Research Project

这项研究的长期目标是开发有效和可持续的手段，通过基于社区的家庭技能培训，防止拉美裔青年使用烟草和其他物质。尽管家庭技能培训已被证明是防止青少年使用药物的有效手段，但很少有专门针对拉丁裔家庭的干预措施。此外，其中很少使用基于社区的参与性研究过程来开发，这种过程可能会增加此类项目的地方相关性、适当性和可持续性的可能性。在过去的两年里，我们的合作伙伴关系使移民拉丁裔家庭参与了一项关于循证育儿课程的可行性研究，该课程是与 拉丁裔家庭和拉丁裔服务社区机构。目前拟议项目的主要目的是评价与八个社区组织合作，针对中学年龄青年的拉丁裔移民家庭开展的这八次家庭技能干预的有效性。本研究为随机对照试验，对照组为延迟治疗条件。将在机构内的家庭一级进行随机化。具体的目标是首先确定这种以家庭为基础的有效性 采用一项基于社区的随机对照试验，在10-14岁的拉美裔中学生中减少烟草和其他物质的使用意向，并降低烟草意向的增长轨迹。我们的次要目标是评估干预对拉丁裔亲子关系和育儿实践的影响。最后，我们的第三个探索性目标是评估CBPR的伙伴关系、业务和背景因素，这些因素有助于在参与合作项目的八个社区地点成功实施干预措施。这项研究在几个方面是创新的：1)它针对大量和不断增长的移民人口的烟草和其他物质的使用预防 2)我们期望拟议的研究将为与不同的社区机构合作设计、实施和评估药物使用预防干预措施提供一个模式。

The long term goal ofthis research is to develop effective and sustainable means to prevent tobacco and other substance use among Latino youth through community-based family-skills training. Though family-skills training has proven to be an effective means to prevent substance use in adolescents, few interventions have specifically targeted Latino families. Furthermore, few of these have been developed using a community based participatory research process that may increase the local relevance, appropriateness, and likelihood of sustainability of such a project. Over the last two years our partnership has engaged immigrant Latino families in a feasibility study of a evidence-informed parenting curriculum designed and conducted in collaboration with Latino families and Latino-servitig community agencies. The primary aim of the current proposed project is to evaluate the effectiveness ofthis eight session family-skills intervention directed at immigrant Latino families of middle school aged youth as delivered in partnership with eight community organizations. This study is a randomized controlled trial with a delayed treatment condition for the control group. Randomization will occur at the level ofthe family within the agencies. Specific aims are first to determine the effectiveness of this familybased intervention to reduce tobacco and other substance use intention and decrease the growth trajectory of tobacco intention in middle school aged (10-14) Latino youth utilizing a community-based randomized controlled trial. Our Secondary Aim is to assess the effect ofthe intervention on the Latino parent-youth relationship and parenting practices. Finally, our third and exploratory aim is to assess CBPR partnership, operational, and contextual factors that contribute to the successful implementation ofthe intervention at the eight community sites participating in the collaborative project. This study is innovative in a number of ways: 1) it addresses tobacco and other substance use prevention for a large and growing immigrant population in the United States; 2) we expect the proposed study to provide a model for collaborative design, implementation, and evaluation of substance use prevention interventions with diverse community agencies.