%0 Journal Article %J J Prim Prev %D 2015 %T Predictors of participation in parenting workshops for improving adolescent behavioral and mental health: Results from the Common Sense Parenting trial. %A Fleming, Charles B %A Mason, W A %A Haggerty, Kevin P %A Thompson, Ronald W %A Fernandez, Kate %A Casey-Goldstein, Mary %A Oats, Robert G %K Adolescent %K Adolescent Behavior %K Adult %K Ethnic Groups %K Family Characteristics %K Female %K Humans %K Logistic Models %K Male %K Mental Health %K Parent-Child Relations %K Parenting %K Parents %K Poverty Areas %K Program Evaluation %K Randomized Controlled Trials as Topic %K Social Class %K Washington %X

Engaging and retaining participants are crucial to achieving adequate implementation of parenting interventions designed to prevent problem behaviors among children and adolescents. This study examined predictors of engagement and retention in a group-based family intervention across two versions of the program: a standard version requiring only parent attendance for six sessions and an adapted version with two additional sessions that required attendance by the son or daughter. Families included a parent and an eighth grader who attended one of five high-poverty schools in an urban Pacific Northwest school district. The adapted version of the intervention had a higher rate of engagement than the standard version, a difference that was statistically significant after adjusting for other variables assessed at enrollment in the study. Higher household income and parent education, younger student age, and poorer affective quality in the parent-child relationship predicted greater likelihood of initial attendance. In the adapted version of the intervention, parents of boys were more likely to engage with the program than those of girls. The variables considered did not strongly predict retention, although retention was higher among parents of boys. Retention did not significantly differ between conditions. Asking for child attendance at workshops may have increased engagement in the intervention, while findings for other predictors of attendance point to the need for added efforts to recruit families who have less socioeconomic resources, as well as families who perceive they have less need for services.

%B J Prim Prev %V 36 %P 105-18 %8 2015 Apr %G eng %N 2 %1 http://www.ncbi.nlm.nih.gov/pubmed/25656381?dopt=Abstract %R 10.1007/s10935-015-0386-3 %0 Journal Article %J Subst Use Misuse %D 2015 %T Washington State recreational marijuana legalization: parent and adolescent perceptions, knowledge, and discussions in a sample of low-income families. %A Mason, W A %A Hanson, Koren %A Fleming, Charles B %A Ringle, Jay L %A Haggerty, Kevin P %K Adolescent %K Adult %K Family %K Female %K Health Knowledge, Attitudes, Practice %K Humans %K Knowledge %K Male %K Marijuana Smoking %K Parent-Child Relations %K Parents %K Perception %K Poverty %K Washington %X

BACKGROUND: In November 2012, Washington State and Colorado became the first states in the United States to legalize recreational marijuana use for adults, and Uruguay became the first country to allow the cultivation, distribution, possession, and use of marijuana. One possible consequence of these changes is increased adolescent marijuana use. Parents may mitigate this adverse consequence; however, whether parents and adolescents have accurate knowledge about the laws and are discussing marijuana use in light of the law changes is unknown.

OBJECTIVE: We examine perceptions, knowledge, and parent-child discussions about Washington State's recreational marijuana law in a sample of low-income families.

METHODS: Participants were a subset of families (n = 115) in an ongoing study that originally recruited parents and adolescents from middle schools in Tacoma, Washington. In summer 2013, when students were entering the 11(th) grade, students and their parents were asked questions about the recreational marijuana law.

RESULTS: Participants perceived that their marijuana-related attitudes and behaviors changed little as a result of the law, and displayed uncertainty about what is legal and illegal. Most parents reported discussing the new law with their children but only occasionally, and conversations emphasized household rules, particularly among parent lifetime marijuana users compared to non-users. Conclusions/Importance: Results suggest that there should be a public health campaign focused on families that provides clear information about the recreational marijuana laws.

