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Published in: Prevention Science 5/2014

01-10-2014

Mediation and Moderation Effects of an In-Home Family Intervention: the “In control: No alcohol!” Pilot Study

Authors: Evelien Vermeulen-Smit, Suzanne H. W. Mares, Jacqueline E. E. Verdurmen, Haske Van der Vorst, Ingrid G. H. Schulten, Rutger C. M. E. Engels, Wilma A. M. Vollebergh

Published in: Prevention Science | Issue 5/2014

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Abstract

The aim of this study was to examine the effect of a theory-based in-home family intervention (In control: No alcohol!) on adolescent alcohol cognitions via its putative mediators using a randomized controlled design. In the South Holland region of the Netherlands, a total of 213 children (11–12 years) and their mothers were randomly assigned to the prevention program (108 dyads) and the control condition (105 dyads). Mediation effects were analyzed using pretest and two follow-up measurements (5 and 12 months after baseline). A path model was estimated (using Mplus) to examine the effect of the intervention on the putative mediators (frequency- and quality of mother–child communication, rules about alcohol, establishing a nondrinking agreement, and parental monitoring of the child's whereabouts). Outcomes were adolescents' perceived harmfulness of drinking and intention to drink. Multigroup analyses were performed to examine potential differences across gender. The program led to an increase in frequency of alcohol-specific communication, nondrinking agreements, and parental monitoring. Moreover, adolescents in the experimental condition perceived drinking to be more harmful and had less intention to drink compared to adolescents in the control condition. The effect of the program on adolescent alcohol cognitions was significantly mediated through having more frequent conversations about alcohol, yet only among boys. Although results on actual drinking need to be added, findings indicate that this relatively inexpensive, easy-to-administer home intervention is promising.
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Literature
go back to reference Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs: Prentice Hall. Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs: Prentice Hall.
go back to reference Bryan, A., Schmiege, S. J., & Broaddus, M. R. (2007). Mediational analysis in HIV/AIDS research: Estimating multivariate path analytic models in a structural equation modelling framework. AIDS and Behavior, 11, 365–383. doi:10.1007/s10461-006-9150-2.CrossRefPubMed Bryan, A., Schmiege, S. J., & Broaddus, M. R. (2007). Mediational analysis in HIV/AIDS research: Estimating multivariate path analytic models in a structural equation modelling framework. AIDS and Behavior, 11, 365–383. doi:10.​1007/​s10461-006-9150-2.CrossRefPubMed
go back to reference Dorsselaer, S., van de Looze, M., Vermeulen-Smit, E., de Roos, S., Verdurmen, J., Ter Bogt, T., & Vollebergh, W. (2010). Gezondheid, welzijn en opvoeding van jongeren in Nederland: HBSC 2009. [Health, well-being and parenting among Dutch adolescents: HBSC 2009]. Utrecht, The Netherlands: Trimbos-instituut. Dorsselaer, S., van de Looze, M., Vermeulen-Smit, E., de Roos, S., Verdurmen, J., Ter Bogt, T., & Vollebergh, W. (2010). Gezondheid, welzijn en opvoeding van jongeren in Nederland: HBSC 2009. [Health, well-being and parenting among Dutch adolescents: HBSC 2009]. Utrecht, The Netherlands: Trimbos-instituut.
