase maintenance and capitalize on the buffering effect of parental support, the intervention is also designed to develop parental skills (e.g., communication) that lead to health behaviors. Adolescents and their parents will participate in a skills training program implemented by college students, Migrant Community Aides, and project staff The intervention package addresses (1) tobacco use and (2) alcohol use. The target population for the study are Hispanic migrant adolescents between the ages of 12-15 who are enrolled in the San Diego County Migrant Education Program. The overall design of the study is a randomized control group design with repeated measures at pre/post, and 12 and 24 month follow-up. A total of 700 adolescents will be randomly assigned to intervention and attention control conditions. Measurements of the primary outcomes expectations will be examined. Gender and acculturation will be assessed to determine if outcomes vary as a function of these characteristics. Finally, process evaluation will be conducted to monitor program implementation. The results from this study will (1) demonstrate the effectiveness of a cancer risk reduction intervention package for Hispanic migrant youth, (2) provide data on the acceptability and implementation of a community-based intervention for Hispanic migrant youth, and (3) provide a model that can be used and adapted to other high-risk youth.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
3R01CA058858-04S1
Application #
2741590
Study Section
Special Emphasis Panel (ZRG1 (01))
Program Officer
Fagan, Pebbles
Project Start
1995-05-01
Project End
2000-02-29
Budget Start
1998-03-01
Budget End
2000-02-29
Support Year
4
Fiscal Year
1998
Total Cost
Indirect Cost
Name
San Diego State University
Department
Public Health & Prev Medicine
Type
Other Domestic Higher Education
DUNS #
073371346
City
San Diego
State
CA
Country
United States
Zip Code
92182
Slymen, Donald J; Elder, John P; Litrownik, Alan J et al. (2003) Some methodologic issues in analyzing data from a randomized adolescent tobacco and alcohol use prevention trial. J Clin Epidemiol 56:332-40
Elder, John P; Litrownik, Alan J; Slymen, Donald J et al. (2002) Tobacco and alcohol use-prevention program for Hispanic migrant adolescents. Am J Prev Med 23:269-75
Campbell, N R; Ayala, G X; Litrownik, A J et al. (2001) Evaluation of a first aid and home safety program for Hispanic migrant adolescents. Am J Prev Med 20:258-65
Litrownik, A J; Elder, J P; Campbell, N R et al. (2000) Evaluation of a tobacco and alcohol use prevention program for Hispanic migrant adolescents: promoting the protective factor of parent-child communication. Prev Med 31:124-33