This study is to test the effectiveness of integrating and adapting two National Institute on Drug Abuse (NIDA)-funded procedures for use in primary care pediatric clinics serving low-income youth: 1)the Youth Risk Index (YRI) and Transmissible Liability Index-Parent (TLI-P) nurse and/or research assistant-administered screening tools for high risk of substance use (SU) prior to high school and thus also for SUD and 2) the Family Check-Up (FCU) - a brief, family-based program to prevent SU/SUD with replicated efficacy.
This study is to test the effectiveness of integrating and adapting two National Institute on Drug Abuse (NIDA)-funded procedures for use in primary care pediatric clinics serving low-income youth: 1) the Youth Risk Index (YRI) and Transmissible Liability Index (TLI-P) nurse and/or research assistant-administered screening tools for high risk of substance use (SU) prior to high school and thus also for SUD and 2) the Family Check-Up (FCU) - a brief, family-based program to prevent SU/SUD with replicated efficacy. The following three aims focus on evaluating and refining the adaptation of the YRI \& TLI-P program for primary-care use: 1) to replicate the effectiveness of the YRI \& TLI-P screening tool in terms of concurrent and predictive validity and the engagement rate in the FCU; 2) to identify and address challenges in implementing and integrating the YRI \& TLI-P/FCU prevention strategy within a primary care clinic serving urban, low-income youth; and 3) to test the effectiveness of the YRI \& TLI-P/FCU on emerging SU, sexual activity, and conduct problems, as well as the putative mediators of these outcomes including parenting and parental well-being. Based on prior FCU efficacy studies, 500 dyads of parents and their 9 years, 9 months to 13 years, 11 months old children from low-income, ethnically diverse families will be recruited from two large primary care clinics in an urban community. The FCU will be delivered for two or three years to test impact of dosage. Participants will be followed-up one year after completing FCU to evaluate longitudinal outcomes of the Integrated YRI \& TLI-P/FCU .
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
722
The Family Check-Up (FCU) is a brief, family-based program to prevent Substance Use/Substance Use Disorder (SU/SUD) with replicated efficacy
University of Pittsburgh
Pittsburgh, Pennsylvania, United States
Assessment of Liability and EXposure to Substance use and Antisocial behavior (ALEXSA)
Administer Assessment of Liability and EXposure to Substance use and Antisocial behavior (ALEXSA)
Time frame: baseline
Assessment of Liability and EXposure to Substance use and Antisocial behavior (ALEXSA)
Administer Assessment of Liability and EXposure to Substance use and Antisocial behavior (ALEXSA)
Time frame: twelve months
Assessment of Liability and EXposure to Substance use and Antisocial behavior (ALEXSA)
Administer Assessment of Liability and EXposure to Substance use and Antisocial behavior (ALEXSA)
Time frame: twenty-four months
Contextual Risk and Resources - 1
Administer Centers for Epidemiological Studies Depression Scale (CESD)
Time frame: baseline
Contextual Risk and Resources - 1
Administer Centers for Epidemiological Studies Depression Scale (CESD)
Time frame: twelve months
Contextual Risk and Resources - 1
Administer Centers for Epidemiological Studies Depression Scale (CESD)
Time frame: twenty-four months
Contextual Risk and Resources - 2
Administer Demographic Questionnaire (DEMO)
Time frame: baseline
Contextual Risk and Resources - 2
Administer Demographic Questionnaire (DEMO)
Time frame: twelve months
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Contextual Risk and Resources - 2
Administer Demographic Questionnaire (DEMO)
Time frame: twenty-four months
Contextual Risk and Resources - 3