go back to reference Ennett, S. T., Bauman, K. E., Foshee, V. A., Pemberton, M., & Hicks, K. A. (2001). Parent–child communication about adolescent tobacco and alcohol use: What do parents say and does it affect youth behavior? Journal of Marriage and the Family, 63, 48–62. doi:10.1111/j.1741-3737.2001.00048.x.CrossRef Ennett, S. T., Bauman, K. E., Foshee, V. A., Pemberton, M., & Hicks, K. A. (2001). Parent–child communication about adolescent tobacco and alcohol use: What do parents say and does it affect youth behavior? Journal of Marriage and the Family, 63, 48–62. doi:10.​1111/​j.​1741-3737.​2001.​00048.​x.CrossRef
go back to reference Ennett, S. T., Bauman, K. E., Pemberton, M., Foshee, V. A., Chuang, Y. C., King, T. S., & Koch. (2001). Mediation in a family-directed program for prevention of adolescent tobacco and alcohol use. Preventive Medicine, 33, 333–346. doi:10.1006/pmed.2001.0892.CrossRefPubMed Ennett, S. T., Bauman, K. E., Pemberton, M., Foshee, V. A., Chuang, Y. C., King, T. S., & Koch. (2001). Mediation in a family-directed program for prevention of adolescent tobacco and alcohol use. Preventive Medicine, 33, 333–346. doi:10.​1006/​pmed.​2001.​0892.CrossRefPubMed
go back to reference Hawkins, J. D., Graham, J. W., Maguin, E., Abbott, R., Hill, K. G., & Catalano, R. F. (1997). Exploring the effects of age of alcohol use initiation and psychosocial risk factors on subsequent alcohol misuse. Journal of Studies on Alcohol, 58, 280–290.PubMedCentralCrossRefPubMed Hawkins, J. D., Graham, J. W., Maguin, E., Abbott, R., Hill, K. G., & Catalano, R. F. (1997). Exploring the effects of age of alcohol use initiation and psychosocial risk factors on subsequent alcohol misuse. Journal of Studies on Alcohol, 58, 280–290.PubMedCentralCrossRefPubMed
go back to reference Hibell, B., Guttormsson, U., Ahlström, S., Balakireva, O., Bjarnason, T., Kokkevi, A., & Kraus, L. (2009). The 2007 ESPAD report—substance use among students in 35 European countries. Stockholm: The Swedish Council for Information on Alcohol and Other Drugs (CAN). Hibell, B., Guttormsson, U., Ahlström, S., Balakireva, O., Bjarnason, T., Kokkevi, A., & Kraus, L. (2009). The 2007 ESPAD report—substance use among students in 35 European countries. Stockholm: The Swedish Council for Information on Alcohol and Other Drugs (CAN).
go back to reference Jones, D. J., Olson, A., Forehand, R., Gaffney, C. A., Zens, M. S., & Bau, J. J. (2005). A family based randomized control trial to prevent adolescent alcohol and tobacco use: The moderating roles of positive parenting and adolescent gender. Behavior Therapy, 36, 347–355. doi:10.1016/S0005-7894(05)80116-9.CrossRef Jones, D. J., Olson, A., Forehand, R., Gaffney, C. A., Zens, M. S., & Bau, J. J. (2005). A family based randomized control trial to prevent adolescent alcohol and tobacco use: The moderating roles of positive parenting and adolescent gender. Behavior Therapy, 36, 347–355. doi:10.​1016/​S0005-7894(05)80116-9.CrossRef
go back to reference Kish, L. (1965). Survey sampling. New York: Wiley. Kish, L. (1965). Survey sampling. New York: Wiley.
go back to reference Koning, I. M., Vollebergh, W. A. M., Smit, F., Verdurmen, J. E., Van Den Eijnden, R. J., Ter Bogt, T. F., Stattin, H., & Engels, R. C. M. E. (2009). Preventing heavy alcohol use in adolescents (PAS): Cluster randomized trial of a parent and student intervention offered separately and simultaneously. Addiction, 104, 1669–1678. doi:10.1111/j.1360-0443.2009.02677.x.CrossRefPubMed Koning, I. M., Vollebergh, W. A. M., Smit, F., Verdurmen, J. E., Van Den Eijnden, R. J., Ter Bogt, T. F., Stattin, H., & Engels, R. C. M. E. (2009). Preventing heavy alcohol use in adolescents (PAS): Cluster randomized trial of a parent and student intervention offered separately and simultaneously. Addiction, 104, 1669–1678. doi:10.​1111/​j.​1360-0443.​2009.​02677.​x.CrossRefPubMed
go back to reference Koning, I. M., van den Eijnden, R. J. J. M., Engels, R. C. M. E., Verdurmen, J. E. E., & Vollebergh, W. A. M. (2011). Why target early adolescents and parents in alcohol prevention? The mediating effects of self-control, rules and attitudes about alcohol use. Addiction, 106, 538–546. doi:10.1111/j.1360-0443.2010.03198.x.CrossRefPubMed Koning, I. M., van den Eijnden, R. J. J. M., Engels, R. C. M. E., Verdurmen, J. E. E., & Vollebergh, W. A. M. (2011). Why target early adolescents and parents in alcohol prevention? The mediating effects of self-control, rules and attitudes about alcohol use. Addiction, 106, 538–546. doi:10.​1111/​j.​1360-0443.​2010.​03198.​x.CrossRefPubMed
