Clinical trial NCT05437081: A Family-Based Alcohol Preventive Intervention for Latino Emerging Adults
Official title: A Family-Based Alcohol Preventive Intervention for Latino Emerging Adults
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Binge Alcohol Consumption
Risk Behavior, Health
Driving Under the Influence
High-Risk Sex
Identity, Social
Parenting
Lead sponsor: University of Oregon
Sponsor class: OTHER
First posted: 2022-06-29
Enrollment: 83
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Latino emerging adults (EAs)and Latino parents of EAs were recruited in Oregon and Florida. Participants were then randomly selected into either the intervention or the control condition. Participants randomized to the control condition received referrals to community agencies for mental health, substance abuse, and health issues commonly experienced by EAs. Participants randomized to the intervention condition were invited to attend four family-focused sessions (for parents) or four identity development-focused sessions (for EAs).
Primary purpose: PREVENTION

Brief summary: The purpose of the proposed study was to develop a family-based drinking prevention intervention for Latino emerging adults (EAs) and Latino parents of EAs. Although drinking rates for Latinos are lower than those for Whites in terms of the prevalence of alcohol use, the consequences of alcohol use (e.g., drunk driving, unplanned/unprotected sex, alcohol-related injuries) appear to be more severe for Latinos, especially those 18-23 years old. The investigators developed a brief (4 session) intervention for each of EAs and parents focused on identity development and parent support for EAs, respectively.

Detailed description: The purpose of the proposed study was to develop a family-based drinking prevention intervention for Latino emerging adults (EAs) and Latino parents of EAs. The investigators specifically targeted EAs aged 18-23. Although drinking rates for Latinos are lower than those for Whites in terms of the prevalence of alcohol use, the consequences of alcohol use (e.g., drunk driving, unplanned/unprotected sex, alcohol-related injuries) appear to be more severe for Latinos, especially those 18-23 years old.

The intervention program included four sessions with emerging adults (EA) in a group setting, and four sessions with groups of parents of EAs. This dual-site project was developed in Oregon and Florida in three phases: (1) development of the intervention components; (2) initial pilot testing and focus group feedback (including modifying the intervention and revising the manuals); and (3) a randomized pilot study. The EA component was developed by integrating identity-based intervention strategies that have been used successfully with adolescents and EAs, ensuring that they are developmentally and culturally appropriate. The parenting component was developed by adapting efficacious parenting strategies used with adolescents so that the activities were developmentally and culturally appropriate for parents of EAs. As the pilot study launch coincided with the start of the COVID-19 pandemic, the investigators adapted the original in-person approaches for online delivery.

Eligibility criteria: Inclusion criteria:

Emerging adult criteria:

* Between the ages of 18 and 23 years old upon recruitment
* Identify as Latina/o, Hispanic, Chicana/o, or have been born or descended from a parent or grandparent from Mexico or another nation in Central or South America or the Spanish-speaking Caribbean
* Intend to remain in the area for the four months following their recruitment into the study in order to participate in the intervention, if selected

Parent criteria:

* Have a child between the ages of 18 and 23 years old
* Identify as Latina/o, Hispanic, Chicana/o, or have been born or descended from a parent from Mexico, or a nation in Central or South America or the Spanish-speaking Caribbean
* Speak and understand Spanish

Exclusion Criteria:

Emerging adult criteria:

• EAs are not themselves a parent or stepparent

Primary outcomes:
measure: Emerging Adult Self-Efficacy
timeFrame: 3-4 months
measure: Parent-Emerging Adult Relationship Quality
timeFrame: 3-4 months
measure: Parent Trust in Emerging Adult Decision-Making
timeFrame: 3-4 months
measure: Parent support
timeFrame: 3-4 months
measure: Emerging adult alcohol consumption
timeFrame: 3-4 months
measure: Drinking-related risk behaviors
timeFrame: 3-4 months
measure: Drinking-related harm reduction behaviors
timeFrame: 3-4 months
measure: Emerging adult perceived stress
timeFrame: 3-4 months
measure: Parent perceived stress
timeFrame: 3-4 months
measure: Bicultural identity integration
timeFrame: 3-4 months
measure: Emerging adult future orientation
timeFrame: 3-4 months
measure: Parent hope for emerging adult child's future
timeFrame: 3-4 months
measure: American identity integration
timeFrame: 3-4 months
Secondary outcomes:
measure: Emerging adult acculturative stress
timeFrame: 3-4 months
measure: Parent acculturative stress
timeFrame: 3-4 months
Other outcomes:
Locations:
Study officials:
affiliation: University of Oregon
name: Heather H McClure, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: University of Texas at Austin
name: Seth J Schwartz, PhD
role: PRINCIPAL_INVESTIGATOR
References: