The effects of a school and home-based drug prevention program on risk factors for subsequent alcohol, tobacco, and other drug (ATOD) use among children were studied. Data on parent and child risk factors for ATOD use were collected from fifty-six low-income parents and their children, ages four to six years, using a pretest-posttest design. The parent-child intervention was conducted over a two-month period. The intervention had no effect on parent or child risk factors. However, the program was favorably received by parents and children. Almost two-thirds of the parents at the experimental school were involved in the program. Almost half of the parents had high depressive symptoms. The high rates of ATOD use and depressive symptoms among these parents are cause for concern.
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References
1.
HawkinsJ. D.CatalanoR. F.MillerJ. Y., Risk and Protective Factors for Alcohol and Other Drug Problems in Adolescence and Early Adulthood: Implications for Substance Abuse Prevention, Psychological Bulletin, 112:1, pp. 64–105, 1992.
2.
DishionT. J.PattersonG. R.ReidJ. R., Parent and Peer Factors Associated with Drug Sampling in Early Adolescence: Implications for Treatment, in Adolescent Drug Abuse: Analysis of Treatment Research, RahdertE. R.GrabowskiJ. (eds.), NIDA Monograph 77, DHHS Publication No. ADM 88–1523, U.S. Government Printing Office, Washington, D.C., pp. 69–93, 1988.
3.
KumpferK. L., Environmental and Family-Focused Prevention: The Cinderellas of Prevention Want to Go to the Ball, Too, in Prevention Research Findings, ReyK. H.FaegreC. L.LoweryP. (eds.), OSAP Publication No. ADM 89–1615, National Clearinghouse for Alcohol and Drug Information, Rockville, Maryland, 1990.
4.
KumpferK. L., Children and Adolescents and Drug and Alcohol Abuse and Addiction: Review of Prevention Strategies, in Comprehensive Handbook of Drug and Alcohol Addiction, MillerN. S. (ed.), Marcel Dekker, Inc., New York, pp. 1033–1060, 1991.
5.
NelsonP. T., Involving Families in Substance Abuse Prevention, Family Relations, 38, pp. 306–310, 1989.
6.
BABESWorld, Lower Elementary Basic BABES Teaching Guide, available from the National Council on Alcoholism, Greater Detroit Area, 17330 Northland Park Court, Southfield, Michigan 48075, 1-800-542-2237, 1990.
7.
HahnE. J., Parent Participation and Preschool Drug Prevention Programs, Addictions Nursing Network, 3:4, pp. 115–120, 1991.
8.
HahnE. J., Predictors of Parent Involvement in Drug Prevention, Dissertation Abstract, Publication No. 9316753, University Microfilms, Ann Arbor, Michigan, 1992.
9.
AbbeyA.OlianskyD.StilianosK.HohlsteinL. A.KaczynskiR., Substance Abuse Prevention for Second Graders: Are They Too Young to Benefit?Journal of Applied Development Psychology, 11, pp. 149–162, 1990.
10.
HahnE. J.HallL. A., BABES Parent-Child FUNbook, unpublished document, University of Kentucky College of Nursing, Lexington, Kentucky, 1995.
11.
PattersonG. R.ReidJ. B.DishionT. J., A Social Interactional Approach: Antisocial Boys, Vol. 4, Castalia Publishing Company, Eugene, Oregon, 1992.
12.
StevensonD. L.BakerD. P., The Family-School Relation and the Child's School Performance, Child Development, 58, pp. 1348–1357, 1987.
13.
ZillN., Trends in Family Life and Children's School Performance, paper presented at the American Sociological Association Meeting, Pittsburgh, Pennsylvania, August 1992.
14.
ChristensonS. L.RoundsT.GorneyD., Family Factors and Student Achievement: An Avenue to Increase Students' Success, School Psychology Quarterly, 7:3, pp. 178–206, 1992.
15.
DishionT. J.PattersonG. R., Age Effects in Parent Training Outcome, Behavior Therapy, 23, pp. 719–729, 1992.
