The Impact of a Parenting Intervention on Latino Youth Health Behaviors

Study Results

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

844 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-26

Study Completion Date

2022-03-31

Brief Summary

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The purpose of this study is to test if a parenting program can be used to prevent substance use among Latino youth and at the same time promote healthy eating. Pairs of 7th grade students and one of their parents will be enrolled in the study and randomly assigned to three groups: an existing parenting intervention focusing on substance use prevention (FPNG), the enhanced parenting intervention that also has nutrition content (FPNG+), and a comparison program focused on academic success. Only parents will attend intervention sessions. Data will be collected from the parent and their 7th grade student to see how these programs impacted substance use, nutrition, and parenting. The investigators hypothesize that families receiving the FPNG+ will have improved nutrition habits than the other conditions. Students in both FPNG and FPNG+ will have lower substance use rates as compared to the academic success program. In addition, the effects of parenting strategies and sociocultural factors on the FPNG and FPNG+ results will be studied.

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Detailed Description

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Latino youth are a population at risk for chronic diseases because of their growing overweight and obesity rates, lack of adherence to nutrition and physical activity recommendations, and greater rates of tobacco, alcohol and other drugs use than youth of other ethnic groups. Parents are an important agent of change for youth due to their ability to create a home environment that promotes healthful behaviors (including substance use prevention and healthy nutrition), and parents' role as providers of resources to the family (including food). Parenting interventions are efficacious in preventing substance use among Latino youth, but few studies have used a family approach to promote healthy nutrition. Thus, the overall objective of the proposed project is to extend the scope of Families Preparing the New Generation (FPNG), an existing parenting program proven to help reduce substance use among Latino youth, to also promote healthy nutrition. The eco-developmental perspective will provide the theoretical foundation for the project for investigating risk and resiliency in Latino youth's drug use and nutrition behaviors. The main aims of the study are to (1) test the effects of a nutrition-enhanced parenting program (FPNG+) on substance use and nutrition among Latino youth, (2) explore how enhancing parenting skills impact the effects of the enhanced intervention, and (3) understand how social and cultural factors impact how the enhanced program works. The research team will first seek input from community members to create a nutrition-enhanced program that is acceptable to Latino parents of middle school students. The investigators will then collaborate with the American Dream Academy (ADA), an organization delivering an academic success program to families within middle schools throughout the Phoenix Area, to recruit 1,494 families who have a student in 7th grade to participate in the study. Parents from different schools will be offered one of three 10-week programs (assigned to each individual school): FPNG+ (substance use prevention and healthy nutrition), FPNG (substance use prevention only), and the ADA comparison program (focusing on academic success). Data will be collected from the 7th grade student and his/her participating parent before the start of the program, immediately after it ends, and 16 weeks later, to compare how the programs affect nutrition, substance use, and parenting. In a subgroup of 126 families (42 from each program), investigators will explore how the FPNG+ program affects diabetes and cardiovascular risk factors and whether the program induces changes in the types of foods available at participants' homes. For this, investigators will collect capillary blood samples from participants to measure glycosylated hemoglobin (a marker of diabetes risk) and cholesterol (a marker of cardiovascular risk), and blood pressure, as well as a list of foods that participants have at home. The long-term goal is to design and disseminate programs that contribute to helping parents assist their adolescent children develop and maintain long-lasting positive lifestyle behaviors in order to prevent substance use and chronic diseases.

Conditions

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Diet Modification Substance Use Disorders Diabetes Mellitus Risk Cardiovascular Risk Factor Lifestyle Risk Reduction Parenting

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomization to treatment conditions (FPNG+, FPNG, or comparison \[RAD\]) will occur at the school level. From the 18 participating schools, 6 each will be randomized into one of the three conditions.

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Nutrition/substance use prevention

Parenting and nutrition curriculum targeting substance use prevention and diet improvement.

Group Type EXPERIMENTAL

Nutrition/substance use prevention

Intervention Type BEHAVIORAL

Parenting program focusing on diet improvement and substance use prevention

Substance use prevention only

Parenting curriculum targeting substance use prevention only.

Group Type ACTIVE_COMPARATOR

Substance use prevention only

Intervention Type BEHAVIORAL

Parenting program focusing only on substance use prevention

Academic success program

Control program focused only on academic success.

Group Type SHAM_COMPARATOR

Academic success program

Intervention Type BEHAVIORAL

Program focusing on academic success and college acceptance

Interventions

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Nutrition/substance use prevention

Parenting program focusing on diet improvement and substance use prevention

Intervention Type BEHAVIORAL

Substance use prevention only

Parenting program focusing only on substance use prevention

Intervention Type BEHAVIORAL

Academic success program

Program focusing on academic success and college acceptance

Intervention Type BEHAVIORAL

Other Intervention Names

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FPNG+ FPNG Realizing the American Dream (RAD)

Eligibility Criteria

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Inclusion Criteria

* Youth: ages 12-14
* Youth: Enrolled in 6th,7th, or 8th grade at the time of recruitment from the American Dream Academy (ADA) programs
* Adults: Age 18 or older
* Adults: Parent/caregiver/guardian of an eligible youth

Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes