A Family-Based Healthy Lifestyle Intervention: Crossover Effects on Substance Use and Sexual Risk Behaviors

Fernandez, Alejandra; Lozano, Alyssa; Lee, Tae Kyoung; Estrada, Yannine; Messiah, Sarah; Prado, Guillermo

doi:10.1007/s11121-021-01220-z

Cited by 8 publications

(3 citation statements)

References 27 publications

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“…In this manuscript, we described the rationale, design, and methods of an effectiveness-implementation hybrid type I intervention trial that will test the effectiveness of an eHealth intervention, eHealth Familias UnidasMental Health , in preventing/reducing depression symptoms, anxiety symptoms, suicide ideation and behaviors, and drug use among Hispanic adolescents. eHealth Familias Unidas Mental Health is a second online adaptation of the rigorously evaluated Familias Unidas intervention which has been found to prevent/reduce problem behaviors among adolescents across multiple iterations of the intervention including drug use [ 19 , 20 , 68 , 69 ], sexual risk behaviors [ 19 , 70 , 71 ], externalizing behavior problems [ 11 ], internalizing problems [ 11 , 17 ], suicide behaviors [ 18 ] and screen-based sedentary behaviors [ 72 ].…”

Section: Discussionmentioning

confidence: 99%

eHealth Familias Unidas Mental Health: Protocol for an effectiveness-implementation hybrid Type 1 trial to scale a mental health preventive intervention for Hispanic youth in primary care settings

et al. 2023

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This article focuses on the rationale, design and methods of an effectiveness-implementation hybrid type I randomized trial of eHealth Familias Unidas Mental Health, a family-based, online delivered intervention for Hispanic families to prevent/reduce depressive and anxious symptoms, suicide ideation/behaviors, and drug use in Hispanic youth. Utilizing a rollout design with 18 pediatric primary care clinics and 468 families, this study addresses intervention effectiveness, implementation research questions, and intervention sustainment, to begin bridging the gap between research and practice in eliminating mental health and drug use disparities among Hispanic youth. Further, we will examine whether intervention effects are partially mediated by improved family communication and reduced externalizing behaviors, including drug use, and moderated by parental depression. Finally, we will explore whether the intervention’s impact on mental health and drug use, as well as sustainment of the intervention in clinics, varies by quality of implementation at clinic and clinician levels. Trail registration: ClinicalTrials.gov Identifier: NCT05426057, First posted June 21, 2022.

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Section: Discussionmentioning

confidence: 99%

eHealth Familias Unidas Mental Health: Protocol for an effectiveness-implementation hybrid Type 1 trial to scale a mental health preventive intervention for Hispanic youth in primary care settings

et al. 2023

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“…Primer to create alternative alcohol-free reinforcers that compete with drinking (such as opportunities for meaningful relationships, work and recreation), whereas CM directly reinforces small discrete features of treatment (such as attendance and negative urine drug screens). As such, these interventions are naturally complementary and have been integrated in clinical protocols [314][315][316]324,325 .…”

