eHealth Evidence-based Intervention (EBI) for Latino Youth in Primary Care
Study Details
Study Description
Brief Summary
The purpose of this study is to test the relative effectiveness of a Hispanic-specific eHealth intervention, "e-Health Familias Unidas," in preventing and reducing drug use, sexual risk behaviors, and STIs among Hispanic youth in primary care. Families will be recruited through four pediatric primary care settings. Pediatric staff and research team members, including nurse assistants and mental health professionals, will implement eHealth Familias Unidas.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: eHealth Familias Unidas Primary Care eHealth Familias Unidas consists of 12 sessions: eight (12 - 15 minute) "mock" parent sessions in Spanish and four (30 - 45 minute) online family sessions delivered in either Spanish and/or English. |
Behavioral: eHealth Familias Unidas Primary Care
The experimental condition will consist of "eHealth Familias Unidas Primary Care." eHealth Familias Unidas Primary Care is an adaptation of the face-to-face version of Familias Unidas. As with face-to-face Familias Unidas, eHealth Familias Unidas Primary Care aims to prevent drug use, sexual risk behaviors, and STIs by improving family functioning. Similar to face-to-face Familias Unidas, eHealth Familias Unidas is a multi-level intervention that targets risk and protective factors at the multiple systems affecting the youth and youths' family.
Other Names:
|
| No Intervention: Treatment as Usual Participants in this condition will not receive an intervention. |
Outcome Measures
Primary Outcome Measures
- Change in drug use [Baseline, Baseline to 6 months, baseline to 12 months, baseline to 24 months, baseline to 36 months]
Change in drug use will be reported as the number of days of reported drug use for the previous 90 days with questions from Monitoring the Future
- Change in unprotected sexual behavior [Baseline, Baseline to 6 months, baseline to 12 months, baseline to 24 months, baseline to 36 months]
Change in unprotected sexual behavior will be reported as endorsement of having had sex without a condom during the previous 90 days using the Sexual Behavior Instrument
- Change in incidence of sexually transmitted infection [Baseline, Baseline to 6 months, baseline to 12 months, baseline to 24 months, baseline to 36 months]
Sexually transmitted infection incidence (i.e., gonorrhea and chlamydia) will be analyzed via a Polymerase Chain Reaction (PCR) from urine specimens
Secondary Outcome Measures
- Change in family functioning as assessed by the Parenting Practices Questionnaire [Baseline, Baseline to 6 months, baseline to 12 months, baseline to 24 months, baseline to 36 months]
Change in family functioning will be reported using the Parenting Practices Questionnaire . Response range varies based on questions, but most response items range from 0 to 4 with higher values indicating better parenting.
- Change in family functioning as assessed by the Parent Relationship with Peer Group [Baseline, Baseline to 6 months, baseline to 12 months, baseline to 24 months, baseline to 36 months]
Change in family functioning will be reported using the Parent Relationship with Peer Group. The Parent Relationship with Peer Group is a six item measure with response items ranging from 0 to 24. Higher scores indicate better outcomes.
- Change in family functioning as assessed by the Parent-Adolescent Communication Scale [Baseline, Baseline to 6 months, baseline to 12 months, baseline to 24 months, baseline to 36 months]
Change in family functioning will be reported using the Parent-Adolescent Communication Scale. The Parent-Adolescent Communication Scale is a twenty-item questionnaire with a total score ranging from 20 to 100 with higher scores indicating better communication.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Female and male adolescents of Hispanic immigrant origin, defined by at least one parent born in a Spanish speaking country of the Americas. Parent must understand Spanish given that parent sessions are delivered in Spanish.
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Adolescent between the ages of 12 - 17 years
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Adolescent living with an adult primary caregiver who is willing to participate
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Families must have broadband internet access on a device, including (but not limited to) a smart phone, iPad, tablet, a home computer or a computer at another location (e.g., school, library, etc.)
Exclusion Criteria:
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Families reporting plans to move out of the South Florida area during the study period
-
Families reporting that adolescent has been diagnosed with a developmental delay
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | PrimeCare Pediatrics | Hialeah | Florida | United States | 33016 |
| 2 | Ileana Fuentes Clinic | Miami | Florida | United States | 33134 |
| 3 | Ambulatory Care Center West Pediatrics at Jackson Memorial Hospital | Miami | Florida | United States | 33136 |
| 4 | UM Pediatric Mobile Clinic | Miami | Florida | United States | 33136 |
| 5 | UM UHealth Pediatrics at the Professional Arts Center | Miami | Florida | United States | 33136 |
| 6 | Borinquean Medical Centers | Miami | Florida | United States | 33137 |
| 7 | Borinquen Medical Centers | Miami | Florida | United States | 33137 |
| 8 | Kidstown Pediatrics | Miami | Florida | United States | 33137 |
| 9 | Belkys Bravo Clinic | Miami | Florida | United States | 33145 |
| 10 | Castro Pediatrics | Miami | Florida | United States | 33173 |
| 11 | University of Miami UHealth Pediatrics at Kendall | Miami | Florida | United States | 33176 |
| 12 | S. Florida Pediatric Partners | Miami | Florida | United States | 33196 |
Sponsors and Collaborators
- University of Miami
- National Institute on Drug Abuse (NIDA)
Investigators
- Principal Investigator: Guillermo Prado, Ph.D., University of Miami
Study Documents (Full-Text)
More Information
Publications
None provided.- 20160035
- 1R01DA040756