%B Subst Use Misuse %V 50 %P 541-5 %8 2015 Apr %G eng %N 5 %1 http://www.ncbi.nlm.nih.gov/pubmed/25671633?dopt=Abstract %R 10.3109/10826084.2014.952447 %0 Journal Article %J Prev Sci %D 2014 %T A framework for testing and promoting expanded dissemination of promising preventive interventions that are being implemented in community settings. %A Mason, W A %A Fleming, Charles B %A Thompson, Ronald W %A Haggerty, Kevin P %A Snyder, James J %K Diffusion of Innovation %K Evidence-Based Medicine %K Female %K Health Promotion %K Humans %K Male %K Preventive Health Services %K Program Development %K Registries %K United States %X

Many evidence-based preventive interventions have been developed in recent years, but few are widely used. With the current focus on efficacy trials, widespread dissemination and implementation of evidence-based interventions are often afterthoughts. One potential strategy for reversing this trend is to find a promising program with a strong delivery vehicle in place and improve and test the program's efficacy through rigorous evaluation. If the program is supported by evidence, the dissemination vehicle is already in place and potentially can be expanded. This strategy has been used infrequently and has met with limited success to date, in part, because the field lacks a framework for guiding such research. To address this gap, we outline a framework for moving promising preventive interventions that are currently being implemented in community settings through a process of rigorous testing and, if needed, program modification in order to promote expanded dissemination. The framework is guided by RE-AIM (Reach, Efficacy/Effectiveness, Adoption, Implementation, and Maintenance) (Glasgow et al., Am J Publ Health 89:1322-1327, 1999), which focuses attention on external as well as internal validity in program tests, and is illustrated with examples. Challenges, such as responding to negative and null results, and opportunities inherent in the framework are discussed.

%B Prev Sci %V 15 %P 674-83 %8 2014 Oct %G eng %N 5 %R 10.1007/s11121-013-0409-3 %0 Journal Article %J Prev Sci %D 2014 %T Sex risk behavior among adolescent and young adult children of opiate addicts: outcomes from the focus on families prevention trial and an examination of childhood and concurrent predictors of sex risk behavior. %A Skinner, Martie L %A Fleming, Charles B %A Haggerty, Kevin P %A Catalano, Richard F %K Adolescent %K Adult %K Child %K Child of Impaired Parents %K Female %K Health Promotion %K Humans %K Male %K Opioid-Related Disorders %K Risk Factors %K Risk-Taking %K Unsafe Sex %X

This study reports on rates and predictors of sex risk behavior among a sample of adolescent and young adult children of parents enrolled in methadone treatment for opiate addiction. Data are from 151 participants (80 males, 71 females) in the Focus on Families (FOF) project, a randomized trial of a family intervention and a study of the development of at-risk children. The study participants are children of parents enrolled in methadone treatment between 1990 and 1993. Participants were interviewed in 2005 when they ranged in age from 15 to 29 years. In the year prior to the follow-up, 79% of the males and 83% of females were sexually active, 26% of males and 10% of females had more than one partner in the prior year, and 34% of males and 24% of females reported having sex outside of a committed relationship. Twenty-four percent of males and 17% of females met criteria for high-risk sexual behavior, reporting casual or multiple partners in the prior year and inconsistent condom use. Participants in the intervention and control conditions did not differ significantly in terms of any measure of sex risk behavior examined. None of the measures of parent behavior and family processes derived from data at baseline of the FOF study predicted whether participants engaged in high-risk sex. Among measures derived from data collected at long-term follow-up, however, having ever met criteria for substance abuse or dependence predicted greater likelihood of high-risk sexual behavior, and being married or being in a romantic relationship was associated with lower likelihood of high-risk sexual behavior. The findings point to the important role of committed relationships in regulating sex risk behavior among this population, as well as heightened levels of sex risk behavior associated with substance abuse or dependence.