16.
FraserM. W.HawkinsJ. D.HowardM. O., Parent Training and Prevention Approaches: Parent Training for Delinquency Prevention, Child and Youth Services, 11, pp. 93–125, 1988.
17.
DumasJ. E.WahlerR. G., Predictors of Treatment Outcome in Parent Training: Mother Insularity and Socioeconomic Disadvantage, Behavioral Assessment, 5, pp. 301–313, 1983.
18.
PattersonG. R.ChamberlainP.ReidJ. B., A Comparative Evaluation of Parent Training Procedures, Behavior Therapy, 13, pp. 638–650, 1982.
19.
SchweinhartL. J.WeikartD. P., Success by Empowerment: The High/Scope Perry Preschool Study through Age 27, Young Children, 49:1, pp. 54–58, 1993.
20.
Lamb-ParkerF.PiotrkowskiC. S.PeayL., Head Start as a Social Support for Mothers: The Psychological Benefits of Involvement, American Journal of Orthopsychiatry, 57:2, pp. 220–233, 1987.
21.
BurnsE. I.DoremusP. C.PotterM. B., Value of Health, Incidence of Depression, and Level of Self-Esteem in Low-Income Mothers of Pre-School Children, Issues in Comprehensive Pediatric Nursing, 13:2, pp. 141–153, 1990.
22.
WeissbergR. P.CaplanM.HarwoodR. L., Promoting Competent Young People in Competence-Enhancing Environments: A Systems-Based Perspective on Primary Prevention, Journal of Consulting and Clinical Psychology, 59:6, pp. 830–841, 1991.
23.
AndersonA. R.HenryC. S., Family System Characteristics and Parental Behaviors as Predictors of Adolescent Substance Use, Adolescence, 29:114, pp. 405–420, 1994.
24.
BrookJ. S.WhitemanM.GordonA. S.BrookD. W., The Role of Older Brothers in Younger Brothers' Drug Use Viewed in the Context of Parent and Peer Influences, Journal of Genetic Psychology, 151, pp. 59–75, 1988.
25.
SteinJ. A.NewcombM. D.BentlerP. M., Differential Effects of Parent and Grandparent Drug Use on Behavior Problems of Male and Female Children, Developmental Psychology, 29:1, pp. 31–43, 1993.
26.
HallL.WilliamsC.GreenbergR., Supports, Stressors, and Depressive Symptoms in Low-Income Mothers of Young Children, American Journal of Public Health, 75, pp. 518–522, 1985.
27.
HallL.GurleyD.SachsB.KryscioR., Psychosocial Predictors of Maternal Depressive Symptoms, Parenting Attitudes, and Child Behavior in Single-Parent Families, Nursing Research, 40, pp. 214–220, 1991.
28.
SachsB.HallL. A., Maladaptive Mother-Child Relationships: A Pilot Study, Public Health Nursing, 8:4, pp. 226–233, 1991.
29.
CapaldiD. M.PattersonG. R., Interrelated Influences of Contextual Factors on Antisocial Behavior in Childhood and Adolescence for Males, Progress in Experimental Personality and Psychopathology Research, pp. 165–198, 1994.
30.
CatalanoR. F.HawkinsJ. D., The Social Development Model: A Theory of Antisocial Behavior, in Delinquency and Crime: Current Theories, Cambridge University Press, New York, pp. 149–197, 1996.
31.
CatalanoR. F.HawkinsJ. D.KrenzC.GilmoreM.MorrisonD.WellsE.AbbottR., Using Research to Guide Culturally Appropriate Drug Abuse Prevention, Journal of Consulting and Clinical Psychology, 61:5, pp. 804–811, 1993.
32.
ChilcoatH. D.DishionT. J.AnthonyJ. C., Parent Monitoring and the Incidence of Drug Sampling in Urban Elementary School Children, American Journal of Epidemiology, 141:1, pp. 25–31, 1995.
33.