go back to reference Koning, I. M., van den Eijnden, R. J. J. M., Verdurmen, J. E. E., Engels, R. C. M. E., & Vollebergh, W. A. M. (2011). Long-term effects of a parent and student intervention on alcohol use in adolescents: A cluster randomized controlled trial. American Journal of Preventive Medicine, 40, 541–547. doi:10.1111/j.1360-0443.2009.02677.x.CrossRefPubMed Koning, I. M., van den Eijnden, R. J. J. M., Verdurmen, J. E. E., Engels, R. C. M. E., & Vollebergh, W. A. M. (2011). Long-term effects of a parent and student intervention on alcohol use in adolescents: A cluster randomized controlled trial. American Journal of Preventive Medicine, 40, 541–547. doi:10.​1111/​j.​1360-0443.​2009.​02677.​x.CrossRefPubMed
go back to reference Koning, I. M., van den Eijnden, R. J. J. M., Verdurmen, J. E., Engels, R. C. M. E., & Vollebergh, W. A. M. (2012). Developmental alcohol-specific parenting profiles in adolescence and their relationships with adolescents' alcohol use. Journal of Youth and Adolescence, 41, 1502–1511.PubMedCentralCrossRefPubMed Koning, I. M., van den Eijnden, R. J. J. M., Verdurmen, J. E., Engels, R. C. M. E., & Vollebergh, W. A. M. (2012). Developmental alcohol-specific parenting profiles in adolescence and their relationships with adolescents' alcohol use. Journal of Youth and Adolescence, 41, 1502–1511.PubMedCentralCrossRefPubMed
go back to reference Kosterman, R., Hawkins, J. D., Haggerty, K. P., Spoth, R., & Redmond, C. (2001). Preparing for the drug free years: Session-specific effects of a universal parent training intervention with rural families. Journal of Drug Education, 31, 47–68. doi:10.2190/3KP9-V42V-V38L-6G0Y.CrossRefPubMed Kosterman, R., Hawkins, J. D., Haggerty, K. P., Spoth, R., & Redmond, C. (2001). Preparing for the drug free years: Session-specific effects of a universal parent training intervention with rural families. Journal of Drug Education, 31, 47–68. doi:10.​2190/​3KP9-V42V-V38L-6G0Y.CrossRefPubMed
go back to reference Kumpfer, K. L., Alvarado, R., & Whiteside, H. O. (2003). Family-based interventions for substance use and misuse prevention. Substance Use & Misuse, 38, 1759–1787. doi:10.1081/JA-120024240.CrossRef Kumpfer, K. L., Alvarado, R., & Whiteside, H. O. (2003). Family-based interventions for substance use and misuse prevention. Substance Use & Misuse, 38, 1759–1787. doi:10.​1081/​JA-120024240.CrossRef
go back to reference Kumpfer, K. L., Smith, P., & Summerhays, J. F. (2008). A wakeup call to the prevention field: Are prevention programs for substance use effective for girls? Substance Use & Misuse, 43, 978–1001. doi:10.1080/10826080801914261.CrossRef Kumpfer, K. L., Smith, P., & Summerhays, J. F. (2008). A wakeup call to the prevention field: Are prevention programs for substance use effective for girls? Substance Use & Misuse, 43, 978–1001. doi:10.​1080/​1082608080191426​1.CrossRef
go back to reference Kumpfer, K. L., Whiteside, H. O., Greene, J. A., & Allen, K. C. (2010). Effectiveness outcomes of four age versions of the strengthening families program in statewide field sites. Group Dynamics: Theory, Research and Practice, 14, 211–229. doi:10.1037/a0020602.CrossRef Kumpfer, K. L., Whiteside, H. O., Greene, J. A., & Allen, K. C. (2010). Effectiveness outcomes of four age versions of the strengthening families program in statewide field sites. Group Dynamics: Theory, Research and Practice, 14, 211–229. doi:10.​1037/​a0020602.CrossRef
go back to reference Loveland-Cherry, C. J., Ross, L. T., & Kaufman, S. R. (1999). Effects of a home-based family intervention on adolescent alcohol use and misuse. Journal of Studies on Alcohol. Supplement, 13, 94–102.CrossRefPubMed Loveland-Cherry, C. J., Ross, L. T., & Kaufman, S. R. (1999). Effects of a home-based family intervention on adolescent alcohol use and misuse. Journal of Studies on Alcohol. Supplement, 13, 94–102.CrossRefPubMed
go back to reference MacKinnon, D., & MacKinnon, D. P. (2008). Introduction to statistical mediation analysis. Mahwah, NJ: Erlbaum. MacKinnon, D., & MacKinnon, D. P. (2008). Introduction to statistical mediation analysis. Mahwah, NJ: Erlbaum.