%B Prev Sci %V 15 Suppl 1 %P S70-7 %8 2014 Feb %G eng %R 10.1007/s11121-012-0327-9 %0 Journal Article %J Child Maltreat %D 2012 %T Response to the Barth commentary (2012). %A Spieker, Susan J %A Oxford, Monica L %A Kelly, Jean F %A Nelson, Elizabeth M %A Fleming, Charles B %K Adult %K Caregivers %K Child Abuse %K Crying %K Female %K Humans %K Infant Behavior %K Infant Care %K Infant, Newborn %K Male %K Parenting %K Pitch Perception %K Saliva %K Salivary alpha-Amylases %B Child Maltreat %V 17 %P 291-4 %8 2012 Nov %G eng %N 4 %R 10.1177/1077559512467396 %0 Journal Article %J J Adolesc Health %D 2012 %T Romantic relationship characteristics and alcohol use: longitudinal associations with dual method contraception use. %A Bailey, Jennifer A %A Fleming, Charles B %A Catalano, Richard F %A Haggerty, Kevin P %A Manhart, Lisa E %K Adult %K Age Factors %K Alcohol Drinking %K Contraception %K Contraception Behavior %K Female %K Humans %K Interpersonal Relations %K Linear Models %K Male %K Multivariate Analysis %K Sexual Behavior %K Sexually Transmitted Diseases %K Time Factors %K Young Adult %X

PURPOSE: Dual method contraception use, or the use of one type of contraceptive intended to prevent pregnancy combined with another type intended to reduce the risk of sexually transmitted infection, may be the most effective method to prevent both unintended pregnancy and sexually transmitted infection. This study tested the association between relationship length, relationship type (married, cohabiting, dating but not cohabiting), global alcohol use, and situational alcohol use and the probability of dual method contraception use from 20 to 23 years of age.

METHODS: Hierarchical linear modeling analyses were conducted using longitudinal data from 754 sexually active male and female young adults aged 20-23 years. Dependent variables included both any dual method contraception use and consistent dual method contraception use.

RESULTS: Between 15% and 20% of respondents reported consistent dual method contraception use at each time point. Longer relationship length and more committed relationship type were associated with a lower probability of both any and consistent dual method contraception use. Situational alcohol use (drinking before sex), but not global alcohol use, also was related to a lower probability of both any and consistent dual method contraception use. Increasing age was associated with a lower probability of any dual method contraception use, but was not related to consistent dual method use.

CONCLUSIONS: Efforts to promote dual method contraception among young adults should include messages discouraging drinking before sex and supporting dual method use even in the context of committed relationships.

%B J Adolesc Health %V 50 %P 450-5 %8 2012 May %G eng %N 5 %R 10.1016/j.jadohealth.2011.09.008 %0 Journal Article %J Psychol Addict Behav %D 2011 %T Changes in self-control problems and attention problems during middle school predict alcohol, tobacco, and marijuana use during high school. %A King, Kevin M %A Fleming, Charles B %A Monahan, Kathryn C %A Catalano, Richard F %K Adolescent %K Adolescent Behavior %K Alcohol Drinking %K Attention %K Child %K Disruptive, Impulse Control, and Conduct Disorders %K Female %K Humans %K Internal-External Control %K Longitudinal Studies %K Male %K Models, Psychological %K Self Concept %K Smoking %X

Although deficits in impulse control have been linked to adolescent use of alcohol and illicit drugs, less attention has been given to variability in change in impulse control across adolescence and whether this variability may be a signal of risk for early substance use. The goals of the current study were to examine growth in two aspects of impulse control, self-control problems and attention problems, across middle adolescence, and to test the prospective effects of level and change in these variables on levels and change over time in substance use. Data are from a community sample of 955 adolescents interviewed (along with their parents and teachers) annually from 6th to 11th grade. Results indicated that greater self-control problems and attentional problems in the 6th grade and increases in these problems over time were associated with higher levels of substance use at 11th grade. Our results suggest that modeling change over time enhances the understanding of how impulse control influences the development of substance use.

