eHealth Evidence-based Intervention (EBI) for Latino Youth in Primary Care

University of Miami921 enrolled

Overview

The purpose of this study is to test the relative effectiveness of a Hispanic-specific eHealth intervention, "e-Health Familias Unidas," in preventing and reducing drug use, sexual risk behaviors, and STIs among Hispanic youth in primary care. Families will be recruited through four pediatric primary care settings. Pediatric staff and research team members, including nurse assistants and mental health professionals, will implement eHealth Familias Unidas.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

921

Conditions

Sexual Risk Behavior Drug Use Family Functioning

Interventions

eHealth Familias Unidas Primary CareBEHAVIORAL

The experimental condition will consist of "eHealth Familias Unidas Primary Care." eHealth Familias Unidas Primary Care is an adaptation of the face-to-face version of Familias Unidas. As with face-to-face Familias Unidas, eHealth Familias Unidas Primary Care aims to prevent drug use, sexual risk behaviors, and STIs by improving family functioning. Similar to face-to-face Familias Unidas, eHealth Familias Unidas is a multi-level intervention that targets risk and protective factors at the multiple systems affecting the youth and youths' family.

Eligibility

Sex: ALLMin age: 12 YearsMax age: 17 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Female and male adolescents of Hispanic immigrant origin, defined by at least one parent born in a Spanish speaking country of the Americas. Parent must understand Spanish given that parent sessions are delivered in Spanish. * Adolescent between the ages of 12 - 17 years * Adolescent living with an adult primary caregiver who is willing to participate * Families must have broadband internet access on a device, including (but not limited to) a smart phone, iPad, tablet, a home computer or a computer at another location (e.g., school, library, etc.) Exclusion Criteria: * Families reporting plans to move out of the South Florida area during the study period * Families reporting that adolescent has been diagnosed with a developmental delay

Locations (12)

PrimeCare Pediatrics

Hialeah, Florida, United States

Ileana Fuentes Clinic

Miami, Florida, United States

Ambulatory Care Center West Pediatrics at Jackson Memorial Hospital

Miami, Florida, United States

Outcomes

Primary Outcomes

Change in Drug Use

Change in drug use will be reported as the episodes of reported drug use for the previous 90 days with questions from Monitoring the Future

Time frame: Baseline, Baseline to 6 months, baseline to 12 months, baseline to 24 months, baseline to 36 months

Change in Unprotected Sexual Behavior

Change in unprotected sexual behavior was reported as endorsement incidence of having had sex without a condom during the previous 90 days using the Sexual Behavior Instrument. Higher values indicate worst outcomes.

Time frame: Baseline, Baseline to 6 months, baseline to 12 months, baseline to 24 months, baseline to 36 months

Change in Incidence of Sexually Transmitted Infection

Sexually transmitted infection incidence (i.e., gonorrhea and chlamydia) will be analyzed via a Polymerase Chain Reaction (PCR) from urine specimens

Time frame: Baseline, Baseline to 6 months, baseline to 12 months, baseline to 24 months, baseline to 36 months

Secondary Outcomes

Change in Family Functioning as Assessed by the Parenting Practices Questionnaire

Change in family functioning will be reported using the Parenting Practices Scale (Tolan et al., 1997). Subscales include positive parenting (9 items, alpha = .78 for adolescents; alpha = .77 for parents) parental involvement( 20 items, alpha = .86 for adolescents; alpha = .85 parents). Responses range from 0 to 4 with higher values indicating better parenting, higher scores indicate more positive outcomes. The mean for each subscale was used to create a sum score.

Time frame: Baseline, Baseline to 6 months, baseline to 12 months, baseline to 24 months, baseline to 36 months

Change in Family Functioning as Assessed by the Parent Relationship With Peer Group

Change in family functioning will be reported using the Parent Relationship with Peer Group. The Parent Relationship with Peer Group is a six item measure with response items ranging from 0 to 24. Higher scores indicate better outcomes.The mean was used to create a sum score.

Data from ClinicalTrials.gov

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