Depression, Drug Use
Conditions
Keywords
randomized controlled trial, Hispanic sexual minority youth, parent-centered
Brief summary
This study will evaluate the effects of a parenting intervention for Hispanic sexual minority youth in preventing/reducing drug use and depressive symptoms. It will also examine whether the intervention improves parent social support for the adolescent, parent acceptance, family functioning, and whether it reduces general stress and stress associated with being a Hispanic sexual minority.
Interventions
BEHAVIORALFamilies with Pride ("Familias con Orgullo")
Families with Pride (Familias con Orgullo) aims to prevent the co-occurring epidemics of drug use and depression in Hispanic sexual minority youth. It focuses on improving parent support for the adolescent, parent acceptance of the adolescent, family functioning (e.g., communication), and decreasing stress and sexual minority stress. The program consists of 11 weekly, in-person sessions: 7 parent group sessions, 3 concurrent adolescent group sessions, both lasting two hours, 4 family sessions lasting 1 hour in either Spanish or English, depending on participant language preference. In the parent group sessions, parents come together to foster social support, family functioning, and increase parental support and acceptance for the adolescent. In the adolescent sessions, adolescents build skills in confronting and managing stressors related to being a sexual minority.
Sponsors
University of Miami
National Institute on Minority Health and Health Disparities (NIMHD)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
13 Years to 19 Years
Healthy volunteers
No
Inclusion criteria
* Youth, 13 - 19, who report at least one of the following: a) identify as gay, lesbian, or bisexual, b) reports same sex attraction, or c) reports same-sex sexual behavior. * Adolescent has disclosed their sexual minority status to at least one parent. * Adolescent is of Hispanic immigrant origin, defined by having at least one parent that self-identifies as Hispanic (English and Spanish speaking Hispanics can participate in the study). * Adolescent lives with an adult parent who is willing to participate.
Exclusion criteria
* Adolescent identifies as transgender.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in depression symptoms | Baseline up to 30 months | Change in depression symptoms will be assessed with the Center for Epidemiological Studies Depression Scale. Scores range from 0 to 60 with higher scores indicating the presence of more symptoms. |
| Change in frequency of drug use | Baseline up to 30 months | Change in drug use will be reported as the number of days of use over the previous 90 days at each timepoint. |
| Change in quantity of drug use | Baseline up to 30 months | Change in drug use will be reported as the amount of use over the previous 90 days at each timepoint. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in unprotected sexual behavior | Baseline up to 30 months | Change in unprotected sexual behavior will be reported as number of days of sex without a condom as reported over the last 90 days at each timepoint. |
| Change in Family Functioning as assessed by the Parenting Practices Questionnaire | Baseline up to 30 months | Change in family functioning will be reported using nine items from the Parenting Practices Questionnaire . Response range varies based on questions, but most response items range from 0 to 4 with higher values indicating better parenting. Scores range from 0 to 36. |
| Change in Family Functioning as assessed by the Parent-Adolescent Communication Scale | Baseline up to 30 months | Change in family functioning will be reported using the Parent-Adolescent Communication Scale. The Parent-Adolescent Communication Scale is a 20-item questionnaire with a total score ranging from 20 to 100 with higher scores indicating better communication. |
| Changes in Adolescent Stress as assessed by the Perceived Stress Scale | Baseline up to 30 months | Change in adolescent stress will be reported using the Perceived Stress Scale. The Perceived Stress Scale is a 10-item measure with response items ranging from 0 to 4. Higher scores indicate more stress. Scores range from 0 to 40. |
| Changes in Parent Acceptance of Adolescents Sexual Orientation as assessed by the Perceived Parental Reactions Scale | Baseline up to 30 months | Changes in parent acceptance of adolescents sexual orientation will be reported using the Perceived Parental Reactions Scale. The Perceived Parental Reactions Scale is a 32-item measure with responses ranging from 1 to 5. Higher scores indicate more negative perceptions of their parents' reactions, with scores ranging from 32 to 160. |
| Changes in Sexual Minority Stress as assessed by the Sexual Minority Adolescent Stress Scale | Baseline up to 30 months | Change in adolescent sexual minority stress will be reported using the Sexual Minority Adolescent Stress Scale. The Sexual Minority Adolescent Stress Scale is a 54-item measure with higher scores indicating more sexual minority stress. Scores range from 1 to 54. |
Countries
United States
Contacts
CONTACTGuillermo Prado, PhD
CONTACTYannine Estrada, PhD
PRINCIPAL_INVESTIGATORGuillermo Prado, PhD
University of Miami
Outcome results
None listed