Predictors of Engagement and Attendance of a Family-Based Prevention Program for Underage Drinking in Mexico

BACKGROUND Children who are exposed to intimate partner violence (IPV) between caregivers are at increased risk for becoming involved in dating violence during adolescence. Yet, to date, few adolescent dating violence (ADV) prevention programs have been developed for and/or evaluated with IPV-exposed youth. One exception is Moms and Teens for Safe Dates (MTSD), an evidence-based ADV prevention program for IPV-exposed mothers or maternal caregivers (moms) and their teens. MTSD consists of a series of booklets that families complete together in a home that include interactive activities to promote positive family communication and healthy teen relationships. We developed an online-adapted version of the MTSD program, entitled, eMoms and Teens for Safe Dates (eMTSD), to provide a delivery format that may: increase program appeal for digitally oriented teens; lower dissemination costs; lower reading burden for low-literacy participants; and incorporate built in cues and reminders to boost program adherence. OBJECTIVE This is a protocol for a research study that has three main objectives: (1) to assess of the acceptability of eMTSD; (2) to identify the feasibility of the research process, including program adherence and participant recruitment and assessment; and (3) to explore the acceptability, feasibility, and preliminary efficacy of two features —text reminders and the creation of an “action plan” for engaging with the program—that may increase program uptake and completion. METHODS Approximately 80 moms and their teens will be invited to complete eMTSD, which includes six 30-minute online modules, over a 6-week period. Moms will be recruited through community organizations and via social media advertising and will be eligible to participate if they have at least one 12–16-year-old teen living with them, experienced IPV after the teen was born, are not currently living with an abusive partner, and have access to an internet-enabled device. Using a factorial design, enrolled dyads will be randomized to four “adherence support” groups (n=20 dyads per group): (1) text reminders and action planning, (2) text reminders only, (3) action planning only, and (4) no adherence supports. All participants will complete brief online assessments at enrollment, after each module is completed, after the full program is completed, and 12-weeks post enrollment. Program adherence will be tracked using website usage metrics. RESULTS Data collected will be synthesized to assess acceptability of the program and feasibility of study procedures. Exploratory analysis will examine the impacts of adherence supports on program completion levels. In November 2021 ethical approval was received and recruitment was initiated. Data collection is expected to continue until December 2022. CONCLUSIONS Online delivery of a family-based healthy relationships program for IPV-exposed teens may offer a convenient, low-cost, engaging approach to preventing ADV. Findings from the study are expected to guide future research.

Download Full-text

Abstract P121: Comparative Effectiveness Study of the Diabetes Prevention Program in Families: Preliminary Results

Circulation ◽

10.1161/circ.131.suppl_1.p121 ◽

2015 ◽

Vol 131 (suppl_1) ◽

Author(s):

Jennifer Wessel ◽

Erin O'Kelly-Phillips ◽

Kelly Palmer ◽

Chandan Saha ◽

Tamara Hannon ◽

...

Keyword(s):

Blood Pressure ◽

Prevention Program ◽

Diabetes Prevention ◽

Intervention Group ◽

Diabetes Prevention Program ◽

Comparative Effectiveness Study ◽

Develop Type ◽

History Of ◽

Family Based

The prevalence of gestational diabetes (GDM) is increasing substantially and currently affects up to 14% of pregnancies. As many as 70% of women with GDM will develop type 2 diabetes (T2D) in the next 10 years. Moreover as many as 40% of children exposed to in-utero diabetes will develop obesity and T2D. The Diabetes Prevention Program (DPP) is an evidence-based lifestyle intervention that has been shown to lower T2D risk by 58% in high-risk adults. Family based lifestyle interventions that target either children, parents or both have reported mixed results. We modified the DPP curriculum to use with families (DPPF) and recruited mothers with a history of GDM and their children 8-15 years old. We randomized n=130 families to test which method of delivering the DPPF (mothers only (M) or mothers and their children (M+C)) is more effective at lowering families T2D risk. Baseline characteristics of women were similar among each intervention group (n=65 M and n=65 M+C, respectively): age (38±8 vs 39±11, P=0.5), ethnicity (Black 55% vs 55%, White 20% vs 17%, Latino 20% vs 27%, other 5% vs 2%, P=0.6), body mass index (BMI, 37±8 vs 38±7, P=0.24), systolic blood pressure (SBP, 121±11 vs 122±13, P=0.8), diastolic blood pressure (DBP, 103±26 vs 105±21, P=0.6), HbA1c (5.6±0.4 vs 5.7±0.3, p=0.2). The majority of women self-reported low levels of physical activity (PA): moderate PA (2 days or less per week, 42% vs 26%, P=0.06) or vigorous PA (2 days or less per week, 38% vs 25%, P=0.1), and high levels of sedentary activities (3 or more hours per day, 49% vs 58%, P=0.2). For diet related obesogenic behaviors women self-reported high levels of eating meals while watching TV (3 days or more per week, 58% vs 74%, P=.06) and eating at restaurants (3 days or more per week, 28% vs 41%, P=0.1). Follow-up is ongoing and currently n=32 families have completed the 3-month follow-up. Preliminary analyses of mothers show decreases in HbA1c (-.01±.3 vs -.1±.2), SBP (-9.7±30 vs -3.1±8), DBP (-8±19 vs -1±9) but not BMI (0.07±1.6 vs 0.04±1.2); however results were not significantly different by intervention group.

Download Full-text