Administer Dyadic Adjustment Scale (DYAD)
Time frame: baseline
Contextual Risk and Resources - 3
Administer Dyadic Adjustment Scale (DYAD)
Time frame: twelve months
Contextual Risk and Resources - 3
Administer Dyadic Adjustment Scale (DYAD)
Time frame: twenty-four months
Contextual Risk and Resources - 4
Administer Financial Stress Questionnaire (FINCE)
Time frame: baseline
Contextual Risk and Resources - 4
Administer Financial Stress Questionnaire (FINCE)
Time frame: twelve months
Contextual Risk and Resources - 4
Administer Financial Stress Questionnaire (FINCE)
Time frame: twenty-four months
Contextual Risk and Resources - 5
Administer Me and My Neighborhood Questionnaire (MMNQ)
Time frame: baseline
Contextual Risk and Resources - 5
Administer Me and My Neighborhood Questionnaire (MMNQ)
Time frame: twelve months
Contextual Risk and Resources - 5
Administer Me and My Neighborhood Questionnaire (MMNQ)
Time frame: twenty-four months
Contextual Risk and Resources - 6
Administer Parent Substance Use Questionnaire (SUBST-PC)
Time frame: baseline
Contextual Risk and Resources - 6
Administer Parent Substance Use Questionnaire (SUBST-PC)
Time frame: twelve months
Contextual Risk and Resources - 6
Administer Parent Substance Use Questionnaire (SUBST-PC)
Time frame: twenty-four months
Youth Outcomes - 1
Administer Child Behavior Checklist (CBCL)
Time frame: baseline
Youth Outcomes - 1
Administer Child Behavior Checklist (CBCL)
Time frame: twelve months
Youth Outcomes - 1
Administer Child Behavior Checklist (CBCL)
Time frame: twenty-four months
Youth Outcomes - 2
Assess Extracurricular Activities (ECA)
Time frame: baseline
Youth Outcomes - 2
Assess Extracurricular Activities (ECA)
Time frame: twelve months
Youth Outcomes - 2
Assess Extracurricular Activities (ECA)
Time frame: twenty-four months
Youth Outcomes - 3
Administer Recent Activities Interview (RAI)
Time frame: baseline
Youth Outcomes - 3
Administer Recent Activities Interview (RAI)
Time frame: twelve months
Youth Outcomes - 3
Administer Recent Activities Interview (RAI)
Time frame: twenty-four months
Youth Outcomes - 4
Administer Screen for Child Anxiety-Related Emotional Disorders (SCR)
Time frame: baseline
Youth Outcomes - 4
Administer Screen for Child Anxiety-Related Emotional Disorders (SCR)
Time frame: twelve months
Youth Outcomes - 4
Administer Screen for Child Anxiety-Related Emotional Disorders (SCR)
Time frame: twenty-four months
Youth Outcomes - 5
Administer Self-Report of Delinquency (SHORT) (SRD)
Time frame: baseline
Youth Outcomes - 5
Administer Self-Report of Delinquency (SHORT) (SRD)
Time frame: twelve months
Youth Outcomes - 5
Administer Self-Report of Delinquency (SHORT) (SRD)
Time frame: twenty-four months
Youth Outcomes - 6
Target Child Substance Use (TC Subst)
Time frame: baseline
Youth Outcomes - 6
Target Child Substance Use (TC Subst)
Time frame: twelve months
Youth Outcomes - 6
Target Child Substance Use (TC Subst)
Time frame: twenty-four months
Youth Outcomes - 7
Administer Youth Risk Behavior Survey (YRBS)
Time frame: baseline
Youth Outcomes - 7
Administer Youth Risk Behavior Survey (YRBS)
Time frame: twelve months
Youth Outcomes - 7
Administer Youth Risk Behavior Survey (YRBS)
Time frame: twenty-four months
Parenting and Family Socialization - 1
Evaluate using Adult Child Relationship scale (ACRS)
Time frame: baseline
Parenting and Family Socialization - 1
Evaluate using Adult Child Relationship scale (ACRS)
Time frame: twelve months
Parenting and Family Socialization - 1
Evaluate using Adult Child Relationship scale (ACRS)
Time frame: twenty-four months
Parenting and Family Socialization - 2
Distressing Experiences Microaggression Scale (MIC)
Time frame: baseline
Parenting and Family Socialization - 2
Distressing Experiences Microaggression Scale (MIC)
Time frame: twelve months
