A Family-Based Healthy Lifestyle Intervention: Crossover Effects on Substance Use and Sexual Risk Behaviors

A Family-Based Healthy Lifestyle Intervention: Crossover Effects on Substance Use and Sexual Risk Behaviors
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DOI:
10.1007/s11121-021-01220-z
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发表时间:
2021-03-10
期刊:
影响因子:
3.5
通讯作者:
Prado, Guillermo
Prado, Guillermo
中科院分区:
医学2区
文献类型:
--
作者:
Fernandez, Alejandra;Lozano, Alyssa;Prado, Guillermo

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本研究探讨了健康的生活方式,以家庭为基础的干预措施,在减少物质使用和性风险行为的有效性相比,预防像往常一样在西班牙裔青少年超过24个月。参与者是超重/肥胖的西班牙裔青少年(N = 280; M年龄13.01; SD = 0.82),在7/8年级和他们的主要照顾者。参与者被随机分配到健康生活方式家庭干预组或对照组(即,向超重和/或肥胖青少年及其家庭提供的社区服务转介)。结果包括青少年物质使用和青少年的性风险行为。在24个月内发现了青少年饮酒(B = -0. 37,95% CI = [-0. 49,-0. 26])、大麻(B = -1. 00,CI = [-1. 22,-0. 78])和非处方药使用(B = -3. 77,CI = [-6. 49,-1. 05])的干预效应。未发现对青少年性危险行为的干预效果。研究结果表明,家庭健康和健康联合会随着时间的推移减少了青少年酒精,大麻和非处方药的使用。ClinicalTrials.gov标识符:NCT 03943628
This study examined the efficacy of a healthy lifestyle family-based intervention in reducing substance use and sexual risk behaviors compared with prevention as usual over 24 months in Hispanic adolescents. Participants were overweight/obese Hispanic adolescents (N = 280; M age 13.01; SD = .82) in the 7th/8th grade and their primary caregivers. Participants were randomized to either the healthy lifestyle family-based intervention or to the control condition (i.e., referral to community services offered for overweight and/or obese adolescents and their families). Outcomes included adolescent substance use and sexual risk behaviors among adolescents. Intervention effects were found for adolescent alcohol (b = - 0.37, 95% CI = [- 0.49, - 0.26]), marijuana (b = - 1.00, CI = [- 1.22, - 0.78]), and non-prescription drug use (b = - 3.77, CI = [- 6.49, - 1.05]) over 24 months. No significant intervention effects were found for adolescent sexual risk behaviors. Findings suggest that Familias Unidas for Health and Wellness reduces adolescent alcohol, marijuana, and non-prescription drug use across time. ClinicalTrials.gov Identifier: NCT03943628