title: Preventing high-risk sexual behavior in early adulthood with family interventions in adolescence: outcomes and developmental processes.
abstract: Adolescent study participants who engaged in a brief, family-centered intervention (the Family Check-Up, FCU) were later assessed for the intervention's effects on high-risk sexual behavior (HRSB) in early adulthood (age 22). Participants (N = 998 adolescents and their families) were randomly assigned to a family-centered intervention in sixth grade and were offered a gated, multilevel intervention that included (a) a school-based family resource center, (b) the FCU, and (c) more intensive, family-based treatment. All services were voluntary, but high-risk families were actively recruited into the FCU. Approximately 23% of the intervention families engaged in the FCU and approximately 18% engaged in more intensive treatment. Using an intent-to-treat design, we found that the direct effect of the FCU on HRSB was not significant; however, an analysis of the developmental processes indicated that intervention families demonstrated improved family relationship quality when compared to control families, which in turn resulted in lower levels of HRSB in early adulthood. Furthermore, the significant effect of family relationship quality on HRSB was mediated by differences in parental monitoring and early sexual activity, and these effects varied as a function of gender and ethnicity. Indirect effects of the FCU on HRSB were significant via multiple different pathways. The implications of these findings for enhancing the impact of family-centered interventions are discussed.
authors.affiliation: Child and Family Center, University of Oregon, 70 Couch Street, Suite 242, Portland, OR, 97209, USA, ascaru@uoregon.edu.
authors.forename: Allison S
authors.initials: AS
authors.lastname: Caruthers
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Van Ryzin
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Dishion
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D005195:Family Relations; D005260:Female; D006801:Humans; D008297:Male; D009922:Oregon; D010043:Outcome and Process Assessment, Health Care; D010287:Parent-Child Relations; D012574:Schools; D047568:Unsafe Sex / Q000517:prevention & control*; D055815:Young Adult
references.citation: Psychol Rev. 1993 Oct;100(4):674-701
references.pmid: 8255953
references.citation: J Adolesc Health. 2008 Aug;43(2):133-40
references.pmid: 18639786
references.citation: Dev Psychopathol. 2012 Aug;24(3):1139-55
references.pmid: 22781876
references.citation: Prev Sci. 2002 Sep;3(3):191-201
references.pmid: 12387554
references.citation: Annu Rev Psychol. 2011;62:299-329
references.pmid: 20822438
references.citation: J Abnorm Child Psychol. 1999 Apr;27(2):141-50
references.pmid: 10400060
references.citation: J Pers Soc Psychol. 1986 Dec;51(6):1173-82
references.pmid: 3806354
references.citation: Child Dev. 1996 Apr;67(2):344-59
references.pmid: 8625717
references.citation: Fam Plann Perspect. 1998 May-Jun;30(3):121-7
references.pmid: 9635260
references.citation: Psychol Methods. 2002 Jun;7(2):178-93
references.pmid: 12090409
references.citation: J Fam Psychol. 2005 Jun;19(2):171-9
references.pmid: 15982092
references.citation: Addiction. 2004 Nov;99 Suppl 2:76-92
references.pmid: 15488107
references.citation: Child Dev. 2011 Jan-Feb;82(1):209-25
references.pmid: 21291438
references.citation: J Consult Clin Psychol. 2007 Aug;75(4):568-79
references.pmid: 17663611
references.citation: J Behav Med. 1998 Oct;21(5):451-67
references.pmid: 9836131
references.citation: Perspect Sex Reprod Health. 2004 Jan-Feb;36(1):6-10
references.pmid: 14982671
references.citation: Dev Psychol. 2002 May;38(3):394-406
references.pmid: 12005382
references.citation: J Fam Psychol. 2008 Aug;22(4):574-85
references.pmid: 18729671
references.citation: Child Dev. 2009 May-Jun;80(3):808-27
references.pmid: 19489905
references.citation: Fam Plann Perspect. 1996 Jul-Aug;28(4):159-65, 185
references.pmid: 8853281
references.citation: J Adolesc Health. 2002 Sep;31(3):256-65
references.pmid: 12225738
references.citation: Dev Psychol. 1998 Nov;34(6):1233-45
references.pmid: 9823508
references.citation: Dev Psychol. 2005 Nov;41(6):971-84
references.pmid: 16351340
references.citation: J Adolesc Health. 2003 Aug;33(2):71-8
references.pmid: 12890597
references.citation: J Abnorm Child Psychol. 2005 Dec;33(6):723-33
references.pmid: 16328747
references.citation: J Behav Med. 1994 Aug;17(4):419-38
references.pmid: 7966262
references.citation: Arch Sex Behav. 2011 Oct;40(5):939-49
references.pmid: 20703789
references.citation: Health Psychol. 2009 Mar;28(2):238-48
references.pmid: 19290716
references.citation: Arch Pediatr Adolesc Med. 2000 Aug;154(8):809-16
references.pmid: 10922278
references.citation: Am Psychol. 1989 Feb;44(2):329-35
references.pmid: 2653143
references.citation: J Adolesc Health. 2010 Mar;46(3 Suppl):S23-41
references.pmid: 20172458
references.citation: J Adolesc Health. 2002 Dec;31(6 Suppl):264-79
references.pmid: 12470924
references.citation: Psychol Methods. 2001 Jun;6(2):115-34
references.pmid: 11411437
references.citation: Psychol Methods. 2002 Mar;7(1):83-104
references.pmid: 11928892
references.citation: J Adolesc. 2011 Feb;34(1):191-4
references.pmid: 20303161
references.citation: Adv Data. 2005 Sep 15;(362):1-55
references.pmid: 16250464
references.citation: J Adolesc Health. 2012 Jun;50(6):627-33
references.pmid: 22626491
references.citation: J Health Psychol. 2011 Jan;16(1):50-7
references.pmid: 20709883
references.citation: Child Dev. 1998 Jun;69(3):817-32
references.pmid: 9680687
references.citation: Dev Psychol. 2009 Sep;45(5):1406-15
references.pmid: 19702401