Preventing substance use among early Asian-American adolescent girls: initial evaluation of a web-based, mother-daughter program.
OBJECTIVE
This study examined the efficacy and generalizability of a family-oriented, web-based substance use prevention program to young Asian-American adolescent girls.


METHODS
Between September and December 2007, a total of 108 Asian-American girls aged 10-14 years and their mothers were recruited through online advertisements and from community service agencies. Mother-daughter dyads were randomly assigned to an intervention arm or to a test-only control arm. After pretest measurement, intervention-arm dyads completed a 9-session web-based substance use prevention program. Guided by family interaction theory, the program aimed to improve girls' psychological states, strengthen substance use prevention skills, increase mother-daughter interactions, enhance maternal monitoring, and prevent girls' substance use. Study outcomes were assessed using generalized estimating equations.


RESULTS
At posttest, relative to control-arm girls, intervention-arm girls showed less depressed mood; reported improved self-efficacy and refusal skills; had higher levels of mother-daughter closeness, mother-daughter communication, and maternal monitoring; and reported more family rules against substance use. Intervention-arm girls also reported fewer instances of alcohol, marijuana, and illicit prescription drug use, and expressed lower intentions to use substances in the future.


CONCLUSIONS
A family-oriented, web-based substance use prevention program was efficacious in preventing substance use behavior among early Asian-American adolescent girls.
Fang
Lin
L
Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada. lin.fang@utoronto.ca
Schinke
Steven P
SP
Cole
Kristin C A
KC
D000293:Adolescent; D000328:Adult; D001213:Asian; D002648:Child; D003625:Data Collection; D005260:Female; D006801:Humans; D020407:Internet; D008875:Middle Aged; D009679:Nuclear Family; D019966:Substance-Related Disorders / Q000517:prevention & control*; D014481:United States; D014584:User-Computer Interface