Abstract
This article examines factors predicting participant engagement in a parent-centered, substance abuse preventive intervention. One hundred forty-three families assigned to the experimental condition were identified as either “initially engaged” (having attended at least one of the first three sessions) or “not initially engaged.” The groups were compared on demographics, family need for the intervention, barriers to participation, and family systems level variables. Results from hierarchical logistic regression analyses indicate that caregiver need for the intervention and family systems variables significantly predicted initial engagement in the intervention, while demographic variables, stressful life circumstances, and family stress failed to significantly influence engagement. Family systems variables were the strongest predictors of engagement within the full model. Furthermore, ethnic and racial background significantly moderated the effects of family systems variables on engagement in the intervention. For instance, African American families with low levels of family organization were less likely to be engaged than those with high levels of organization. This effect was not as strong for Hispanic caregivers. Implications for recruitment and engagement strategies are discussed.
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REFERENCES
Ashery, R. S., Robertson, E. B., & Kumpfer, K. L. (1998). Drug abuse prevention through family interventions.National Institute on Drug Abuse Research Monograph 177. National Institutes of Health: Rockville, MD.
Azjen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ: Prentice Hall.
Cairns, R. B., Leung, M., Gest, S. D., & Cairns, B. D. (1995). A brief method for assessing social development: Structure, reliability, stability and developmental validity of the interpersonal competence scale. Behavioral Research and Therapy, 33, 725–736.
Center for Family Studies. (1996). Center for Family Studies Pre-Intervention Screening Instrument. Unpublished manuscript, University of Miami.
Center for Substance Abuse Prevention. (1997). Life Events Scale: The Predictor Variables Initiative. Unpublished manuscript, Research Coordinating Center.
Children's Defense Fund. (1991). The adolescent and young adult fact book. Washington, DC: Children's Defense Fund.
Coatsworth, J. D. (1992). Project Competence: A developmental approach to defining and assessing competence. The Community Psychologist, 26, 19–21.
Coatsworth, J. D., Pantin, H., McBride, C., & Szapocznik, J. (2000). Structural Ecosystems Preventive Intervention: Theory and Application. Manuscript in Preparation, University of Miami.
Coatsworth, J. D., Santisteban, D. A., McBride, C. K., & Szapocznik, J. (2001). Effectiveness of Brief Structural/Strategic Family Therapy: Engagement, retention, and treatment effects. Manuscript submitted for publication, Center for Family Studies-University of Miami.
DeMarsh, J., & Kumpfer, K. (1986). Family-oriented interventions for the prevention of chemical dependency in children and adolescents. Prevention, 18, 117–151.
Dumka, L. E., Garza, C. A., Roosa, M. W., & Stoerzinger, H. D. (1997). Recruitment and retention of high risk families into a preventive parent training intervention. Journal of Primary Prevention, 18(1), 25–39.
Fontana, C. A., Fleischman, A. R., McCarton, C., Meltzer, A., & Ruff, H. (1988). A neonatal preventive intervention study: Issues of recruitment and retention. Journal of Primary Prevention, 9(3), 164–176.
Gorman-Smith, D., Tolan, P., Zelli, A., & Huesmann, L. R. (1996). The relation of family functioning to violence among inner-city minority youth. Journal of Family Psychology, 10, 115–129.
Hahn, E. J. (1995). Predicting Head Start parent involvement in an alcohol and other drug prevention program. Nursing Research, 44(1), 45–51.
Herzog, E. P., Cherniss, D. S., & Menzel, B. J. (1986). Issues in engaging high risk adolescent mothers in supportive work. Infant Mental Health Journal, 7(1), 59–68.
Hines, P. M., & Boyd-Franklin, N. (1982). African American families. In M. McGoldrick & J. Giordano (Eds.), Ethnicity and family therapy, (pp. 66–84). New York, NY: Guilford.
Hogue, A., & Liddle, H. L. (1999). Family-based preventive intervention: An approach to preventing substance abuse and antisocial behavior. American Journal of Orthopsychiatry, 69(3), 278–293.
Jemmott, J. B., Jemmott, L. S., Fong, G. T., & McCaffree, K. (1999). Reducing HIV risk associated sexual behavior among African American adolescents: Testing the generality of interaction effects. American Journal of Community Psychology, 27(2), 161–187.
Kumpfer, K. L., Szapocznik, J. et al. (1998). Preventing substance abuse among children and adolescents: Family-centered approaches. (Reference Guide, Second in the Prevention Enhancement Protocols System/PEPS Series, DHHS Publication N0. 3223-FY98). Rockville, Maryland: Substance Abuse and Mental Health Services Administration.
Maddux, J. E., & DuCharme, K. A. (1997). Behavioral intentions in theories of health behavior. In D. S. Gochman (Ed.), Handbook of health behavior research I: Personal and social determinants, (pp. 133–151). New York, NY: Plenum.