BailyS. L.HubbardR. L., Developmental Variation in the Context of Marijuana Initiation among Adolescents, Journal of Health and Social Behavior, 31, pp. 58–70, 1990.
34.
PenningM.BarnesG. E., Adolescent Marijuana Use: A Review, International Journal of Addictions, 17, pp. 749–791, 1982.
35.
RutterM.GillerH., Juvenile Delinquency: Trends and Perspectives, Penguin Books, New York, 1983.
36.
BrookJ. S.BrookD. W.GordonA. S.WhitemanM.CohenP., The Psychosocial Etiology of Adolescent Drug Use: A Family Interactional Approach, Genetic, Social, and General Psychology Monographs, 116 (Whole No. 2), 1990.
37.
KellamS. G.BrownH., Social Adaptational and Psychological Antecedents of Adolescent Psychopathology Ten Years Later, Johns Hopkins University, Baltimore, 1982.
38.
EnsmingerM. E.SlusarciskA. L., Paths to High School Graduation or Dropout: A Longitudinal Study of a First-Grade Cohort, Sociology of Education, 65:2, pp. 95–113, 1992.
39.
JessorR., Predicing Time of Onset of Marijuana Use: A Developmental Study of High School Youth, Journal of Consulting and Clinical Psychology, 44, pp. 125–134, 1976.
40.
CohenJ., Statistical Power Analysis for the Behavioral Sciences, Lawrence Erlbaum Associates, Hillsdale, New Jersey, 1988.
41.
National Institute on Drug Abuse, National Household Survey on Drug Abuse: Highlights 1988, DHHS Publication No. ADM 90–1681, National Institute on Drug Abuse, Rockville, Maryland, 1990.
42.
HahnE. J., Parental Alcohol and Other Drug (AOD) Use and Health Beliefs about Parent Involvement in AOD Prevention, Issues in Mental Health Nursing, 14, pp. 237–247, 1993.
43.
RosenbergM., Society and the Adolescent Self-image, Princeton University Press, Princeton, New Jersey, 1965.
44.
DuffyM. E., Determinants of Health Promotion in Midlife Women, Nursing Research, 37, pp. 358–362, 1988.
45.
ZellerR. A.CarminesR. G., Measurement in the Social Sciences, Cambridge University Press, New York, 1980.
46.
RadloffL., The CES-D Scale: A Self-Report Depression Scale for Research in the General Population, Applied Psychological Measurement, 1, pp. 385–401, 1977.
47.
BerkmanL. F.BerkmanC. S.KaslS.FreemanD. H.LeoL.OstfeldA. M.Coroni-HuntleyJ.BrodyJ. A., Depressive Symptoms in Relation to Physical Health and Functioning in the Elderly, American Journal of Epidemiology, 124, pp. 372–388, 1986.
48.
HallL. A., Everyday Stressors Index (ESI), unpublished instrument, available from HallL. A., University of Kentucky, College of Nursing, Lexington, KY 40536-0232, 1983.
49.
HallL.SchaeferE.GreenbergR., Quality and Quantity of Social Support as Correlates of Psychosomatic Symptoms in Mothers with Young Children, Research in Nursing and Health, 10, pp. 287–298, 1987.
50.
HallL. A., Prevalence and Correlates of Depressive Symptoms in Mothers of Young Children, Public Health Nursing, 7, pp. 71–79, 1990.
51.
ReebK.GrahamA.KitsonS.ZyzanskiS., Predicting Low Birthweight and Complicated Labor in Urban Black Women: A Biopsychosocial Perspective, Social Science and Medicine, 25, pp. 1321–1327, 1987.
52.
OlsonD.RusselC.SprenkleD., Circumplex Model of Marital and Family Systems: VI, Theoretical Update, Family Process, 22, pp. 69–83, 1983.
53.
SmilksteinG., The Family APGAR, The Journal of Family Practice, 6, pp. 1231–1239, 1978.
54.
