This proposed study applies multimethod measurement procedures to an experimental test of a theory-driven intervention aimed at the prevention of rural adolescent adjustment problems. The trend toward increasing conduct problems, substance use, and related adjustment difficulties among rural youth demonstrates the need for this research. The proposed study will draw upon results from previous federally-funded studies in Iowa and Utah. The University of Utah project has resulted in the development of a risk-focused intervention, the Strengthening Families Program (SFP), which has shown promising results in preliminary study. This program now requires the rigorous evaluation proposed in this application, using the multimethod, multiinformant measurement procedures developed through the Iowa State project. In evaluating the SFP the proposed project will utilize Iowa State's Cooperative Extension Service, a statewide, community- based network with excellent capacity for cost effective program delivery. The sample for the proposed study will consist of rural Iowa families with fifth and sixth graders, recruited from economically disadvantaged school districts. To facilitate the development of optimally effective recruitment and retention strategies in the proposed long-term program of research, all eligible families in the selected school districts will be surveyed prior to actual recruitment contacts. Factors potentially influencing decisions about involvement in family-focused prevention programs will be prospectively evaluated through this survey. Families subsequently invited to participate in the SFP experimental study will be randomly selected from the pool of all eligible families in the selected school districts. To assure an appropriate level of statistical power, 350 families will be recruited. The families who respond affirmatively to the invitation will be randomly assigned to one of two conditions: the SFP and a minimal contact control. The proposed study will evaluate family risk behaviors and related adolescent conduct problems, substance use, and adjustment difficulties at pretest, posttest, one year follow-up, and two year follow-up assessments. If SFP efficacy is shown, the results of this study will guide the design of a demonstration project on SFP delivery managed through the Cooperative Extension Service, for which additional funding will be sought. The long- term goal of this research is to develop a model program and program delivery mechanism dovetailing with a national family enhancement initiative through the Cooperative Extension System.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH049217-03
Application #
2248731
Study Section
Child/Adolescent Risk and Prevention Review Committee (CAPR)
Project Start
1992-09-01
Project End
1997-08-31
Budget Start
1994-09-01
Budget End
1995-08-31
Support Year
3
Fiscal Year
1994
Total Cost
Indirect Cost
Name
Iowa State University
Department
Type
Organized Research Units
DUNS #
City
Ames
State
IA
Country
United States
Zip Code
50011
Spoth, Richard; Trudeau, Linda; Shin, Chungyeol et al. (2013) Longitudinal effects of universal preventive intervention on prescription drug misuse: three randomized controlled trials with late adolescents and young adults. Am J Public Health 103:665-72
Trudeau, Linda; Spoth, Richard; Randall, G Kevin et al. (2012) Internalizing symptoms: effects of a preventive intervention on developmental pathways from early adolescence to young adulthood. J Youth Adolesc 41:788-801
Spoth, Richard L; Trudeau, Linda S; Guyll, Max et al. (2012) Benefits of universal intervention effects on a youth protective shield 10 years after baseline. J Adolesc Health 50:414-7
Spoth, Richard; Trudeau, Linda; Guyll, Max et al. (2009) Universal intervention effects on substance use among young adults mediated by delayed adolescent substance initiation. J Consult Clin Psychol 77:620-32
Redmond, Cleve; Spoth, Richard L; Shin, Chungyeol et al. (2009) Long-term protective factor outcomes of evidence-based interventions implemented by community teams through a community-university partnership. J Prim Prev 30:513-30
Spoth, Richard; Shin, Chungyeol; Randall, G Kevin (2008) Increasing School Success Through Partnership-Based Family Competency Training: Experimental Study of Long-Term Outcomes. Sch Psychol Q 23:70-89
Spoth, Richard; Trudeau, Linda; Shin, Chungyeol et al. (2008) Long-term effects of universal preventive interventions on prescription drug misuse. Addiction 103:1160-8
Spoth, Richard (2007) Opportunities to meet challenges in rural prevention research: findings from an evolving community-university partnership model. J Rural Health 23 Suppl:42-54
Spoth, Richard; Redmond, Cleve; Shin, Chungyeol et al. (2004) Brief family intervention effects on adolescent substance initiation: school-level growth curve analyses 6 years following baseline. J Consult Clin Psychol 72:535-42
Spoth, R L; Redmond, C; Shin, C (2001) Randomized trial of brief family interventions for general populations: adolescent substance use outcomes 4 years following baseline. J Consult Clin Psychol 69:627-42

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