Family Based Prevention of Alcohol and Risky Sex for Older Teens

NCT03521115 | Completed Results

• 1 other identifier: AA020977
• Study Type: interventional
• Target: 411
• Locations: 1 country
• Sites: 1

Brief Summary

An online, interactive web-based program for older teens and their parents is designed to address teen alcohol use and teen relationships. The parent-teen dyad both participate in the web-based program and engage in off-line discussion activities. This intervention promotes communication skills, refusal skills, and helps teens consider how to make healthy choices. A total of 411 family dyads (one parent, one teen) were recruited.

Conditions

Alcohol Drinking; Alcohol Intoxication; Alcohol Poison; Alcohol-Related Disorders; Alcohol Impairment; Alcohol Withdrawal; Alcohol Abstinence; Alcohol; Harmful Use; Sex Behavior; Sexual Aggression; Sexual Harassment; Relation, Interpersonal

Outcome Measures

Primary Outcomes (11)

• Number of Teens Using Any Alcohol During Past 6 Months

  Have you had a drink of alcohol in the past 6 months? (A drink is a glass of wine, a can of beer, a wine cooler, a shot glass of liquor, or a mixed drink). (Response category yes=1/no=0). Range is 0-1. More frequent drinking is a worse outcome.

  Measured at baseline, 6, 12, & 18 months

• Frequency of Teen Alcohol Use Over Most Recent 30 Days Within Past 6 Months

  Over the past 30 days, how many times have you had a drink of alcohol? (response categories: 0=none, 1=once, 2=2-3 times, 3= once a week, 4=2-3 times a week. Range is 0-4.Higher score is more frequent drinking and a worse outcome.

  Measured at 6, 12, & 18 months

• Quantity of Alcohol Consumed by Teens on Drinking Days for the Most Recent 30 Days Within the Past Six Months

  Over the past 30 days, how many drinks did you usually have on days you drank? (response categories: 0= less than one, 1, 2, 3, 4, 5, 6, 7= more than six). Range is 0-7. Higher scores represent more drinking and worse outcome.

  Measured at baseline, 6, 12, & 18 months

• Count of Teens Who Were Drunk or Very, Very High During the Past 6 Months

  Over the past 6 months, how many times have you gotten drunk or very, very high on alcohol? (Response categories: 0=none, 1=once a month, 2=2-3 times a month, 3=once a week, 4= 2-3 times a week, 5=daily or almost daily). Range is 0-5. Higher score represents more drunkenness and a worse outcome.

  Measured at 6, 12, & 18 months

• Frequency of Parental Approval for Teen Drinking (in Moderation)

  How often have you and your parent talked about drinking in moderation is okay (Response categories 1=Never, 2=Occasionally, 3=Sometimes, 4= Often, 5 = Very often). Range is 1-5 and higher scores means more parental approval of teen drinking and is a worse outcome.

  Measured at baseline, 6, 12, & 18 months

• Frequency of Teen- Parent Communications Regarding Sex

  Overall, how often you have talked to your parent about sex? (1=Never, 2=Occasionally, 3=Sometimes, 4=Often, 5= Very often). Range 1-5. Higher scores represent a better outcome.

  Measured at baseline, 6, 12, & 18 months

• Frequency of Teen-parent Communications About Specific Sexual Topics

  Average frequency created across 4 different sex topics (i. how being in a relationship might divert me from achieving my goals at school, ii. how embarrassing it would be if I caught an STI -sexually transmitted infection, iii. sexual relationships can impact health, iv. how pregnancy would be embarassing) with responses being never=1, occasionally=2, sometimes=3, often=4, very often=5 for a full range of 1-5. Across the 4 different sex topics the sums ranged from 4-20 and average was created by dividing the score by 4, with higher scores indicating more both topics and higher frequency of discussions taking place for a final full range of 1-5.

  Measured at baseline, 6, 12, & 18 months

• Count of Teen-parent Communications Regarding Delaying Sexual Activity

  Communications regarding delaying sex based upon three questions with yes=1/no=0 responses summed: Have your parents told you that (i)you should not have sex, (ii)you should not be in a serious relationship while still in high school, (iii)you should not have sex because your religion or values forbid sex outside of marriage. Higher scores indicate more communications about delaying sex. Range is 0-3. Higher scores represent a better outcome.

  Measured at baseline, 6, 12, & 18 months

• Count of Teen-parent Communications Regarding Health Risks Associated With Sex

  Parent-teen communications score regarding health risks with sex were based upon two items: discussion that sex can result in pregnancy (y=1/n=0) and sex can result in sexually transmitted infections (y=1/n=0). Range is 0-2. Higher scores represent a better outcome.