HahnE. J.HallL. A., Family Management Practices Scale, unpublished instrument, available from HahnE., University of Kentucky, College of Nursing, Lexington, Kentucky 40536-0232, 1994.
55.
MilnerJ., Child Abuse Potential Inventory: Manual, Psytec, Webster, North Carolina, MurrayD. M.HannanP. J. (1990), Planning for the Appropriate Analysis in School-Based Drug Use Prevention Studies, Journal of Consulting and Clinical Psychology, 58:4, pp. 458–468, 1986.
56.
BavolekS., Handbook of Adult-Adolescent Parenting Inventory (AAPI), Family Development Association, Schaumburg, Illinois, 1984.
57.
EpsteinN. B.BaldwinL. M.BishopD. S., The McMaster Family Assessment Device, Journal of Marriage and Family Therapy, 9, pp. 171–180, 1983.
58.
HudsonW., The Clinical Measurement Package: A Field Manual, Dorsey, Homewood, Illinois, 1982.
59.
LaFreniereP. J.DumasJ. E.CapuanoF.DubeauD., Development and Validation of the Preschool Socioaffective Profile, Psychological Assessment, 4:4, pp. 442–450, 1992.
60.
LaFreniereP. J.DumasJ. E., A Transactional Analysis of Early Childhood Anxiety and Social Withdrawal, Development and Psychopathology, 4, pp. 385–402, 1992.
61.
AchenbachT. M.EdelbrockC. S., Behavioral Problems and Competencies Reported by Parents of Normal and Disturbed Children Aged Four through Sixteen, Monographs of the Society for Research in Child Development, 46, 1981.
62.
QuayH. C.PetersonD. R., Revised Behavior Problem Checklist, unpublished manuscript, Department of Psychology, University of Miami, 1983.
63.
DumasJ. E.SerketichW. J., The Preschool Socioaffective Profile (PSP): Its Application to a Head Start Population, paper presented at the 2nd National Head Start Research Conference, Washington, D.C., November 1993.
64.
HahnE. J.HallL. A., Parent Involvement Inventory (PII), unpublished manuscript, available from HahnE. J., University of Kentucky, College of Nursing, Lexington, Kentucky 40536-0232, 1995.
65.
LeadbeaterB. J.BishopS. J.RaverC. C., Quality of Mother-Toddler Interactions, Maternal Depressive Symptoms, and Behavior Problems in Preschoolers of Adolescent Mothers, Developmental Psychology, 32:2, pp. 280–288, 1996.
66.
DumasJ. E.SerketichW. J., Maternal Depressive Symptomatology and Child Maladjustment: A Comparison of Three Process Models, Behavior Therapy, 25, pp. 161–181, 1994.
67.
WhiteK. R.TaylorM. J.MossV. D., Does Research Support Claims about the Benefits of Involving Parents in Early Intervention Programs?Review of Educational Research, 62:1, pp. 91–125, 1992.
68.
HahnE. J.RadoM.KiddP., Cues to Parent Involvement in Drug Prevention and School Activities, Journal of School Health, 66:5, pp. 165–170, 1996.
69.
DiFranzaJ. R.LewR. A., Morbidity and Mortality in Children Associated with the Use of Tobacco Products by Other People, Pediatrics, 97:4, pp. 560–567, 1996.
70.
DumasJ. E.LaFreniereP. J.BeaudinL.VerlaanP., Mother-Child Interactions in Competent and Aggressive Dyads: Implications of Relationship Stress for Behavior Therapy with Families, New Zealand Journal of Psychology, 21:1, pp. 3–13, 1992.
71.
HallL. A.FarelA. M., Maternal Stresses and Depressive Symptoms: Correlates of Behavior Problems in Young Children, Nursing Research, 37, pp. 156–161, 1988.
72.
BiglanA., Translating What We Know about the Context of Antisocial Behavior into a Lower Prevalence of Such Behavior, Journal of Applied Behavior Analysis, 28, pp. 479–492, 1995.
