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

doi:10.1037/a0040248

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 journal › Article

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 language	English (US)
Journal	Journal of Consulting and Clinical Psychology
DOIs	https://doi.org/10.1037/a0040248
State	Accepted/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

Véronneau, M. H., Dishion, T. J., Connell, A. M., & Kavanagh, K. (Accepted/In press). 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. Journal of Consulting and Clinical Psychology. https://doi.org/10.1037/a0040248

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

Véronneau, MH, Dishion, TJ, Connell, AM & Kavanagh, K 2016, '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', Journal of Consulting and Clinical Psychology. https://doi.org/10.1037/a0040248

Véronneau MH, Dishion TJ, Connell AM, Kavanagh K. 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. Journal of Consulting and Clinical Psychology. 2016 Apr 7. https://doi.org/10.1037/a0040248

Véronneau, Marie Hélène ; Dishion, Thomas J. ; Connell, Arin M. ; Kavanagh, Kathryn. / 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. In: Journal of Consulting and Clinical Psychology. 2016.

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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",

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Access to Document

10.1037/a0040248