%B Psychol Addict Behav %V 25 %P 69-79 %8 2011 Mar %G eng %N 1 %R 10.1037/a0021958 %0 Journal Article %J Vaccine %D 2011 %T HPV vaccination among a community sample of young adult women. %A Manhart, Lisa E %A Burgess-Hull, Albert J %A Fleming, Charles B %A Bailey, Jennifer A %A Haggerty, Kevin P %A Catalano, Richard F %K Adolescent %K Demography %K Educational Status %K Female %K Health Knowledge, Attitudes, Practice %K Humans %K Interviews as Topic %K Longitudinal Studies %K Male %K Papillomavirus Infections %K Papillomavirus Vaccines %K Patient Acceptance of Health Care %K Smoking %K United States %K Vaccination %K Washington %K Young Adult %X

OBJECTIVES: Despite the high efficacy of the human papillomavirus (HPV) vaccine, uptake has been slow and little data on psychosocial barriers to vaccination exist.

METHODS: A community sample of 428 women enrolled in a longitudinal study of social development in the Seattle WA metropolitan area were interviewed about HPV vaccine status, attitudes, and barriers to HPV vaccination in spring 2008 or 2009 at ∼age 22.

RESULTS: Nineteen percent of women had initiated vaccination, 10% had completed the series, and ∼40% of unvaccinated women intended to get vaccinated. Peer approval was associated with vaccine initiation (adjusted prevalence ratio (APR) 2.1; 95% confidence interval 1.4-3.2) and intention to vaccinate (APR 1.4; 1.1-1.9). Belief the vaccine is <75% effective was associated with less initiation (APR 0.6; 0.4-0.9) or intention to vaccinate (APR 0.5; 0.4-0.7). Vaccine initiation was also less likely among cigarette smokers and illegal drug users, whereas intention to vaccinate was more common among women currently attending school or with >5 lifetime sex partners, but less common among women perceiving low susceptibility to HPV (APR 0.6; 0.5-0.9).

CONCLUSIONS: HPV vaccination uptake was low in this community sample of young adult women. Increasing awareness of susceptibility to HPV and the high efficacy of the vaccine, along with peer interventions to increase acceptability, may be most effective.

%B Vaccine %V 29 %P 5238-44 %8 2011 Jul 18 %G eng %N 32 %R 10.1016/j.vaccine.2011.05.024 %0 Journal Article %J Addict Behav %D 2011 %T Is nonmedical prescription opiate use a unique form of illicit drug use? %A Catalano, Richard F %A White, Helene R %A Fleming, Charles B %A Haggerty, Kevin P %K Adolescent %K Analgesics, Opioid %K Drug Prescriptions %K Female %K Humans %K Longitudinal Studies %K Male %K Northwestern United States %K Risk Factors %K Self Medication %K Substance-Related Disorders %K Young Adult %X

Nonmedical prescription opiate (NMPO) use is of great concern because of its high addiction potential, cognitive impairment effects, and other adverse consequences (e.g., hormonal and immune system effects, hyperalgesia and overdose). Due to the combination of drugs used by those who are NMPO users, it is difficult to isolate the negative effects of NMPO use from the effects of other legal and illicit drugs. Based on a stage model of substance use, this study tested whether NMPO use represents a unique form of illicit drug use among emerging adults and whether there are unique consequences of early NMPO use. We used longitudinal data from 912 emerging adults from the Raising Healthy Children study who were interviewed at least annually from the first or second grade through age 21. The findings indicated that almost all NMPO users have also used marijuana and a large majority has also used other drugs, such as cocaine and ecstasy. In addition, more frequent users of NMPOs are also more frequent users of other drugs. Except for violent behavior, NMPO use explained little unique variance in negative outcomes of use (e.g., drug use disorder, mood disorder, nonproductive behavior, poor health, and property crime) beyond that explained by other illicit drug use. Future studies examining the predictors or consequences of NMPO use and nonmedical use of other prescription drugs need to consider use within the context of other drug use.