go back to reference Marcoux, B. C., & Shope, J. T. (1997). Application of the theory of planned behavior to adolescent use and misuse of alcohol. Health Education Research, 12, 323–331.CrossRef Marcoux, B. C., & Shope, J. T. (1997). Application of the theory of planned behavior to adolescent use and misuse of alcohol. Health Education Research, 12, 323–331.CrossRef
go back to reference Mares, S. H. W., Van der Vorst, H., Vermeulen-Smit, E., Lichtwarck-Aschoff, A., Verdurmen, J. E. E., & Engels, R. C. M. E. (2012). Results of the “In control: No alcohol!” pilot study. Health Education Research, 27, 214–225. doi:10.1093/her/cyr081.CrossRefPubMed Mares, S. H. W., Van der Vorst, H., Vermeulen-Smit, E., Lichtwarck-Aschoff, A., Verdurmen, J. E. E., & Engels, R. C. M. E. (2012). Results of the “In control: No alcohol!” pilot study. Health Education Research, 27, 214–225. doi:10.​1093/​her/​cyr081.CrossRefPubMed
go back to reference Martyn, K. K., Loveland-Cherry, C. J., Villarruel, A. M., Cabriales, E. G., Zhou, Y., Ronis, D. L., & Eakin, B. (2009). Mexican adolescents' alcohol use, family intimacy, and parent–adolescent communication. Journal of Family Nursing, 15, 152–170. doi:10.1177/1074840709332865.CrossRefPubMed Martyn, K. K., Loveland-Cherry, C. J., Villarruel, A. M., Cabriales, E. G., Zhou, Y., Ronis, D. L., & Eakin, B. (2009). Mexican adolescents' alcohol use, family intimacy, and parent–adolescent communication. Journal of Family Nursing, 15, 152–170. doi:10.​1177/​1074840709332865​.CrossRefPubMed
go back to reference Muthén, L. K., & Muthén, B. O. (2007). Mplus user's guide (5th ed.). Los Angeles: Muthén & Muthén. Muthén, L. K., & Muthén, B. O. (2007). Mplus user's guide (5th ed.). Los Angeles: Muthén & Muthén.
go back to reference Muthén, B., & Satorra, A. (1995). Complex sample data in structural equation modeling. In P. V. Marsden (Ed.), Sociological methodology (pp. 267–316). Oxford: Blackwell. Muthén, B., & Satorra, A. (1995). Complex sample data in structural equation modeling. In P. V. Marsden (Ed.), Sociological methodology (pp. 267–316). Oxford: Blackwell.
