Gender-Specific Computer-Based Intervention for Preventing Drug Abuse Among Girls

Schinke, Steven P.; Schwinn, Traci M.

doi:10.1081/ada-200068415

Cited by 24 publications

(27 citation statements)

References 17 publications

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“…Emerging data support the promise of web-based substance use prevention for adolescents (Di Noia, Schwinn, Dastur, & Schinke, 2003; Duncan, Duncan, Beauchamp, Wells, & Ary, 2000; Gordon, 2000; Moore, Soderquist, & Werch, 2005; Newton, Teesson, Vogl, & Andrews, 2010; Newton, Vogl, Teesson, & Andrews, 2011; Schinke & Schwinn, 2005; Schwinn, Schinke, & Di Noia, 2010; Segal, Chen, Gordon, Kacir, & Gylys, 2003; Williams et al, 2005) and their parents (Gordon, 2000; Kacir, Gordon, & Kirby, 1999; Schinke, Schwinn, & Fang, 2010; Segal et al, 2003). The Internet enables users to overcome geographical limitations, enjoy flexible access to information, and have control over navigating program materials.…”

Section: Web-based Substance Use Prevention Programsmentioning

confidence: 98%

Two-year outcomes of a randomized, family-based substance use prevention trial for Asian American adolescent girls.

Fang¹,

Schinke²

2013

Psychology of Addictive Behaviors

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Asian Americans have been largely ignored in the prevention outcome literature. In this study, we tested a parent-child program with a sample of Asian American adolescent girls and their mothers, and evaluated the program’s efficacy on decreasing girls’ substance use, and modifying risk and protective factors at individual, family, and peer levels. One hundred and eight Asian American mother-daughter dyads recruited through online advertisements and from community service agencies were randomly assigned to an intervention arm (n = 56) or to a test-only control arm (n = 52). The intervention consisted of a nine-session substance abuse prevention program, delivered entirely online. Guided by family interaction theory, the prevention program aimed to strengthen the quality of girls’ relationships with their mothers while increasing girls’ resilience to resist substance use. Intent-to-treat analyses showed that at 2-year follow-up, intervention-arm dyads had significantly higher levels of mother-daughter closeness, mother-daughter communication, maternal monitoring, and family rules against substance use compared to the control-arm dyads. Intervention-arm girls also showed sustained improvement in self-efficacy and refusal skills, and had lower intentions to use substances in the future. Most important, intervention-arm girls reported fewer instances of alcohol and marijuana use, and prescription drug misuse relative to the control-arm girls. The study suggests that a culturally generic, family-based prevention program was efficacious in enhancing parent-child relationships, improving girls’ resiliency, and preventing substance use behaviors among Asian American girls.

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Section: Web-based Substance Use Prevention Programsmentioning

confidence: 98%

Two-year outcomes of a randomized, family-based substance use prevention trial for Asian American adolescent girls.

Fang¹,

Schinke²

2013

Psychology of Addictive Behaviors

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“…They generally involve young people navigating through simulated real life situations involving characters to which they can relate. These programs have demonstrated the capacity to increase knowledge [32] and drug resistance skills [33], decrease pro-drug attitudes [34] and intention to use drugs [33]. However, evaluations of computer-based school alcohol prevention programs are limited by the use of single session programs which are not fully integrated into the curriculum [33,34].…”

Section: Introductionmentioning

confidence: 99%

“…These programs have demonstrated the capacity to increase knowledge [32] and drug resistance skills [33], decrease pro-drug attitudes [34] and intention to use drugs [33]. However, evaluations of computer-based school alcohol prevention programs are limited by the use of single session programs which are not fully integrated into the curriculum [33,34]. The aim of the current article is to outline the development of a computer-based school alcohol prevention program which was fully integrated into the curriculum, involved multiple sessions and has been shown in two randomised controlled trials to be effective in improving knowledge and attitudes, and importantly decreasing alcohol misuse [35,36].…”

Section: Introductionmentioning

confidence: 99%

Developing a school-based drug prevention program to overcome barriers to effective program implementation: The CLIMATE schools: Alcohol module

