Familias Unidas Prevents Youth Internalizing Symptoms: a Baseline Target Moderated Mediation (BTMM) Study.
Familias Unidas Prevents Youth Internalizing Symptoms: a Baseline Target Moderated Mediation (BTMM) Study.
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DOI：
10.1007/s11121-021-01247-2
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发表时间：
2023-03
期刊：
影响因子：
--
通讯作者：
Prado G
中科院分区：
文献类型：
--
作者：
Brincks A;Perrino T;Howe G;Estrada Y;Robles N;Prado G
人们发现，以家庭为基础的预防干预措施可以防止青少年内化症状，但它们通过不同的机制发挥作用，对不同的青少年产生不同的影响。为了更好地确定预防干预措施的目标，本研究通过现实世界学校环境中西班牙裔青少年的普遍样本，检验了 Familias Unidas 预防干预措施对减少内化症状的效果（即有效性试验）。该研究利用基线目标调节调解（BTMM）中的新兴方法来确定干预措施是否通过其对三个不同机制的影响来减少内化症状：家庭功能、父母压力和对父母的社会支持。数据来自一项对 746 名西班牙裔八年级学生及其家长进行的随机对照有效性试验，该试验在基线、基线后 6、18 和 30 个月进行了评估。 BTMM 模型研究了三种调节机制，通过这些机制干预可能会影响 30 个月的青少年内化症状。在某些模型中，干预措施通过改善家庭功能减少了青少年的内化症状，但没有证据表明家庭功能的基线水平会有所缓解。有一些证据表明，通过增加对那些基线支持较低的干预父母的社会支持，可以进行调解。然而，没有证据表明父母压力可以起到调节作用。事后分析表明，对父母支持的改善可能会产生连锁效应，加强了父母对青少年的监督，并最终减少了青少年的内化症状。研究结果支持了干预措施在普遍的现实环境中对内化症状的影响，以及 BTMM 方法在提高预防性干预措施针对性方面的价值。 ClinicalTrials.gov 标识符：NCTO1038206，首次发布时间：2009 年 12 月 23 日。
Family-based preventive interventions have been found to prevent youth internalizing symptoms, yet they operate through diverse mechanisms with heterogeneous effects for different youth. To better target preventive interventions, this study examines the effects of the Familias Unidas preventive intervention on reducing internalizing symptoms with a universal sample of Hispanic youth in a real-world school setting (i.e., effectiveness trial). The study utilizes emerging methods in baseline target moderated mediation (BTMM) to determine whether the intervention reduces internalizing symptoms through its impact on three distinct mechanisms: family functioning, parent stress, and social support for parents. Data are from a randomized controlled effectiveness trial of 746 Hispanic eighth graders and their parents assessed at baseline, 6-, 18- and 30-months post-baseline. BTMM models examined three moderated mechanisms through which the intervention might influence 30-month adolescent internalizing symptoms. The intervention decreased youth internalizing symptoms through improvements in family functioning in some models, but there was no evidence of moderation by baseline level of family functioning. There was some evidence of mediation through increasing social support for parents for those intervention parents presenting with lower baseline support. However, there was no evidence of mediation through parent stress. Post-hoc analyses suggest a possible cascading of effects where improvements in support for parents strengthened parental monitoring of youth and ultimately reduced youth internalizing symptoms. Findings support the intervention’s effects on internalizing symptoms in a universal, real-world setting, and the value of BTMM methods to improve the targeting of preventive interventions. ClinicalTrials.gov Identifier: NCTO1038206, First Posted: December 23, 2009.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
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作者：
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通讯作者：
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影响因子：
3.6
作者：
deGroot, A;Koot, HM;Verhulst, FC
通讯作者：
Verhulst, FC
影响因子：
3.9
作者：
Lippold, Melissa A.;Glatz, Terese;Feinberg, Mark E.
通讯作者：
Feinberg, Mark E.
影响因子：
3.3
作者：
Howe, George W.
通讯作者：
Howe, George W.