Section: ();mentioning

confidence: 99%

Hazardous drinking and alcohol use disorders

2022

Nat Rev Dis Primers

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Alcohol is one of the most widely consumed psychoactive drugs globally. Hazardous drinking, defined by quantity and frequency of consumption, is associated with acute and chronic morbidity. Alcohol use disorders (AUDs) are psychiatric syndromes characterized by impaired control over drinking and other symptoms. Contemporary aetiological perspectives on AUDs apply a biopsychosocial framework that emphasizes the interplay of genetics, neurobiology, psychology, and an individual's social and societal context. There is strong evidence that AUDs are genetically influenced, but with a complex polygenic architecture. Likewise, there is robust evidence for environmental influences, such as adverse childhood exposures and maladaptive developmental trajectories. Well-established biological and psychological determinants of AUDs include neuroadaptive changes following persistent use, differences in brain structure and function, and motivational determinants including overvaluation of alcohol reinforcement, acute effects of environmental triggers and stress, elevations in multiple facets of impulsivity, and lack of alternative reinforcers. Social factors include bidirectional roles of social networks and sociocultural influences, such as public health control strategies and social determinants of health. An array of evidence-based approaches for reducing alcohol harms are available, including screening, pharmacotherapies, psychological interventions and policy strategies, but are substantially underused. Priorities for the field include translating advances in basic biobehavioural research into novel clinical applications and, in turn, promoting widespread implementation of evidence-based clinical approaches in practice and health-care systems. Sections 0123456789();:Primer between countries 4 . Moreover, the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and the 11th revision of the International Classification of Diseases (ICD-11) have substantively different categories for defining clinically meaningful alcohol involvement. The DSM-5 has one diagnosis (that is, AUD) with three levels of severity, whereas the ICD-11 has two diagnoses with escalating severity (that is, harmful pattern of use of alcohol followed by alcohol dependence) and also a subclinical designation of hazardous alcohol use that denotes a risk factor that has not reached the point of having caused harms to the person or others. Fundamentally, however, these clinical diagnoses reflect an inability to regulate alcohol consumption, and, although not formally designated as such, the more severe manifestations (severe AUD in DSM-5, alcohol dependence in ICD-11) are often considered the clinical equivalent of the colloquial term 'alcoholism' [5][6][7][8] .Given these definitional differences, this Primer primarily uses two terms for clarity. First, the term hazardous drinking is used to refer to drinking behaviour (such as per episode, daily or weekly) that reflect meaningful increases in risk of negative alcohol-related outcom...

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“…Important family level factors suggest that there is a need for family-based interventions to address the health disparities HSMY face as it relates to drug use and depressive symptoms. Extensive research has documented the efficacy and effectiveness of familybased interventions for the prevention and/or reduction of drug use and depressive symptoms [12,13], however, these interventions were not originally developed for HSMY and do not address the unique needs of this population [14]. Despite the evidence that family-based interventions can improve health outcomes for Hispanic youth and the importance of highlighting and supporting family influences on sexual minority health [15,16], there is a dearth of evidence-based, culturally congruent family interventions that target the multiple risk and protective factors relevant to HSMY and their families to ameliorate health disparities related to drug use and depressive symptoms.…”

Section: Introductionmentioning

confidence: 99%

Familias con Orgullo: Study protocol for an efficacy study of a family-based intervention for Hispanic sexual minority youth

Lozano,

Estrada,

Scott

et al. 2023

PLoS ONE

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This manuscript describes the rationale and design of a family-based, Hispanic sexual minority youth (HSMY) specific preventive intervention, Familias con Orgullo (Families with Pride). HSMY (N = 306) and their primary caregivers will be recruited in South Florida and be randomized to Familias con Orgullo or prevention as usual. The intervention will be delivered by trained study facilitators. Outcomes will be measured at baseline and 6-, 18-, and 30-months post-baseline. The goals of this study are to evaluate whether the Familias con Orgullo intervention, compared to community practice, is effective in reducing drug use and depressive symptoms through the improvement of parent support for the youth, parent acceptance, family functioning, youth stress, and sexual minority stress. Additionally, we will explore whether gender and baseline levels of parent support for the youth, parent acceptance, family functioning, youth stress, and sexual minority stress moderate intervention effects on the youth outcomes. ClinicalTrials.gov identifier: NCT06057337, First posted September 28, 2023.

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A Family-Based Healthy Lifestyle Intervention: Crossover Effects on Substance Use and Sexual Risk Behaviors

Cited by 8 publications

References 27 publications

eHealth Familias Unidas Mental Health: Protocol for an effectiveness-implementation hybrid Type 1 trial to scale a mental health preventive intervention for Hispanic youth in primary care settings

eHealth Familias Unidas Mental Health: Protocol for an effectiveness-implementation hybrid Type 1 trial to scale a mental health preventive intervention for Hispanic youth in primary care settings

Hazardous drinking and alcohol use disorders

Familias con Orgullo: Study protocol for an efficacy study of a family-based intervention for Hispanic sexual minority youth

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