Parenting and Family Socialization - 2
Distressing Experiences Microaggression Scale (MIC)
Time frame: twenty-four months
Parenting and Family Socialization - 3
Child Daily Face-to-Face Racial Discrimination (CDIS)
Time frame: baseline
Parenting and Family Socialization - 3
Child Daily Face-to-Face Racial Discrimination (CDIS)
Time frame: twelve months
Parenting and Family Socialization - 3
Child Daily Face-to-Face Racial Discrimination (CDIS)
Time frame: twenty-four months
Parenting and Family Socialization - 4
Assess using Parental Involvement Scale (PI)
Time frame: baseline
Parenting and Family Socialization - 4
Assess using Parental Involvement Scale (PI)
Time frame: twelve months
Parenting and Family Socialization - 4
Assess using Parental Involvement Scale (PI)
Time frame: twenty-four months
Parenting and Family Socialization - 5
Parental Monitoring Interview - Parent Response, - Child Response (PMI-PR, PMI-CR)
Time frame: baseline
Parenting and Family Socialization - 5
Parental Monitoring Interview - Parent Response, - Child Response (PMI-PR, PMI-CR)
Time frame: twelve months
Parenting and Family Socialization - 5
Parental Monitoring Interview - Parent Response, - Child Response (PMI-PR, PMI-CR)
Time frame: twenty-four months
Parenting and Family Socialization - 6
Assess using Parenting Children and Adolescents measure (PARCA)
Time frame: baseline
Parenting and Family Socialization - 6
Assess using Parenting Children and Adolescents measure (PARCA)
Time frame: twelve months
Parenting and Family Socialization - 6
Assess using Parenting Children and Adolescents measure (PARCA)
Time frame: twenty-four months
Parenting and Family Socialization - 7
Assessment using Parental Rating of Peers and Social Skills (PPRSK)
Time frame: baseline
Parenting and Family Socialization - 7
Assessment using Parental Rating of Peers and Social Skills (PPRSK)
Time frame: twelve months
Parenting and Family Socialization - 7
Assessment using Parental Rating of Peers and Social Skills (PPRSK)
Time frame: twenty-four months
Parenting and Family Socialization - Discussion Tasks - 1
Assessment using Parent Child Hot topics Discussion Task
Time frame: baseline
Parenting and Family Socialization - Discussion Tasks - 1
Assessment using Parent Child Hot topics Discussion Task
Time frame: twelve months
Parenting and Family Socialization - Discussion Tasks - 1
Assessment using Parent Child Hot topics Discussion Task
Time frame: twenty-four months
Parenting and Family Socialization - Discussion Tasks - 2
Assessment using Parent Child Hot Topics Questionnaire (PCHT)
Time frame: baseline
Parenting and Family Socialization - Discussion Tasks - 2
Assessment using Parent Child Hot Topics Questionnaire (PCHT)
Time frame: twelve months
Parenting and Family Socialization - Discussion Tasks - 2
Assessment using Parent Child Hot Topics Questionnaire (PCHT)
Time frame: twenty-four months
Parenting and Family Socialization - Discussion Tasks - 3
Assessment using Monitoring \& Listening Discussion Task
Time frame: baseline
Parenting and Family Socialization - Discussion Tasks - 3
Assessment using Monitoring \& Listening Discussion Task
Time frame: twelve months
Parenting and Family Socialization - Discussion Tasks - 3
Assessment using Monitoring \& Listening Discussion Task
Time frame: twenty-four months
Parenting and Family Socialization - Discussion Tasks - 4
Assessment using Recognition Discussion Task
Time frame: baseline
Parenting and Family Socialization - Discussion Tasks - 4
Assessment using Recognition Discussion Task
Time frame: twelve months
Parenting and Family Socialization - Discussion Tasks - 4
Assessment using Recognition Discussion Task
Time frame: twenty-four months
Parenting and Family Socialization - Discussion Tasks - 5
Assessment using Family Culture Discussion Task
Time frame: baseline