McKay, M. M., McCadam, K., & Gonzales, J. (1996). Addressing the barriers to mental health services for inner city children and their caretakers. Community Mental Health Journal, 32(4), 353–361.
Menard, S. (1995). Applied logistic regression analysis. Thousand Oaks, CA: Sage Publications.
Minuchin, S., & Fishman, H. C. (1981). Family Therapy Techniques. Harvard University Press: Cambridge.
Norman, P., Conner, M., & Bell, R. (1999). The theory of planned behavior and smoking cessation. Health Psychology, 18(1), 89–94.
Pantin, H. (1996). Scale of Parent Relationship with Peers. Unpublished manuscript, University of Miami.
Prinz, R. J., & Miller, G. E. (1996). Parental engagement in interventions for children at risk for conduct disorder. In R. D. Peters & R. J. McMahon (Eds.), Preventing childhood disorders, substance abuse, and delinquency. Thousand Oaks, CA: Sage.
Quay, H. C., & Peterson, D. R. (1987). Manual for the Revised Behavior Problem Checklist (RBPC). (Available from H. C. Quay, Department of Psychology, P.O. Box 248185, University of Miami, Coral Gables, FL 33124).
Ramos-McKay, J. M., Comas-Diaz, L., & Rivera, L. A., Eds. (1988). Clinical guidelines in crosscultural mental health. New York, NY: Wiley.
Resnick, M. D., Bearman, P. S., Blum, R. W., Bauman, K. E., Harris, K. M., Jones, J., Tabor, J., Beuhring, T., Sieving, R. E., Shew, M., Ireland, M., Bearinger, L. H., & Udry, R. (1997). Protecting adolescents from harm: Findings from the National Longitudinal Study on Adolescent Health. Journal of the American Medical Association, 278(10), 823–832.
Santisteban, D. A., Szapocznik, J., Perez-Vidal, A., Kurtines, W. M., Murray, E. J., LaPerriere, A. (1996). Efficacy of intervention for engaging youth and families into treatment and some variables that may contribute to differential effectiveness. Journal of Family Psychology, 10(1), 35–44.
Spoth, R. L., Goldberg, C., & Redmond, C. (1999). Engaging families in longitudinal preventive intervention research: Discrete-time survival analysis of socioeconomic and social-emotional risk factors. Journal of Consulting and Clinical Psychology, 67(10), 157–163.
Spoth, R. L., & Redmond, C. (1995). Parent motivation to enroll in parenting skills programs: A model of family context and health belief predictors. Journal of Family Psychology, 9(3), 294–310.
Spoth, C. L., Redmond, C., Hockaday, C., and Shin, C. Y. (1996). Barriers to participation in family skills preventive interventions and their evaluations:Areplication and extension. Family Relations, 45, 247–254.
Spoth, R. L., Redmond, C., Kahn, J. H., & Shin, C. (1997).A prospective validation study of inclination, belief and context predictors of family-focused prevention involvement. Family Process, 36(4), 403–429.
Stoltz, L. M. (1967). Influences on parenting behavior. Stanford, CA: Stanford University Press.
Sutton, C. S., & Dixon, D. N. (1986). Resistance in parent training: A study of social influence. Journal of Social and Clinical Psychology, 4, 133–141.
Szapocznik, J., & Kurtines, W. (1989). Breakthroughs in family therapy with drug abusing problem youth. New York, NY: Springer Publishing Company.
Szapocznik, J., Perez-Vidal, A., Brickman, A. L., Foote, F. H., Santisteban, D., Hervis, O., & Kurtines, W. M. (1988). Engaging adolescent drug abusers and their families into treatment: A strategic structural systems approach. Journal of Consulting and Clinical Psychology, 56(4), 552–557.
Tolan, P. H., Gorman-Smith, D., Zelli, A., & Huesmann, R. (1996). Assessment of family relationship characteristics: A measure to explain risk for antisocial behavior and depression among urban youth. Psychological Assessment, 9(3), 212–223.
Tolan, P. H., & McKay, M. M. (1996). Preventing serious antisocial behavior in inner-city children: An empirically based family intervention program. Family Relations, 45, 148–155.
Weber, J. L., & Stoneman, Z. (1986). Parental nonparticipation in program planning for mentally retarded children: An empirical investigation. Applied Research in Mental Retardation, 7(3), 359–369.
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Perrino, T., Coatsworth, J.D., Briones, E. et al. Initial Engagement in Parent-Centered Preventive Interventions: A Family Systems Perspective. The Journal of Primary Prevention 22, 21–44 (2001). https://doi.org/10.1023/A:1011036130341
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DOI: https://doi.org/10.1023/A:1011036130341