%B Addict Behav %V 36 %P 79-86 %8 2011 Jan-Feb %G eng %N 1-2 %R 10.1016/j.addbeh.2010.08.028 %0 Journal Article %J J Addict Dis %D 2011 %T Opiate-addicted parents in methadone treatment: long-term recovery, health, and family relationships. %A Skinner, Martie L %A Haggerty, Kevin P %A Fleming, Charles B %A Catalano, Richard F %A Gainey, Randy R %K Family Relations %K Female %K Follow-Up Studies %K Health Status %K Humans %K Male %K Mental Disorders %K Methadone %K Middle Aged %K Opiate Substitution Treatment %K Opioid-Related Disorders %K Parenting %K Psychotherapy, Group %K Risk Factors %X

Few studies follow the lives of opiate-addicted parents. The authors examined a 12-year follow-up of 144 parents in methadone treatment and their 3- to 14-year-old children. Parent mortality was high. Among survivors, drug use and treatment, incarceration, residential and family disruptions, and health problems were common. Moderate and long-term recovery were associated with consistent methadone treatment, further education, employment, and fewer relationship disruptions. Earlier depression, deviant friends, and poor coping skills predicted continued drug problems. Thus, interventions should include treatment for depression and build skills for avoiding and refusing drugs, coping with stress, and maintaining recovery-supportive friendships.

%B J Addict Dis %V 30 %P 17-26 %8 2011 Jan %G eng %N 1 %R 10.1080/10550887.2010.531670 %0 Journal Article %J J Youth Adolesc %D 2010 %T Identifying trajectories of adolescents' depressive phenomena: an examination of early risk factors. %A Mazza, James J %A Fleming, Charles B %A Abbott, Robert D %A Haggerty, Kevin P %A Catalano, Richard F %K Adolescent %K Antisocial Personality Disorder %K Attention Deficit Disorder with Hyperactivity %K Depression %K Female %K Humans %K Male %K Parents %K Risk Factors %K Sex Factors %K Socioeconomic Factors %K Stress, Psychological %K Surveys and Questionnaires %X

Few studies have examined risk factors of childhood and early adolescent depressive symptomatology trajectories. This study examined self-report depressive symptomatology across a 6-year time period from 2nd to 8th grade to identify latent groups of individuals with similar patterns of depressive phenomena in a sample of 951 children (440 girls, 511 boys). Analyses, using semiparametric group modeling (SGM), identified 5 trajectory groups for girls and boys: low depressed stables, low depressed risers, mildly depressed stables, moderately depressed changers, and moderately depressed risers. Individual risk factors, with the exception of shy/withdrawn behavior, were significantly different across trajectory group membership for boys and girls, as was low-income status for boys. Boys in the low depressed and mildly depressed stable trajectory groups had significantly higher levels of antisocial behavior, attention problems, and lower social competency compared to girls in similar groups. These results suggest that universal prevention programs implemented in early elementary school that target selected risk factors may be helpful in reducing future adolescent mental health problems, specifically depressive symptomatology.

%B J Youth Adolesc %V 39 %P 579-93 %8 2010 Jun %G eng %N 6 %R 10.1007/s10964-009-9406-z %0 Journal Article %J J Youth Adolesc %D 2010 %T Relationships between level and change in family, school, and peer factors during two periods of adolescence and problem behavior at age 19. %A Fleming, Charles B %A Catalano, Richard F %A Haggerty, Kevin P %A Abbott, Robert D %K Adolescent %K Adolescent Behavior %K Antisocial Personality Disorder %K Child %K Child Behavior Disorders %K Conflict (Psychology) %K Crime %K Family %K Female %K Humans %K Interpersonal Relations %K Male %K Parent-Child Relations %K Peer Group %K Risk Factors %K Schools %K Substance-Related Disorders %K Young Adult %X

While prior research has examined family, school, and peer factors as potential predictors of problem behavior, less attention has been given to studying when these factors are most predictive of problems and if and when changes in these factors signal risk. Using annual data on a community sample of 1,040 individuals (47% female; 81% White), this study models growth in risk and protective factors during two developmental periods (Grades 5-8 and Grades 9-12) in order to predict substance misuse and crime at age 19. For protective factors of positive relationships with family and positive bonds to school, both the levels of these factors at Grade 5 and change between Grade 5 and Grade 8 predicted substance misuse and crime in early adulthood. Higher likelihoods of both forms of problem behavior also were predicted by increases in the risk factor of exposure to negative peers between 5th and 8th grade. In the late adolescent period, levels at 9th grade of all risk and protective factors examined predicted both substance misuse and crime. Also, increases in exposure to negative peers in late adolescence predicted greater likelihoods of both forms of problem behavior, while greater risk of substance misuse was predicted by decreases in school bonding and academic achievement, and greater risk of crime was predicted by worsening relationships with family. The results add to prior research by indicating that in addition to the level, change in risk and protective factors during these two stages of development can be signals of risk and are promising targets for intervention.