go back to reference Oesterle, S., Hawkins, J. D., Fagan, A. A., Abbott, R. D., & Catalano, R. F. (2010). Testing the universality of the effects of the Communities That Care prevention system for preventing adolescent drug use and delinquency. Prevention Science, 11, 411–424. doi:10.1007/s11121-010-0178-1.PubMedCentralCrossRefPubMed Oesterle, S., Hawkins, J. D., Fagan, A. A., Abbott, R. D., & Catalano, R. F. (2010). Testing the universality of the effects of the Communities That Care prevention system for preventing adolescent drug use and delinquency. Prevention Science, 11, 411–424. doi:10.​1007/​s11121-010-0178-1.PubMedCentralCrossRefPubMed
go back to reference Petrie, J., Bunn, F., & Byrne, G. (2007). Parenting programmes for preventing tobacco, alcohol or drugs misuse in children <18: A systematic review. Health Education Research, 22, 177–191. doi:10.1093/her/cyl061.CrossRefPubMed Petrie, J., Bunn, F., & Byrne, G. (2007). Parenting programmes for preventing tobacco, alcohol or drugs misuse in children <18: A systematic review. Health Education Research, 22, 177–191. doi:10.​1093/​her/​cyl061.CrossRefPubMed
go back to reference Petty, R. E., & Cacioppo, J. T. (1986). From communication and persuasion: Central and peripheral routes to attitude change. New York: Springer.CrossRef Petty, R. E., & Cacioppo, J. T. (1986). From communication and persuasion: Central and peripheral routes to attitude change. New York: Springer.CrossRef
go back to reference Pilgrim, C., Abbey, A., Hendrickson, P., & Lorenz, S. (1998). Implementation and impact of a family-based substance abuse prevention program in rural communities. The Journal of Primary Prevention, 18, 341–361. doi:10.1023/A:1024659012360.CrossRef Pilgrim, C., Abbey, A., Hendrickson, P., & Lorenz, S. (1998). Implementation and impact of a family-based substance abuse prevention program in rural communities. The Journal of Primary Prevention, 18, 341–361. doi:10.​1023/​A:​1024659012360.CrossRef
go back to reference Southwell, B. G., & Yzer, M. C. (2007). The roles of interpersonal communication in mass media campaigns. In C. S. Beck (Ed.), Communication yearbook, 31 (pp. 420–462). New York: Erlbaum. Southwell, B. G., & Yzer, M. C. (2007). The roles of interpersonal communication in mass media campaigns. In C. S. Beck (Ed.), Communication yearbook, 31 (pp. 420–462). New York: Erlbaum.
go back to reference Spijkerman, R., Van den Eijnden, R. J. J. M., & Huiberts, A. (2008). Socioeconomic differences in alcohol-specific parenting practices and adolescents' drinking patterns. European Addiction Research, 14, 26–37. doi:10.1159/000110408.CrossRefPubMed Spijkerman, R., Van den Eijnden, R. J. J. M., & Huiberts, A. (2008). Socioeconomic differences in alcohol-specific parenting practices and adolescents' drinking patterns. European Addiction Research, 14, 26–37. doi:10.​1159/​000110408.CrossRefPubMed
go back to reference Spoth, R., Redmond, C., & Shin, C. (1998). Direct and indirect latent-variable parenting outcomes of two universal family focused preventive interventions: Extending a public health oriented research base. Journal of Consulting and Clinical Psychology, 66, 385–399. doi:10.1037/0022006X.66.2.385.CrossRefPubMed Spoth, R., Redmond, C., & Shin, C. (1998). Direct and indirect latent-variable parenting outcomes of two universal family focused preventive interventions: Extending a public health oriented research base. Journal of Consulting and Clinical Psychology, 66, 385–399. doi:10.​1037/​0022006X.​66.​2.​385.CrossRefPubMed
go back to reference Substance Abuse and Mental Health Services Administration [SAMHSA]. (2002). The national cross-site evaluation of high-risk youth programs. Rockville: Center for Substance Abuse Prevention, DHHS Publication No. (SMA) 00-3375. Substance Abuse and Mental Health Services Administration [SAMHSA]. (2002). The national cross-site evaluation of high-risk youth programs. Rockville: Center for Substance Abuse Prevention, DHHS Publication No. (SMA) 00-3375.
