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School/Home-Based Drug Prevention with Families
at Risk
Ellen Hahn, D.N.S., Principal Investigator
Lynne Hall, Dr.P.H.,
Mary Kay Rayens, Ph.D., Co-investigators
Funded by the National Institute of Nursing
Research, National Institutes of Health
Grant #R15 NR04216-01A1
(1997-1999)
Abstract
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Early prevention efforts involving parents have the
potential of reducing alcohol, tobacco, and other drug (ATOD)
use among youth.
The purpose of the study is to
test the effects of a school- and home-based parent-child
ATOD prevention program on reducing child, family, and
parent risk factors for ATOD use. Specific aims are to: (a)
refine and further develop the home-based portion of the
expanded Beginning Alcohol and Addictions Basic Education
Studies (BABES) intervention; and (b) test the effects of
the expanded version of BABES on reducing child, family, and
parent risk factors for ATOD use among kindergarten children
from high-risk schools, in comparison to the traditional
BABES program and to a control group.
Ten parents who participated in
the BABES program will be recruited to take part in a focus
group to evaluate the content and clarity of the home-based
portion of the expanded BABES program. The home-based
portion will be revised based on focus group data. An
experimental three group pre-test/post-test design will be
used with 150 parent-child dyads from three randomly
selected high-risk elementary schools in Fayette County,
Kentucky. Schools will be randomly assigned to one of three
groups: (a) Expanded BABES with the school and home-based
parent-child interaction component (12 sessions); (b)
Traditional BABES (seven sessions); and (c) No BABES (control).
Pre-test data on child, family, and parent variables will be
obtained from parents during in-home interviews. Pre-test
data on children's behavior will be collected from teachers
and parents. Children will be interviewed to assess their
baseline knowledge and attitudes about ATOD use. School
nurses certified as BABES presenters will deliver the
expanded and traditional BABES programs. Undergraduate
nursing students enrolled in a for-credit independent study
will collect data with children and assist in delivery of
the expanded BABES program. Post-test data on the study
variables will be collected from parents, teachers, and
children at one-month and six-month follow-ups.
Findings may support the efficacy
of this early preventive intervention in reducing child,
family, and parent risk factors associated with subsequent
ATOD use by youth.
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