%B J Youth Adolesc %V 39 %P 670-82 %8 2010 Jun %G eng %N 6 %R 10.1007/s10964-010-9526-5 %0 Journal Article %J J Stud Alcohol Drugs %D 2010 %T Romantic relationship status changes and substance use among 18- to 20-year-olds. %A Fleming, Charles B %A White, Helene R %A Oesterle, Sabrina %A Haggerty, Kevin P %A Catalano, Richard F %K Adolescent %K Adolescent Behavior %K Age Factors %K Depression %K Female %K Humans %K Interpersonal Relations %K Longitudinal Studies %K Male %K Marriage %K Sexual Partners %K Single Person %K Substance-Related Disorders %K Young Adult %X

OBJECTIVE: Changes in romantic relationship status are common in emerging adulthood and may be linked to changes in substance use. This study tested the hypothesis that entry into relationships or transitioning to a more committed status leads to decreases in substance use and that dissolution of relationships or transitioning to a less committed status results in increases in substance use.

METHOD: Data were from a community sample of 939 individuals. Substance use (heavy drinking, marijuana use, and cigarette smoking) and relationship status (single, in a romantic relationship but not cohabiting, cohabiting, or married) were assessed at the beginning and end of three 6-month intervals between the ages of 18 and 20 years. Models were estimated to assess the association between transitions in relationship status and substance use, adjusting for prior levels of use.

RESULTS: There were increases in heavy drinking, marijuana use, and cigarette smoking associated with dissolution of a romantic relationship, as well as increases in marijuana use and cigarette smoking associated with switching partners within a 6-month interval. Mediation analyses found some support for increases in both depressive symptoms and exposure to substance-using peers partially accounting for these associations. Decreases in substance use were not found for individuals entering into a new relationship or transitioning to a more committed relationship status. In fact, cigarette smoking increased among those who went from being single to being in a romantic relationship compared with those whose relationship status did not change.

CONCLUSIONS: Emerging adults who experience dissolution of romantic relationships or quickly move from one relationship to another experience increased substance use. Both depressive symptoms and changes in peer environments may partially account for these changes in use.

%B J Stud Alcohol Drugs %V 71 %P 847-56 %8 2010 Nov %G eng %N 6 %0 Journal Article %J J Health Soc Behav %D 2010 %T Romantic relationships and substance use in early adulthood: an examination of the influences of relationship type, partner substance use, and relationship quality. %A Fleming, Charles B %A White, Helene R %A Catalano, Richard F %K Adolescent %K Courtship %K Data Collection %K Female %K Humans %K Longitudinal Studies %K Male %K Substance-Related Disorders %K Young Adult %X

This study used longitudinal data from 909 young adults to examine associations between substance use and the status and quality of romantic relationships. Heavy alcohol use, marijuana use, and cigarette smoking, as well as relationship status, relationship quality, partner substance use, and other salient life circumstances were assessed at four time points in the two years after high school. Marriage, cohabiting relationships, and noncohabiting dating relationships were associated with reductions in heavy drinking and marijuana use relative to non-dating, after adjusting for adolescent substance use; marriage compared to not dating was associated with reductions in cigarette smoking. For those in romantic relationships, partner substance use moderated the associations between relationship quality and substance use for heavy drinking and for marijuana use, supporting the hypothesis derived from the Social Development Model that the protective effect of stronger social bonds depends on the use patterns of the partner to whom an individual is bonded.

%B J Health Soc Behav %V 51 %P 153-67 %8 2010 Jun %G eng %N 2