go back to reference Tapert, S. F., Granholm, E., Leedy, N. G., & Brown, S. A. (2002). Substance use and withdrawal: Neuropsychological functioning over 8 years in youth. Journal of the International Neuropsychological Society, 8, 873–883. doi:10.1017/S1355617702870011.CrossRefPubMed Tapert, S. F., Granholm, E., Leedy, N. G., & Brown, S. A. (2002). Substance use and withdrawal: Neuropsychological functioning over 8 years in youth. Journal of the International Neuropsychological Society, 8, 873–883. doi:10.​1017/​S135561770287001​1.CrossRefPubMed
go back to reference Trudeau, L., Spoth, R., Randall, G. K., & Azevedo, K. (2007). Longitudinal effects of a universal family-focused intervention on growth patterns of adolescent internalizing symptoms and polysubstance use: Gender comparisons. Journal of Youth and Adolescence, 36, 725–740. doi:10.1007/s10964-007-9179-1.CrossRef Trudeau, L., Spoth, R., Randall, G. K., & Azevedo, K. (2007). Longitudinal effects of a universal family-focused intervention on growth patterns of adolescent internalizing symptoms and polysubstance use: Gender comparisons. Journal of Youth and Adolescence, 36, 725–740. doi:10.​1007/​s10964-007-9179-1.CrossRef
go back to reference Van den Eijnden, R. J. J. M., Van de Mheen, D., Vet, R., & Vermulst, A. (2011). Alcohol-specific parenting and adolescents' alcohol-related problems: The interacting role of alcohol availability at home and parental rules. Journal of Studies on Alcohol and Drugs, 72, 408–417.CrossRefPubMed Van den Eijnden, R. J. J. M., Van de Mheen, D., Vet, R., & Vermulst, A. (2011). Alcohol-specific parenting and adolescents' alcohol-related problems: The interacting role of alcohol availability at home and parental rules. Journal of Studies on Alcohol and Drugs, 72, 408–417.CrossRefPubMed
go back to reference Van den Putte, B., Yzer, M., Southwell, B. G., de Bruijn, G. J., & Willemsen, M. C. (2011). Interpersonal communication as an indirect pathway for the effect of antismoking media content on smoking cessation. Journal of Health Communication, 16, 470–485. doi:10.1080/10810730.2010.546487.CrossRefPubMed Van den Putte, B., Yzer, M., Southwell, B. G., de Bruijn, G. J., & Willemsen, M. C. (2011). Interpersonal communication as an indirect pathway for the effect of antismoking media content on smoking cessation. Journal of Health Communication, 16, 470–485. doi:10.​1080/​10810730.​2010.​546487.CrossRefPubMed
go back to reference Van der Vorst, H., Engels, R. C. M. E., Meeus, W., & Dekovic, M. (2006). The impact of alcohol-specific rules, parental norms about early drinking and parental alcohol use on adolescents' drinking behavior. Journal of Child Psychology and Psychiatry, 47, 1299–1306. doi:10.1111/j.1469-7610.2006.01680.x.PubMed Van der Vorst, H., Engels, R. C. M. E., Meeus, W., & Dekovic, M. (2006). The impact of alcohol-specific rules, parental norms about early drinking and parental alcohol use on adolescents' drinking behavior. Journal of Child Psychology and Psychiatry, 47, 1299–1306. doi:10.​1111/​j.​1469-7610.​2006.​01680.​x.PubMed
go back to reference Van der Vorst, H., Burk, W. J., & Engels, R. C. M. E. (2010). The role of parental alcohol-specific communication in early adolescents' alcohol use. Drug and Alcohol Dependence, 111, 183–190.CrossRef Van der Vorst, H., Burk, W. J., & Engels, R. C. M. E. (2010). The role of parental alcohol-specific communication in early adolescents' alcohol use. Drug and Alcohol Dependence, 111, 183–190.CrossRef
go back to reference Velleman, R. (2009). Alcohol prevention programmes. A review of the literature for the Joseph Rowntree Foundation (part two). York: Joseph Rowntree Foundation. Velleman, R. (2009). Alcohol prevention programmes. A review of the literature for the Joseph Rowntree Foundation (part two). York: Joseph Rowntree Foundation.
Metadata
Title
Mediation and Moderation Effects of an In-Home Family Intervention: the “In control: No alcohol!” Pilot Study
Authors
Evelien Vermeulen-Smit
Suzanne H. W. Mares
Jacqueline E. E. Verdurmen
Haske Van der Vorst
Ingrid G. H. Schulten
Rutger C. M. E. Engels
Wilma A. M. Vollebergh
Publication date
01-10-2014
Publisher
Springer US
Published in
Prevention Science / Issue 5/2014
Print ISSN: 1389-4986
Electronic ISSN: 1573-6695
DOI
https://doi.org/10.1007/s11121-013-0424-4

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