The goal of this clinical trial is to determine whether Guiando Buenas Decisiones, a parent-focused alcohol prevention program, can help prevent or delay alcohol initiation and use among Hispanic immigrant adolescents ages 12 to 14 from low-income families. The study will also examine how well the program can be implemented through a faith-based community organization.
The main questions this study aims to answer are:
1. Does the refined Guiando Buenas Decisiones program help prevent or delay alcohol initiation and use among adolescents? 2. Does the refined Guiando Buenas Decisiones program improve family, individual, and sociocultural risk and protective factors related to adolescent alcohol use, as reported by parents and adolescents? 3. What individual- and organizational-level barriers and facilitators affect implementation of the refined Guiando Buenas Decisiones program? 4. What are the reach, adoption, implementation, and maintenance outcomes of delivering the refined Guiando Buenas Decisiones program through a faith-based community organization?
The study will first conduct a small pilot to refine Guiando Buenas Decisiones and optimize the intervention and study procedures based on feedback from participating families. The study will then conduct a randomized controlled trial comparing families who receive the refined Guiando Buenas Decisiones program with families assigned to a wait-list control group. Families in the wait-list control group will be offered Guiando Buenas Decisiones after completing the 6-month follow-up assessment.
The refined Guiando Buenas Decisiones program consists of seven weekly sessions, each lasting approximately 2 hours, delivered by trained community health workers and lay church members. In the randomized trial, parents and adolescents will complete separate assessments at baseline, immediately after the intervention, and 6 months after the intervention. These assessments will examine adolescent alcohol initiation and use and family, individual, and sociocultural risk and protective factors related to adolescent alcohol use. Information will also be collected from parents, program facilitators, and organizational stakeholders to identify individual- and organizational-level barriers and facilitators to implementation and to assess implementation outcomes in a faith-based community setting.
Being 18 years or older.
Living in a one- or two-parent household.
Self-identifying as Hispanic or Latino/a.
Self-identifying as a foreign-born and first-generation Hispanic immigrant with one or more United States-born 12-14-year-old children.
Involvement with Child Protective Services (CPS) due to confirmed child abuse (e.g., physical or sexual abuse).
Current diagnosis of a severe psychiatric disorder that hinders participation in a parenting program (e.g., schizophrenia).
Current CPS-documented abuse by the caregiver seeking to participate in the parenting program.
Parent report of any intellectual, developmental, or cognitive impairment that would prevent them from understanding the purpose of the study, study measures, or the Guiando Buenas Decisiones curriculum, or if they reside outside of the United States.
Parallel
Guiando Buenas Decisiones (GBD)
BehavioralGuiando Buenas Decisiones (GBD) is the Spanish version of the U.S. evidence-based alcohol prevention intervention, Guiding Good Choices. GBD is exclusively for parents and aims to enhance parenting skills and foster positive parent-child bonding. The program includes five sessions, with an additional sixth session introduced in a Mexican adaptation focusing on reinforcing alcohol literacy and addressing alcohol expectancies. The refined GBD program to be piloted and tested in this study is informed by the Mexican adaptation and tailored for delivery among Hispanic (predominantly Mexican-origin) U.S. families with children ages 12-14. Refinements incorporate content relevant to the sociocultural realities experienced by U.S. Hispanic immigrant families, resulting in an additional introductory session.
Adolescent alcohol use initiation
Target youth will complete adapted items from the National Institute on Drug Abuse-funded Monitoring the Future study, the Screening to Brief Intervention tool, and the National Longitudinal Survey of Youth. Youth will report whether they have ever used alcohol. The outcome will be measured as lifetime alcohol use initiation (yes/no) at each assessment.
Adolescent past-year alcohol use frequency
Target youth will report how frequently they used alcohol during the past 12 months using adapted items from the Monitoring the Future study and the Screening to Brief Intervention tool. Responses will assess the number of occasions on which alcohol was used during the past year.
Adolescent past-year alcohol use quantity
Target youth will report the quantity of alcohol consumed during the past 12 months using adapted items from the Monitoring the Future study and the National Longitudinal Survey of Youth. Responses will assess the number of alcoholic drinks typically consumed on occasions when alcohol was used during the past year.
Adolescent past-30-day alcohol use frequency
Target youth will report how frequently they used alcohol during the past 30 days using adapted items from the Monitoring the Future study and the Screening to Brief Intervention tool. Responses will assess the number of occasions on which alcohol was used during the past 30 days.
Family risk and protective factors
Both caregivers and their children will complete items measured using an adapted version of the original Guiding Good Choices program implementation-evaluation surveys, which were based on the Communities That Care Youth Survey and its adaptation for Mexico and Colombia. The assessment will measure three protective factors (i.e., clear standards for youth behavior, proactive family communication, and positive family involvement) and three risk factors (i.e., positive attitudes for substance use, poor family management, and family conflict).
Perceived discrimination
Both caregivers and their children will complete the 7-item Perceived Discrimination Scale to assess perceived experiences of discrimination.
Perceived negative context of reception
Both caregivers and their children will complete the 6-item Negative Context of Reception Scale to assess perceived negative context of reception.
Language stress
Both caregivers and their children will complete the language stress subscale of the Hispanic Stress Inventory to assess stress associated with language use and communication.
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University of Texas at Austin
Lead sponsor
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Collaborator
University of Washington, Social Development Research Group
Collaborator
University of Miami, Miami, United States
Collaborator
El Buen Samaritano
Collaborator
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