Elsevier

Behavior Therapy

Volume 34, Issue 4, Autumn 2003, Pages 553-571
Behavior Therapy

Special Series: Behaviorally Oriented Interventions For Children With Aggressive Behavior And/Or Conduct Problems
The family check-up with high-risk young adolescents: Preventing early-onset substance use by parent monitoring*

https://doi.org/10.1016/S0005-7894(03)80035-7Get rights and content

The Family Check-Up (FCU) is a brief, family-centered intervention focused on family-management practices. Within the context of a randomly assigned, multilevel family intervention, high-risk youth and families (n = 71) were selected for video-taped home observation that includes an interaction task assessing parent monitoring. Parents in the intervention group were offered annual feedback on the yearly assessment, including their home observation. Using an intention-to-treat design, analyses revealed intervention effects on early-adolescent substance use and observed parent monitoring by the first year of high school (Year 4 of follow-up). As in previous research, parents of high-risk adolescents were observed to decrease monitoring from grades 7 to 9. However, families randomly assigned to the family intervention maintained their monitoring practices. Regression analyses revealed the prevention effect of the FCU on substance use was mediated by changes in parental monitoring. Findings suggest the promise of linking developmental theory with innovation in cognitive behavioral intervention and prevention.

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    *

    This project was supported by grants to the first author: DA 07031 and DA 13773 from the National Institute on Drug Abuse, and AA 12702 from the National Institute on Alcohol Abuse and Alcoholism, both at the National Institutes of Health.

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