Culturally Grounded Early Substance Use Prevention for American Indian Families
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 449
- 试验地点
- 2
- 主要终点
- Youth lifetime alcohol use
研究概览
简要总结
This study involves adaptation, implementation, and rigorous evaluation of a family-based program designed to prevent early initiation of substance use on a Northern Plains Indian reservation. The program, Thiwáhe Gluwáš'akapi, is a cultural adaptation of the Iowa Strengthening Families Program for Parents and Youth 10-14. Youth and their parents/caregivers will participate in weekly group sessions for 7 weeks and complete pre- and post-intervention surveys assessing a variety of risk and protective factors and youth outcomes. The evaluation design will allow the assessment of the effectiveness of different components within the program.
详细描述
Feasibility Pilot
A feasibility pilot for the Thiwáhe Gluwáš'akapi (TG) program will be conducted in the Spring of 2015. In the pilot, the intervention will be delivered to two groups of youth and families and the implementation process will be carefully evaluated to determine what works well and where further adaptation of the intervention or the study procedures may be necessary. Particular attention will be paid to retention of families and, if possible, any who drop out will be interviewed to understand barriers to participation.
As with the intervention evaluation itself (see below) youth aged 10-14 will be recruited to participate, along with their parents and/or other adults (up to 3 adults per child) who are actively involved in raising them (e.g., grandparents, aunts, uncles). Pilot groups will be conducted in each of two different communities on the reservation.
Once the feasibility pilot is complete, the intervention will be finalized for efficacy evaluation. Tasks for this phase will include refining the manual for the intervention and further developing training materials for interventionists.
Implementation/Component Evaluation
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Prevention
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 10 Years 至 85 Years(Child, Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Youth aged 10-14 years and their families, with connection to the South Dakota Indian Reservation where the study is being conducted. Families may include parents, extended family, guardians, and others living in the household.
排除标准
- •Individuals without a child in the family aged 10-14 will not be allowed to participate.
- •Youth who are not between 10 and 14 years of age will not be allowed to participate.
结局指标
主要结局
Youth lifetime alcohol use
时间窗: Follow-up (6 months after program conclusion)
Lifetime prevalence of alcohol use
Youth age of first cigarette use
时间窗: Follow-up (6 months after program conclusion)
Mean frequency of past month cigarette use
Youth past-month alcohol use
时间窗: Follow-up (6 months after program conclusion)
Mean frequency of past month alcohol use
Youth maximum alcohol use in past month
时间窗: Follow-up (6 months after program conclusion)
Mean maximum quantity of past month alcohol consumption
Youth past-month e-cigarette use
时间窗: Follow-up (6 months after program conclusion)
Mean frequency of past month e-cigarette use
Youth lifetime marijuana use
时间窗: Follow-up (6 months after program conclusion)
Lifetime prevalence of marijuana use
Youth past-month marijuana use
时间窗: Follow-up (6 months after program conclusion)
Mean frequency of past month marijuana us
Youth prevalence of smokeless tobacco use
时间窗: Follow-up (6 months after program conclusion)
Lifetime prevalence of smokeless tobacco use
Youth age of first smokeless tobacco use
时间窗: Follow-up (6 months after program conclusion)
Mean age of first smokeless tobacco use
Youth age of first alcohol use
时间窗: Follow-up (6 months after program conclusion)
Mean age of first alcohol use
Youth past-month cigarette use
时间窗: Follow-up (6 months after program conclusion)
Mean frequency of past month cigarette use
Youth lifetime prevalence of e-cigarette use
时间窗: Follow-up (6 months after program conclusion)
Lifetime prevalence of e-cigarette use
Youth lifetime cigarette use
时间窗: Follow-up (6 months after program conclusion)
Lifetime prevalence of cigarette use
Youth past-month huffing
时间窗: Follow-up (6 months after program conclusion)
Mean frequency of past month huffing
Youth age of first huffing
时间窗: Follow-up (6 months after program conclusion)
Mean age of first huffing
Youth frequency of past-month smokeless tobacco use
时间窗: Follow-up (6 months after program conclusion)
Mean frequency of past month smokeless tobacco use
Youth age of first marijuana use
时间窗: Follow-up (6 months after program conclusion)
Mean age of first marijuana use
Youth lifetime prevalence of huffing glue/gas
时间窗: Follow-up (6 months after program conclusion)
Lifetime prevalence of huffing
次要结局
- Youth perceived parental monitoring(follow-up (6 months after program conclusion))
- Youth perceived parental standard setting(follow-up (6 months after program conclusion))
- Family expressiveness, parent/guardian report(follow-up (6 months after program conclusion))
- Youth perceived consistency of parental discipline practices(follow-up (6 months after program conclusion))
- Youth perceived parental positive affect(follow-up (6 months after program conclusion))
- Youth prosocial behavior(follow-up (6 months after program conclusion))
- Youth deviant peer influences(follow-up (6 months after program conclusion))
- Youth prosocial peer influences(follow-up (6 months after program conclusion))
- Youth perceived parental approval(follow-up (6 months after program conclusion))
- Youth perceived parental autonomy support(follow-up (6 months after program conclusion))
- Family expressiveness - youth report(follow-up (6 months after program conclusion))
- Parent-child communication about family issues - parent/guardian report(follow-up (6 months after program conclusion))
- Youth perceived parent-child communication(follow-up (6 months after program conclusion))
- Youth perceived parent-child communication about alcohol and drugs(follow-up (6 months after program conclusion))
- Family cohesion - youth report(follow-up (6 months after program conclusion))
- Descriptive norms for alcohol, tobacco, and marijuana - youth report(follow-up (6 months after program conclusion))
- Youth lifetime history of stressful life events(follow-up (6 months after program conclusion))
