Substance Use
Conditions
Keywords
Substance Use
Brief summary
This study is to test the effectiveness of integrating and adapting two National Institute on Drug Abuse (NIDA)-funded procedures for use in primary care pediatric clinics serving low-income youth: 1)the Youth Risk Index (YRI) and Transmissible Liability Index-Parent (TLI-P) nurse and/or research assistant-administered screening tools for high risk of substance use (SU) prior to high school and thus also for SUD and 2) the Family Check-Up (FCU) - a brief, family-based program to prevent SU/SUD with replicated efficacy.
Detailed description
This study is to test the effectiveness of integrating and adapting two National Institute on Drug Abuse (NIDA)-funded procedures for use in primary care pediatric clinics serving low-income youth: 1) the Youth Risk Index (YRI) and Transmissible Liability Index (TLI-P) nurse and/or research assistant-administered screening tools for high risk of substance use (SU) prior to high school and thus also for SUD and 2) the Family Check-Up (FCU) - a brief, family-based program to prevent SU/SUD with replicated efficacy. The following three aims focus on evaluating and refining the adaptation of the YRI & TLI-P program for primary-care use: 1) to replicate the effectiveness of the YRI & TLI-P screening tool in terms of concurrent and predictive validity and the engagement rate in the FCU; 2) to identify and address challenges in implementing and integrating the YRI & TLI-P/FCU prevention strategy within a primary care clinic serving urban, low-income youth; and 3) to test the effectiveness of the YRI & TLI-P/FCU on emerging SU, sexual activity, and conduct problems, as well as the putative mediators of these outcomes including parenting and parental well-being. Based on prior FCU efficacy studies, 500 dyads of parents and their 9 years, 9 months to 13 years, 11 months old children from low-income, ethnically diverse families will be recruited from two large primary care clinics in an urban community. The FCU will be delivered for two or three years to test impact of dosage. Participants will be followed-up one year after completing FCU to evaluate longitudinal outcomes of the Integrated YRI & TLI-P/FCU .
Interventions
BEHAVIORALFamily Check-Up
The Family Check-Up (FCU) is a brief, family-based program to prevent Substance Use/Substance Use Disorder (SU/SUD) with replicated efficacy
Sponsors
University of Pittsburgh
RTI International
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
9 Years to 13 Years
Healthy volunteers
No
Inclusion criteria
* Child Aged 9 years, 9 months to 13 years, 11 months. * A biological or adoptive parents or legal guardian with appropriate documentation with custody of the child. * Either child or parent's score on screening assessment score must fall in elevated risk range. * Child must be recipient of needs based Medicaid or family income must be at or below 150% Health and Human Services (HHS) Poverty Guidelines.
Exclusion criteria
* Inability to read English, * Having moderate to severe mental disability (based on medical records), * Child not accompanied by a biological or adoptive parent with legal custody or legal guardian with appropriate documentation * Participant in the Early Steps Project
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of Liability and EXposure to Substance use and Antisocial behavior (ALEXSA) | baseline | Administer Assessment of Liability and EXposure to Substance use and Antisocial behavior (ALEXSA) |
| Contextual Risk and Resources - 1 | baseline | Administer Centers for Epidemiological Studies Depression Scale (CESD) |
| Contextual Risk and Resources - 2 | baseline | Administer Demographic Questionnaire (DEMO) |
| Contextual Risk and Resources - 3 | baseline | Administer Dyadic Adjustment Scale (DYAD) |
| Contextual Risk and Resources - 4 | baseline | Administer Financial Stress Questionnaire (FINCE) |
| Contextual Risk and Resources - 5 | baseline | Administer Me and My Neighborhood Questionnaire (MMNQ) |
| Contextual Risk and Resources - 6 | baseline | Administer Parent Substance Use Questionnaire (SUBST-PC) |
| Youth Outcomes - 1 | baseline | Administer Child Behavior Checklist (CBCL) |
| Youth Outcomes - 2 | baseline | Assess Extracurricular Activities (ECA) |
| Youth Outcomes - 3 | baseline | Administer Recent Activities Interview (RAI) |
| Youth Outcomes - 4 | baseline | Administer Screen for Child Anxiety-Related Emotional Disorders (SCR) |
| Youth Outcomes - 5 | baseline | Administer Self-Report of Delinquency (SHORT) (SRD) |
| Youth Outcomes - 6 | baseline | Target Child Substance Use (TC Subst) |
| Youth Outcomes - 7 | baseline | Administer Youth Risk Behavior Survey (YRBS) |
| Parenting and Family Socialization - 1 | baseline | Evaluate using Adult Child Relationship scale (ACRS) |
| Parenting and Family Socialization - 2 | baseline | Distressing Experiences Microaggression Scale (MIC) |
| Parenting and Family Socialization - 3 | baseline | Child Daily Face-to-Face Racial Discrimination (CDIS) |
| Parenting and Family Socialization - 4 | baseline | Assess using Parental Involvement Scale (PI) |
| Parenting and Family Socialization - 5 | baseline | Parental Monitoring Interview - Parent Response, - Child Response (PMI-PR, PMI-CR) |
| Parenting and Family Socialization - 6 | baseline | Assess using Parenting Children and Adolescents measure (PARCA) |
| Parenting and Family Socialization - 7 | baseline | Assessment using Parental Rating of Peers and Social Skills (PPRSK) |
| Parenting and Family Socialization - Discussion Tasks - 1 | baseline | Assessment using Parent Child Hot topics Discussion Task |
| Parenting and Family Socialization - Discussion Tasks - 2 | baseline | Assessment using Parent Child Hot Topics Questionnaire (PCHT) |
| Parenting and Family Socialization - Discussion Tasks - 3 | baseline | Assessment using Monitoring & Listening Discussion Task |
| Parenting and Family Socialization - Discussion Tasks - 4 | baseline | Assessment using Recognition Discussion Task |
| Parenting and Family Socialization - Discussion Tasks - 5 | baseline | Assessment using Family Culture Discussion Task |
Countries
United States
Outcome results
None listed