Vogl¹,

Teesson²,

Newton³

et al. 2012

OJPM

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Although effective school-based alcohol prevention programs do exist, the overall efficacy of these programs has been compromised by implementation failure. The CLIMATE Schools: Alcohol Module was developed to overcome some of the obstacles to high fidelity program implementation. This paper details this development of the CLIMATE Schools: Alcohol Module. The development involved two stages, both of which were considered essential. The first stage, involved reviewing the literature to ensure the program was based on the most effecttive pedagogy and health promotion practice and the second stage involved collaborating with teachers, students and specialists in the area of alcohol and other drugs, to ensure these goals were realised. The final CLIMATE Schools: Alcohol Module consists of computer-driven harm minimisation program which is based on a social influence approach. The program consists of six lessons, each with two components. The first component involves students completing an interactive computer-based program, with the second consisting of a variety of individual, small group and class-based activities. This program was developed to provide an innovative new platform for the delivery of drug education and has proven to be both feasible and effective in the school environment. The success of this program is considered to be testament to this collaborative development approach.

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“…Fourth, recent studies have provided promising support for the effectiveness of computerized or online treatments for adolescents with substance-related problems as additives or alternatives to clinic-based therapy [45–49]. However, these studies have primarily focused on cigarette use [50], prevention rather than intervention [51, 52], and on the adolescent only without involving parents [53]. …”

Section: Introductionmentioning

confidence: 99%

Technology-assisted intervention for parents of adolescents in residential substance use treatment: protocol of an open trial and pilot randomized trial

Becker

Hernández

Spirito

et al. 2017

Addict Sci Clin Pract

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BackgroundAdolescents in residential substance use disorder (SUD) treatment have poor outcomes post-discharge, with follow-up studies suggesting that most adolescents relapse within 90 days. Parenting practices directly influence adolescent SUD outcomes, but parents of adolescents with SUDs are difficult to engage in traditional behavioral treatments. The current study adapts and evaluates a technology-assisted intervention for parents of adolescents in residential SUD treatment. Based on pilot qualitative data with parents, adolescents, and residential staff, we augment an existing computerized intervention (Parenting Wisely; PW) with four in-person coaching sessions, personalized text messages, and an expert-moderated online parent message board. We hypothesize that parents will find enhanced PW (PW+) both feasible and acceptable, and that adolescents whose parents receive PW+ will have better post-discharge outcomes than adolescents who receive standard care (SC) only.Methods/designA two phase approach is used to adapt and evaluate PW+. Phase 1 consists of an open trial with 10 parents of adolescents (age 12–17) in residential SUD treatment. Post-discharge qualitative and quantitative data from parents and adolescents will support PW+ refinement. Phase 2 is a randomized pilot trial with 60 parents testing the effectiveness of adding PW+ to SC. Adolescents and parents will complete assessments at baseline, 6-, 12-, and 24-weeks post-discharge. Primary outcomes will be measures of feasibility and acceptability. Secondary outcomes will include adolescent substance use, truancy, high-risk sexual behavior, and criminal involvement. Two parenting processes (monitoring and communication) are examined as potential mediators of change.DiscussionThis study will adapt and evaluate a technology-assisted parenting intervention as a means of improving adolescent outcomes following residential SUD treatment. Results have the potential to advance the field by: addressing a high-risk population, improving parental engagement; targeting parenting practices (putative mediators of change) that have been linked to adolescent outcomes; and developing a highly disseminable approach.

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Gender-Specific Computer-Based Intervention for Preventing Drug Abuse Among Girls

Cited by 24 publications

References 17 publications

Two-year outcomes of a randomized, family-based substance use prevention trial for Asian American adolescent girls.

Two-year outcomes of a randomized, family-based substance use prevention trial for Asian American adolescent girls.

Developing a school-based drug prevention program to overcome barriers to effective program implementation: The CLIMATE schools: Alcohol module

Technology-assisted intervention for parents of adolescents in residential substance use treatment: protocol of an open trial and pilot randomized trial

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