Abstract
Objective: Substance use in adulthood compromises work, relationships, and health. Prevention strategies in early adolescence are designed to reduce substance use and progressions to problematic use by adulthood. This report examines the long-term effects of offering Family Check-up (FCU) at multiple time points in secondary education on the progression of substance use from age 11 to 23 years. Method: Participants (N = 998; 472 females) were randomly assigned individuals to intervention or control in Grade 6 and offered a multilevel intervention that included a classroom-based intervention (universal), the FCU (selected), and tailored family management treatment (indicated). Among intervention families, 23% engaged in the selected and indicated levels during middle school. Results: Intention to treat analyses revealed that randomization to the FCU was associated with reduced growth in marijuana use (p <.05), but not alcohol and tobacco use. We also examined whether engagement in the voluntary FCU services moderated the effect of the intervention on substance use progressions using complier average causal effect (CACE) modeling, and found that engagement in the FCU services predicted reductions in alcohol, tobacco, and marijuana use by age 23. In comparing engagers with nonengagers: 70% versus 95% showed signs of alcohol abuse or dependence, 28% versus 61% showed signs of tobacco dependence, and 59% versus 84% showed signs of marijuana abuse or dependence. Conclusion: Family interventions that are embedded within public school systems can reach high-risk students and families and prevent progressions from exploration to problematic substance use through early adulthood. (PsycINFO Database Record
| Original language | English (US) |
|---|---|
| Journal | Journal of Consulting and Clinical Psychology |
| DOIs | |
| State | Accepted/In press - Apr 7 2016 |
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Keywords
- Adaptive intervention
- Drug dependence
- Drug use
- Middle schools
- Motivational interviewing
ASJC Scopus subject areas
- Psychiatry and Mental health
- Clinical Psychology
- Arts and Humanities (miscellaneous)
Cite this
A Randomized, Controlled Trial of the Family Check-Up Model in Public Secondary Schools : Examining Links Between Parent Engagement and Substance Use Progressions From Early Adolescence to Adulthood. / Véronneau, Marie Hélène; Dishion, Thomas J.; Connell, Arin M.; Kavanagh, Kathryn.
In: Journal of Consulting and Clinical Psychology, 07.04.2016.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A Randomized, Controlled Trial of the Family Check-Up Model in Public Secondary Schools
T2 - Examining Links Between Parent Engagement and Substance Use Progressions From Early Adolescence to Adulthood
AU - Véronneau, Marie Hélène
AU - Dishion, Thomas J.
AU - Connell, Arin M.
AU - Kavanagh, Kathryn
PY - 2016/4/7
Y1 - 2016/4/7
N2 - Objective: Substance use in adulthood compromises work, relationships, and health. Prevention strategies in early adolescence are designed to reduce substance use and progressions to problematic use by adulthood. This report examines the long-term effects of offering Family Check-up (FCU) at multiple time points in secondary education on the progression of substance use from age 11 to 23 years. Method: Participants (N = 998; 472 females) were randomly assigned individuals to intervention or control in Grade 6 and offered a multilevel intervention that included a classroom-based intervention (universal), the FCU (selected), and tailored family management treatment (indicated). Among intervention families, 23% engaged in the selected and indicated levels during middle school. Results: Intention to treat analyses revealed that randomization to the FCU was associated with reduced growth in marijuana use (p <.05), but not alcohol and tobacco use. We also examined whether engagement in the voluntary FCU services moderated the effect of the intervention on substance use progressions using complier average causal effect (CACE) modeling, and found that engagement in the FCU services predicted reductions in alcohol, tobacco, and marijuana use by age 23. In comparing engagers with nonengagers: 70% versus 95% showed signs of alcohol abuse or dependence, 28% versus 61% showed signs of tobacco dependence, and 59% versus 84% showed signs of marijuana abuse or dependence. Conclusion: Family interventions that are embedded within public school systems can reach high-risk students and families and prevent progressions from exploration to problematic substance use through early adulthood. (PsycINFO Database Record
AB - Objective: Substance use in adulthood compromises work, relationships, and health. Prevention strategies in early adolescence are designed to reduce substance use and progressions to problematic use by adulthood. This report examines the long-term effects of offering Family Check-up (FCU) at multiple time points in secondary education on the progression of substance use from age 11 to 23 years. Method: Participants (N = 998; 472 females) were randomly assigned individuals to intervention or control in Grade 6 and offered a multilevel intervention that included a classroom-based intervention (universal), the FCU (selected), and tailored family management treatment (indicated). Among intervention families, 23% engaged in the selected and indicated levels during middle school. Results: Intention to treat analyses revealed that randomization to the FCU was associated with reduced growth in marijuana use (p <.05), but not alcohol and tobacco use. We also examined whether engagement in the voluntary FCU services moderated the effect of the intervention on substance use progressions using complier average causal effect (CACE) modeling, and found that engagement in the FCU services predicted reductions in alcohol, tobacco, and marijuana use by age 23. In comparing engagers with nonengagers: 70% versus 95% showed signs of alcohol abuse or dependence, 28% versus 61% showed signs of tobacco dependence, and 59% versus 84% showed signs of marijuana abuse or dependence. Conclusion: Family interventions that are embedded within public school systems can reach high-risk students and families and prevent progressions from exploration to problematic substance use through early adulthood. (PsycINFO Database Record
KW - Adaptive intervention
KW - Drug dependence
KW - Drug use
KW - Middle schools
KW - Motivational interviewing
UR - http://www.scopus.com/inward/record.url?scp=84962652785&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84962652785&partnerID=8YFLogxK
U2 - 10.1037/a0040248
DO - 10.1037/a0040248
M3 - Article
C2 - 27054823
AN - SCOPUS:84962652785
JO - Journal of Consulting and Clinical Psychology
JF - Journal of Consulting and Clinical Psychology
SN - 0022-006X
ER -