PMID- 12509592
OWN - NLM
STAT- MEDLINE
DCOM- 20030206
LR  - 20220309
IS  - 1098-4275 (Electronic)
IS  - 0031-4005 (Linking)
VI  - 111
IP  - 1
DP  - 2003 Jan
TI  - Sustaining and broadening intervention impact: a longitudinal randomized trial of 
      3 adolescent risk reduction approaches.
PG  - e32-8
AB  - OBJECTIVE: To determine whether the addition of a parental monitoring 
      intervention (Informed Parents and Children Together [ImPACT]) alone or with 
      "boosters" could enhance (either broaden or sustain or both) the effect of a 
      small group, face-to-face adolescent risk reduction intervention Focus on Kids 
      (FOK). METHODS: A longitudinal, randomized, community-based cohort study was 
      conducted of 35 low-income, community-based, in-town settings. A total of 817 
      black youths aged 12 to 16 years at baseline were studied. After completion of 
      baseline measures, youths were randomized to receive a face-to-face intervention 
      alone (FOK only), a face-to-face intervention and a parental monitoring 
      intervention (FOK plus ImPACT), or both of the above plus boosters (FOK plus 
      ImPACT plus boosters). Risk and protective behaviors were assessed at 6 and 12 
      months after intervention. RESULTS: At 6 months' follow-up, youths in families 
      that were assigned to FOK plus ImPACT reported significantly lower rates of 
      sexual intercourse, sex without a condom, alcohol use, and cigarette use and 
      marginally lower rates of "risky sexual behavior" compared with youths in 
      families that were assigned to FOK only. At 12 months after intervention, rates 
      of alcohol and marijuana use were significantly lower and cigarette use and 
      overall risk intention were marginally lower among FOK plus ImPACT youths 
      compared with FOK only youths. With regard to the boosters delivered at 7 and 10 
      months, 2 risk behaviors--use of crack/cocaine and drug selling--were 
      significantly lower among the youths who were assigned to receive the additional 
      boosters compared with youths without the boosters. The rates of the other risk 
      behaviors and intentions did not differ significantly. CONCLUSIONS: The results 
      of this randomized, controlled trial indicate that the inclusion of a parental 
      monitoring intervention affords additional protection from involvement in 
      adolescent risk behaviors 6 and 12 months later compared with the provision of an 
      intervention that targets adolescents only. At the same time, the results of the 
      present study do not provide sufficient evidence that booster sessions further 
      improve targeted behaviors enough to include them in a combined parent and youth 
      intervention.
FAU - Wu, Ying
AU  - Wu Y
AD  - Department of Pediatrics, West Virginia University, Morgantown, West Virginia 
      26506-9214, USA.
FAU - Stanton, Bonita F
AU  - Stanton BF
FAU - Galbraith, Jennifer
AU  - Galbraith J
FAU - Kaljee, Linda
AU  - Kaljee L
FAU - Cottrell, Lesley
AU  - Cottrell L
FAU - Li, Xiaoming
AU  - Li X
FAU - Harris, Carole V
AU  - Harris CV
FAU - D'Alessandri, Dawn
AU  - D'Alessandri D
FAU - Burns, James M
AU  - Burns JM
LA  - eng
GR  - R01 MH 54983/MH/NIMH NIH HHS/United States
PT  - Clinical Trial
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - Pediatrics
JT  - Pediatrics
JID - 0376422
SB  - IM
CIN - Acad Pediatr. 2016 Jul;16(5):419-29. PMID: 26892909
MH  - Adolescent
MH  - Adolescent Behavior/*psychology
MH  - Child
MH  - Cohort Studies
MH  - Communication
MH  - Female
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - *Parent-Child Relations
MH  - *Risk Reduction Behavior
MH  - Risk-Taking
MH  - Substance-Related Disorders/epidemiology/prevention & control
EDAT- 2003/01/02 04:00
MHDA- 2003/02/07 04:00
CRDT- 2003/01/02 04:00
PHST- 2003/01/02 04:00 [pubmed]
PHST- 2003/02/07 04:00 [medline]
PHST- 2003/01/02 04:00 [entrez]
AID - 10.1542/peds.111.1.e32 [doi]
PST - ppublish
SO  - Pediatrics. 2003 Jan;111(1):e32-8. doi: 10.1542/peds.111.1.e32.