Estrada Yannine, Lee Tae Kyoung, Huang Shi, Tapia Maria I, Velázquez Maria-Rosa, Martinez Marcos J, Pantin Hilda, Ocasio Manuel A, Vidot Denise C, Molleda Lourdes, Villamar Juan, Stepanenko Bryan A, Brown C Hendricks, Prado Guillermo
Yannine Estrada, Tae Kyoung Lee, Maria I. Tapia, Maria-Rosa Velázquez, Hilda Pantin, Manuel A. Ocasio, Denise C. Vidot, Lourdes Molleda, Bryan A. Stepanenko, and Guillermo Prado are with the Department of Public Health Sciences, University of Miami, Miami, FL. Shi Huang is with the Department of Biostatistics, Vanderbilt University, Nashville, TN. Marcos J. Martinez is with the Prevention Research Center at the University of New Mexico, Albuquerque. Juan Villamar and C. Hendricks Brown are with the Department of Psychiatry and Behavioral Medicine, Northwestern University, Chicago, IL.
Am J Public Health. 2017 Apr;107(4):607-613. doi: 10.2105/AJPH.2017.303653. Epub 2017 Feb 16.
To evaluate the effectiveness of an evidence-based, parent-centered intervention, Familias Unidas, delivered by nonresearch personnel, in preventing substance use (alcohol, illicit drugs) and sex without a condom among Hispanic adolescents.
A randomized controlled trial (n = 746) evaluated the effectiveness of Familias Unidas among Hispanic eighth graders (age range = 12-16 years), relative to prevention as usual, within a public school system. School personnel, including social workers and mental health counselors, were trained to deliver the evidence-based intervention. Participant recruitment, intervention delivery, and follow-up ran from September 2010 through June 2014 in Miami-Dade County, Florida.
Familias Unidas was effective in preventing drug use from increasing and prevented greater increases in sex without a condom 30 months after baseline, relative to prevention as usual. Familias Unidas also had a positive impact on family functioning and parental monitoring of peers at 6 months after baseline.
This study demonstrated the effectiveness of a parent-centered preventive intervention program in preventing risky behaviors among Hispanic youths. Findings highlight the feasibility of training nonresearch personnel on effectively delivering a manualized intervention in a real-world setting.
评估由非研究人员实施的以家长为中心的循证干预措施“联合家庭”在预防西班牙裔青少年使用物质（酒精、非法药物）和无保护性行为方面的效果。
一项随机对照试验（n = 746）在公立学校系统中评估了“联合家庭”相对于常规预防措施对西班牙裔八年级学生（年龄范围 = 12 - 16岁）的效果。包括社会工作者和心理健康顾问在内的学校工作人员接受了实施循证干预措施的培训。2010年9月至2014年6月在佛罗里达州迈阿密 - 戴德县进行了参与者招募、干预措施实施及随访。
相对于常规预防措施，“联合家庭”在基线后30个月有效预防了药物使用的增加，并防止了无保护性行为的更大幅度增加。“联合家庭”在基线后6个月对家庭功能和家长对同伴的监督也产生了积极影响。
本研究证明了以家长为中心的预防性干预项目在预防西班牙裔青少年危险行为方面的有效性。研究结果突出了在现实环境中培训非研究人员有效实施标准化干预措施的可行性。
