Randomized trial of a broad preventive intervention for Mexican American adolescents.

Randomized trial of a broad preventive intervention for Mexican American adolescents.
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DOI:
10.1037/a0026063
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发表时间:
2012-02
影响因子:
5.9
通讯作者:
Kim, Su Yeong
Kim, Su Yeong
中科院分区:
心理学1区
文献类型:
--
作者:
Gonzales, Nancy A.;Dumka, Larry E.;Millsap, Roger E.;Gottschall, Amanda;McClain, Darya B.;Wong, Jessie J.;German, Miguelina;Mauricio, Anne M.;Wheeler, Lorey;Carpentier, Francesca D.;Kim, Su Yeong

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这项针对墨西哥裔美国(MA)青少年的以家庭为中心的预防性干预随机试验评估了干预完成一年后对青少年药物使用、内化和外化症状以及八年级学校纪律和成绩记录的干预效果。该研究还探讨了假设的中介和调解人的干预效果。按项目交付语言(英语与西班牙语)分层,该试验包括516名MA青少年(50.8%女性; M =12.3岁,SD= 0.54)和至少一名护理人员的样本,这些护理人员被随机分配接受低剂量对照组研讨会或为期9周的小组干预,包括育儿,青少年应对和联合家庭会议。在一年后测试中,所有五项结果都发现了积极的计划效果,但根据青少年、家长或教师是否报告结果而有所不同。干预效果介导的有效养育,青少年应对效能,青少年学校参与和家庭凝聚力的后测变化。大多数的直接和介导的影响是温和的语言,与大量的显着影响的家庭,参加了西班牙语。干预效果也受到基线水平的中介和结果的调节,大多数人对基线功能较差的家庭表现出更强的影响。研究结果支持的干预措施,以减少MA青少年的多个问题的结果的有效性,但也证明了不同的影响,为父母和青少年接受西班牙语与英语的干预,并取决于他们的基线水平的功能。
This randomized trial of a family-focused preventive intervention for Mexican American (MA) adolescents evaluated intervention effects on adolescent substance use, internalizing and externalizing symptoms, and school discipline and grade records in 8th grade, one year after completion of the intervention. The study also examined hypothesized mediators and moderators of intervention effects. Stratified by language of program delivery (English vs. Spanish), the trial included a sample of 516 MA adolescents (50.8% female; M =12.3 years, SD=.54) and at least one caregiver that were randomized to receive a low dosage control group workshop or the 9-week group intervention that included parenting, adolescent coping, and conjoint family sessions. Positive program effects were found on all five outcomes at one-year posttest, but varied depending on whether adolescents, parents, or teachers reported on the outcome. Intervention effects were mediated by posttest changes in effective parenting, adolescent coping efficacy, adolescent school engagement, and family cohesion. The majority of direct and mediated effects were moderated by language, with a larger number of significant effects for families that participated in Spanish. Intervention effects also were moderated by baseline levels of mediators and outcomes, with the majority showing stronger effects for families with poorer functioning at baseline. Findings support the efficacy of the intervention to decrease multiple problem outcomes for MA adolescents, but also demonstrate differential effects for parents and adolescents receiving the intervention in Spanish vs. English, and depending on their baseline levels of functioning.
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发表时间: 2000-04-01
影响因子: 3.1
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期刊: PREVENTION SCIENCE
影响因子: 3.5
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DOI: 10.1007/s10464-010-9366-1
发表时间: 2011-03-01
影响因子: 3.1
作者:
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通讯作者: Saenz, Delia