- Youth knowledge of Lakota kinship terminology(follow-up (6 months after program conclusion))
- Youth self-esteem(follow-up (6 months after program conclusion))
- Youth perceived parental negative affect(follow-up (6 months after program conclusion))
- Youth perceived enforcement of family rules(follow-up (6 months after program conclusion))
- Lakota cultural socialization - youth report(follow-up (6 months after program conclusion))
- Youth perceived parental disapproval of alcohol, tobacco, and marijuana(follow-up (6 months after program conclusion))
- Knowledge of Lakota kinship terminology(follow-up (6 months after program conclusion))
- Parent-child shared activities - youth report(follow-up (6 months after program conclusion))
- Family conflict resolution - youth report(follow-up (6 months after program conclusion))
- Youth antisocial behavior(follow-up (6 months after program conclusion))
- Youth peer resistance skills(follow-up (6 months after program conclusion))
- Youth stress management skills(follow-up (6 months after program conclusion))
- Parent/guardian report of youth behavior(follow-up (6 months after program conclusion))
- Standard setting(follow-up (6 months after program conclusion))
- Parental self-efficacy(follow-up (6 months after program conclusion))
- Family meetings, parent/guardian report(follow-up (6 months after program conclusion))
- Family cohesion, parent/guardian report(follow-up (6 months after program conclusion))
- Lakota cultural socialization, parent/guardian report(follow-up (6 months after program conclusion))
- Youth psychological well-being(follow-up (6 months after program conclusion))
- General parent-child communication - parent/guardian report(follow-up (6 months after program conclusion))
- Parent support, parent/guardian report(follow-up (6 months after program conclusion))
- Parent past month alcohol use(follow-up (6 months after program conclusion))
- Parent age of first huffing(follow-up (6 months after program conclusion))
- Parent lifetime methamphetamine use(follow-up (6 months after program conclusion))
- Parent past month cocaine/crack use(follow-up (6 months after program conclusion))
- Parent age of first smokeless tobacco use(follow-up (6 months after program conclusion))
- Parent-child communication about alcohol and drugs - parent/guardian report(follow-up (6 months after program conclusion))
- Parent/guardian report parent-child shared activities(follow-up (6 months after program conclusion))
- General family rules - parent/guardian report(follow-up (6 months after program conclusion))
- Parent past month alcohol use usual quantity(follow-up (6 months after program conclusion))
- Parent past month alcohol intoxication frequency(follow-up (6 months after program conclusion))
- Parent first age of alcohol use(follow-up (6 months after program conclusion))
- Parent lifetime cigarette use(follow-up (6 months after program conclusion))
- Parent past month smokeless tobacco use(follow-up (6 months after program conclusion))
- Parent past-month marijuana use(follow-up (6 months after program conclusion))
- Parent lifetime huffing(follow-up (6 months after program conclusion))
- Parent past month stimulant use(follow-up (6 months after program conclusion))
- Parent past month hallucinogen use(follow-up (6 months after program conclusion))
- Parent lifetime club drug use(follow-up (6 months after program conclusion))
- Parent past month club drug use(follow-up (6 months after program conclusion))
- Parent lifetime e-cigarette use(follow-up (6 months after program conclusion))
- Family rules about substance use - parent/guardian report(follow-up (6 months after program conclusion))
- Parent discipline practices(follow-up (6 months after program conclusion))
- Other household member discipline practices(follow-up (6 months after program conclusion))
- Parental negative affect, parent/guardian report(follow-up (6 months after program conclusion))
- Parental anger management, parent/guardian report(follow-up (6 months after program conclusion))
- Parent past month alcohol use quantity(follow-up (6 months after program conclusion))
- Parent age of first cigarette use(follow-up (6 months after program conclusion))
- Parent lifetime marijuana use(follow-up (6 months after program conclusion))
- Parent age of first marijuana use(follow-up (6 months after program conclusion))
- Parent past month huffing(follow-up (6 months after program conclusion))
- Parent lifetime stimulant use(follow-up (6 months after program conclusion))
- Parent lifetime sedative use(follow-up (6 months after program conclusion))
- Parent lifetime cocaine/crack use(follow-up (6 months after program conclusion))
- Parental monitoring - parent/guardian report(follow-up (6 months after program conclusion))
- Parent-child conflict, parent/guardian report(follow-up (6 months after program conclusion))
- Parental positive affect, parent/guardian report(follow-up (6 months after program conclusion))
- Family conflict resolution, parent/guardian report(follow-up (6 months after program conclusion))
- Lakota parenting practices(follow-up (6 months after program conclusion))
- Parent lifetime alcohol use(follow-up (6 months after program conclusion))
- Parent past month alcohol use maximum quantity(follow-up (6 months after program conclusion))
- Parent first age of alcohol intoxication(follow-up (6 months after program conclusion))
- Parent past month cigarette use(follow-up (6 months after program conclusion))
- Parent lifetime smokeless tobacco use(follow-up (6 months after program conclusion))
- Parent frequency of past-month e-cigarette use(follow-up (6 months after program conclusion))
- Parent lifetime use of non-prescription painkillers(follow-up (6 months after program conclusion))
- Parent past month sedative use(follow-up (6 months after program conclusion))
- Parent past month heroin use(follow-up (6 months after program conclusion))
- Parent past month non-prescription painkiller use(follow-up (6 months after program conclusion))
- Parent lifetime heroin use(follow-up (6 months after program conclusion))
- Parent past month methamphetamine use(follow-up (6 months after program conclusion))
- Parent lifetime hallucinogen use(follow-up (6 months after program conclusion))
- Parent HIV risk behavior(follow-up (6 months after program conclusion))
- Parent life satisfaction(follow-up (6 months after program conclusion))
- Parent psychological distress(follow-up (6 months after program conclusion))
