PMID- 15466681
OWN - NLM
STAT- MEDLINE
DCOM- 20041108
LR  - 20221207
IS  - 1072-4710 (Print)
IS  - 1072-4710 (Linking)
VI  - 158
IP  - 10
DP  - 2004 Oct
TI  - Randomized trial of a parent intervention: parents can make a difference in 
      long-term adolescent risk behaviors, perceptions, and knowledge.
PG  - 947-55
AB  - BACKGROUND: Although numerous interventions have been demonstrated to reduce 
      targeted adolescent risk behaviors for brief periods, sustained behavior changes 
      covering multiple risk behaviors have been elusive. OBJECTIVE: To determine 
      whether a parental monitoring intervention (Informed Parents and Children 
      Together [ImPACT]) with and without boosters can further reduce adolescent 
      truancy, substance abuse, and sexual risk behaviors and can alter related 
      perceptions 24 months after intervention among youth who have all received an 
      adolescent risk-reduction intervention, Focus on Kids (FOK). DESIGN: Randomized, 
      controlled, 3-celled longitudinal trial. SETTING: Thirty-five low-income, urban 
      community sites. PARTICIPANTS: Eight hundred seventeen African American youth 
      aged 13 to 16 at baseline. Intervention All youth participated in FOK, an 
      8-session, theory-based, small group, face-to-face risk-reduction intervention, 
      496 youth and parents received the 1-session ImPACT intervention (a videotape and 
      discussion), 238 of the ImPACT youth also received four 90-minute FOK boosters 
      delivered in small groups. MAIN OUTCOME MEASURES: Responses at baseline and 24 
      months after intervention to a questionnaire assessing risk and protective 
      behaviors and perceptions. Analyses used General Linear Modeling, intraclass 
      correlation coefficient, analysis of covariance, and multiple comparisons with 
      least significant difference test adjustment. RESULTS: After adjusting for the 
      intraclass correlation coefficient, 6 of 16 risk behaviors were significantly 
      reduced (P< or =.05) among youth receiving ImPACT compared with youth who only 
      received FOK (respectively, mean number of days suspended, 0.65 vs 1.17; carry a 
      bat as a weapon, 4.1% vs 9.6%; smoked cigarettes, 12.5% vs 22.7%; used marijuana, 
      18.3% vs 26.8%; used other illicit drugs, 1.4% vs 5.6%; and, asked sexual partner 
      if condom always used, 77.9% vs 64.9%). Four of the 7 theory-based subscales 
      reflected significant protective changes among youth who received ImPACT. ImPACT 
      did not produce any significant adverse effects on behaviors or perceptions. 
      CONCLUSION: A parent monitoring intervention can significantly broaden and 
      sustain protection beyond that conferred through an adolescent risk-reduction 
      intervention.
FAU - Stanton, Bonita
AU  - Stanton B
AD  - Departments of Pediatrics, Childrens Hospital of Michigan, Wayne State 
      University, Detroit 48201, USA. bstanton@dmc.org
FAU - Cole, Matthew
AU  - Cole M
FAU - Galbraith, Jennifer
AU  - Galbraith J
FAU - Li, Xiaoming
AU  - Li X
FAU - Pendleton, Sara
AU  - Pendleton S
FAU - Cottrel, Lesley
AU  - Cottrel L
FAU - Marshall, Sharon
AU  - Marshall S
FAU - Wu, Ying
AU  - Wu Y
FAU - Kaljee, Linda
AU  - Kaljee L
LA  - eng
GR  - R01MH54983/MH/NIMH NIH HHS/United States
PT  - Clinical Trial
PT  - Comparative Study
PT  - Journal Article
PT  - Multicenter Study
PT  - Randomized Controlled Trial
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - Arch Pediatr Adolesc Med
JT  - Archives of pediatrics & adolescent medicine
JID - 9422751
SB  - IM
CIN - Acad Pediatr. 2016 Jul;16(5):419-29. PMID: 26892909
MH  - Adolescent
MH  - *Adolescent Behavior
MH  - Black or African American/*statistics & numerical data
MH  - Cluster Analysis
MH  - Female
MH  - Follow-Up Studies
MH  - Health Education/*methods
MH  - Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - *Parent-Child Relations
MH  - Probability
MH  - Risk Reduction Behavior
MH  - *Risk-Taking
MH  - Socioeconomic Factors
MH  - Urban Population
EDAT- 2004/10/07 09:00
MHDA- 2004/11/09 09:00
CRDT- 2004/10/07 09:00
PHST- 2004/10/07 09:00 [pubmed]
PHST- 2004/11/09 09:00 [medline]
PHST- 2004/10/07 09:00 [entrez]
AID - 158/10/947 [pii]
AID - 10.1001/archpedi.158.10.947 [doi]
PST - ppublish
SO  - Arch Pediatr Adolesc Med. 2004 Oct;158(10):947-55. doi: 
      10.1001/archpedi.158.10.947.