  Past 6, 12, & 18 months

• Count of Parental Dating Rules

  Parental rules regarding dating were based upon summing the yes (=1) response to 15 possible rules: parents must meet date, check in/call during date, parents must know destination, parents must know change of plans, address and phone number needed for parties, no dates on school nights, no sex, no sigle dates, curfew, only agreed upon locations, use good judgment, be gentleman/lady, leave if uncomfortable (y=1/n=0). Range is 0-15. Higher scores represent better outcomes.

  Measured at baseline, 6, 12, & 18 months

• Count of Teens Who Have Ever Had Sex Over Their Lifetime

  Have you ever had sex (vaginal, oral, or anal)? (responses were yes=1/no=0). Range was 0-1. Higher score is worse outcome risk.

  Measured at baseline, 6, 12, & 18 months

Study Arms (2)

Smart Choices 4 Teens

EXPERIMENTAL

A web-based intervention consisting of 3 main components (Communication, Alcohol, Relationships) provided to both parents and teens was completed by parents and teens individually. At the end of each component, discussion guidelines were given to promote communications and to offer skill building practices between parent and teen regarding the component topic. Both the parent and teen were required to complete the component and discussion before moving to the next component. Numbers are provided for the number of families

Behavioral: Smart Choices 4 Teens

Control condition

NO INTERVENTION

This group was provided with websites where information was available regarding the same topics.

Interventions

Smart Choices 4 Teens BEHAVIORAL

This is a web-based prevention program designed to convey information about alcohol and relationships and the types of choices that they are making regarding these topics. General communications was another core element of the program that provided parents and teens with some key elements of talking to each other.

Smart Choices 4 Teens

Eligibility Criteria

• Age: 16 Years - 17 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• One parent and the teen both had to enroll in the study.

You may not qualify if:

• Non-English speaking

Sponsors & Collaborators

• Pacific Institute for Research and Evaluation: lead
• Klein Buendel, Inc.: collaborator
• University of New Mexico: collaborator

Study Sites (1)

Brenda Miller

Berkeley, California, 94704-1365, United States

Location

Related Publications (3)

• Byrnes HF, Miller BA, Grube JW, Bourdeau B, Buller DB, Wang-Schweig M, Woodall WG. Prevention of alcohol use in older teens: A randomized trial of an online family prevention program. Psychol Addict Behav. 2019 Feb;33(1):1-14. doi: 10.1037/adb0000442. Epub 2019 Jan 14.

  PMID: 30640504 RESULT

• Wang-Schweig M, Miller BA, Buller DB, Byrnes HF, Bourdeau B, Rogers V. Using Panel Vendors for Recruitment Into a Web-Based Family Prevention Program: Methodological Considerations. Eval Health Prof. 2017 Jan 1:163278717742189. doi: 10.1177/0163278717742189. Online ahead of print.

  PMID: 29172702 RESULT

• Bourdeau B, Miller BA, Byrnes HF, Woodall WG, Buller DB, Grube JW. Efficacy of a Web-Based Intervention (Smart Choices 4 Teens) for Facilitating Parent-Adolescent Communication About Relationships and Sexuality: Randomized Controlled Trial. JMIR Pediatr Parent. 2021 Jun 15;4(2):e19114. doi: 10.2196/19114.

  PMID: 34128818 RESULT

Related Links

• Efficacy of a Web-Based Intervention (Smart Choices 4 Teens) for Facilitating Parent-Adolescent Communication About Relationships and Sexuality: Randomized Controlled Trial

MeSH Terms

Conditions

Alcohol Drinking; Alcoholic Intoxication; Alcohol-Related Disorders; Alcohol Abstinence; Sexual Behavior; Sexual Harassment

Condition Hierarchy (Ancestors)

Drinking Behavior; Behavior; Substance-Related Disorders; Chemically-Induced Disorders; Mental Disorders; Social Behavior

Limitations and Caveats

This sample was drawn from a nationwide sample of families compiled by panel vendors. Smart Choices 4 Teens is family-based, designed to promote healthy choices by teens related to alcohol use and relationships. It is not a treatment program.

Results Point of Contact

• Title: Dr. Brenda A. Miller
• Organization: PIRE

BMiller@prev.org

5105205889

Study Officials

• Brenda A Miller, Ph.D.

  Pacific Institute for Research & Evaluation

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Parents and Teens were either assigned to the full intervention or provided with didactic materials available on the internet. Family is considered the level of participant
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Scientist

Model Details: Randomized Controlled Trial

Study Record Dates

• First Submitted: April 16, 2018
• First Posted: May 11, 2018
• Study Start: April 1, 2013
• Primary Completion: May 28, 2017
• Study Completion: May 28, 2017
• Last Updated: July 27, 2023
• Results First Posted: October 12, 2021

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)