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

Marie Hélène Véronneau, Thomas J. Dishion, Arin M. Connell, Kathryn Kavanagh

Research output: Contribution to journalArticle

9 Citations (Scopus)

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 languageEnglish (US)
JournalJournal of Consulting and Clinical Psychology
DOIs
StateAccepted/In press - Apr 7 2016

Fingerprint

Randomized Controlled Trials
Marijuana Abuse
Tobacco Use
Cannabis
Alcoholism
Alcohols
Progression
Adulthood
Adolescence
Substance Use
Secondary School
Randomized Controlled Trial
Tobacco Use Disorder
Intention to Treat Analysis
Random Allocation
Students
Education
Health
Growth
Tobacco

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

@article{7ef8e8d0a30440aeba3ede201510dbff,
title = "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",
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",
keywords = "Adaptive intervention, Drug dependence, Drug use, Middle schools, Motivational interviewing",
author = "V{\'e}ronneau, {Marie H{\'e}l{\`e}ne} and Dishion, {Thomas J.} and Connell, {Arin M.} and Kathryn Kavanagh",
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T2 - Examining Links Between Parent Engagement and Substance Use Progressions From Early Adolescence to Adulthood

AU - Véronneau, Marie Hélène

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AU - Connell, Arin M.

AU - Kavanagh, Kathryn

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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

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