Although boys have engaged historically in more drug use than girls, recent data reveal few gender differences. Gender differences exist in risk factors for adolescent substance use, however. Because of the singular pressures that girls face in their relationships with their mothers during adolescence, girls may profit greatly from prevention programs that develop and strengthen positive connections with their mothers. Yet formidable barriers to implementing family-centered strategies exist. For family intervention to reach and impact large numbers of people, it must be delivered with fidelity; be engaging, affordable, and flexible; meet tight scheduling demands; and reflect participant families' cultures. Computer-mediated intervention fits these requirements. The planned investigation will engage a sample of poor, minority girls and their mothers who live in New York City Housing Authority units. We will deliver gender-specific drug abuse intervention (GSI) via CD-ROM to girls and their mothers on-site at their housing developments.
Study aims are: to develop and test the efficacy of GSI compared to a no-intervention control arm in preventing girls' substance use; to test the efficacy of GSI to improve girls' mother-daughter affective quality, coping, refusal skills, mood management, conflict resolution, problem solving, self-efficacy, body esteem, normative beliefs, social supports, and mother-daughter communication and relate these mediating factors to girls' substance use behavior; to test the efficacy of GSI to improve mothers' family rituals, rules against substance use, child management, mother-daughter affective quality, and communication with their daughters and relate these mediating factors to girls' substance use behavior; to test the effects of dose on participants' outcomes; to determine if intervention effects differ for ethnic-racial groups; and to quantify the costs of intervention development and delivery. The study will occur in three phases. In a 12-month preparation phase, we will refine and complete intervention and measurement protocols, assign housing projects to study arms, recruit participants, and pretest. A 12-month implementation phase includes intervention delivery, process data collection, booster 1 development, and posttest. Follow-up in the last 36 months will involve longitudinal measurements of girls and mothers, booster 1 delivery, booster 2 development and delivery, and data analyses.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
3R01DA017721-03S1
Application #
7484596
Study Section
Psychosocial Development, Risk and Prevention Study Section (PDRP)
Program Officer
Meyer, Aleta L
Project Start
2005-07-01
Project End
2010-03-31
Budget Start
2007-09-07
Budget End
2008-03-31
Support Year
3
Fiscal Year
2007
Total Cost
$49,999
Indirect Cost
Name
Columbia University (N.Y.)
Department
Other Health Professions
Type
Schools of Social Work
DUNS #
049179401
City
New York
State
NY
Country
United States
Zip Code
10027
Fang, Lin; Schinke, Steven P (2014) Mediation effects of a culturally generic substance use prevention program for Asian American adolescents. Asian Am J Psychol 5:116-125
Fang, Lin; Schinke, Steven P (2013) Two-year outcomes of a randomized, family-based substance use prevention trial for Asian American adolescent girls. Psychol Addict Behav 27:788-798
Fang, Lin; Barnes-Ceeney, Kevin; Schinke, Steven P (2011) Substance use behavior among early-adolescent Asian American girls: the impact of psychological and family factors. Women Health 51:623-42
Fang, Lin; Barnes-Ceeney, Kevin; Lee, Rebecca A et al. (2011) Substance use among Asian-American adolescents: perceptions of use and preferences for prevention programming. Soc Work Health Care 50:606-24
Fang, Lin; Schinke, Steven P (2011) Alcohol use among Asian American adolescent girls: the impact of immigrant generation status and family relationships. J Ethn Subst Abuse 10:275-94
Schinke, Steven P; Fang, Lin; Cole, Kristin C et al. (2011) Preventing substance use among Black and Hispanic adolescent girls: results from a computer-delivered, mother-daughter intervention approach. Subst Use Misuse 46:35-45
Fang, Lin; Schinke, Steven P; Cole, Kristin C A (2010) Preventing substance use among early Asian-American adolescent girls: initial evaluation of a web-based, mother-daughter program. J Adolesc Health 47:529-32
Schinke, Steven P; Fang, Lin; Cole, Kristin C (2009) Computer-delivered, parent-involvement intervention to prevent substance use among adolescent girls. Prev Med 49:429-35
Fang, Lin; Schinke, Steven P; Cole, Kristin C (2009) Underage drinking among young adolescent girls: the role of family processes. Psychol Addict Behav 23:708-14
Schinke, Steven P; Fang, Lin; Cole, Kristin C (2009) Preventing substance use among adolescent girls: 1-year outcomes of a computerized, mother-daughter program. Addict Behav 34:1060-4

Showing the most recent 10 out of 14 publications