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Family-Centered Preventive Intervention Science: Toward Benefits to Larger Populations of Children, Youth, and Families

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Abstract

The field of family-centered preventive intervention science is well poised to seize an opportunity for larger-scale intervention implementation and greater public health impact. This opportunity has been created by earlier research in the areas of epidemiology, developmental etiology, and intervention outcome research. Both earlier and current research define a number of key tasks required to meet the many challenges involved in scaling-up for greater impact. Illustrations of how these tasks can be addressed are provided in articles on programs of family-centered research with infants, children, and adolescents. Each article in this special issue treats one or more tasks that concern (a) expansion of the set of rigorously evaluated, theory-driven interventions that have potential to reach large numbers of children, youth, and families; (b) effective strategies for family recruitment and retention; (c) cultural sensitivity of interventions; (d) application of a developmental life course perspective; (e) strategies for linking higher-risk population subgroups with potentially beneficial services; (f) improved diffusion mechanisms for sustained, quality delivery; and (g) policy making informed by research, including economic analysis. A summary of how articles address these tasks concludes with a discussion of the importance of futher strengthening a public service orientation in prevention science.

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REFERENCES

  • Alexander, J. F., & Parsons, B. V. (1973). Short-term behavioral intervention with delinquent families: Impact on family process and recidivism. Journal of Abnormal Child Psychology, 81, 219–225.

    Google Scholar 

  • Bauman, K. E., Foshee, V. A., Ennett, S. T., Hicks, K., & Pemberton, M. (2001). Family matters: A family-directed program designed to prevent adolescent tobacco and alcohol use. Health Promotion Practice, 2(1), 81–96.

    Google Scholar 

  • Biglan, A. (1995). Changing cultural practices: A contextual framework for intervention research. Reno, NV: Context Press.

    Google Scholar 

  • Blechman, E. A., Taylor, C. J., & Schrader, S. M. (1981). Family problem solving versus home notes as early intervention with high-risk children. Journal of Consulting and Clinical Psychology, 49, 919–926.

    Google Scholar 

  • Carnegie Council on Adolescent Development. (1995). Great transitions: Preparing adolescents for a new century. New York: Carnegie Council of New York.

    Google Scholar 

  • Center for Substance Abuse Prevention. (1998). Family-centered approaches to prevent alcohol, tobacco, and other drug use among children and adolescents. DHHS Publication No. (SMA) 3223-FY98.

  • Chamberlain, P., & Reid, J. B. (1998). Comparison of two community alternatives to incarceration for chronic juvenile offenders. Journal of Consulting and Clinical Psychology, 66(4), 624–633.

    Google Scholar 

  • Cicchetti, D., & Toth, S. L. (1992). The role of developmental and theory in prevention and intervention. Development and Psychopathology, 4, 489–493.

    Google Scholar 

  • Conduct Problems Prevention Research Group. (1999). Initial impact of the Fast Track prevention trial for conduct problems: I. The high-risk sample. Journal of Consulting and Clinical Psychology, 67(5), 631–647.

    Google Scholar 

  • Conger, R. D., & Elder, G. H., Jr. (in collaboration with Lorenz, F. O., Simons, R. L., & Whitbeck, L. B.). (1994). Families in troubled times: Adapting to change in rural America. NewYork: Aldine de Gruyter.

    Google Scholar 

  • Dishion, T. J., French, D. C., & Patterson, G. R. (1995). The development and ecology of antisocial behavior. In D. Cicchetti & D. J. Cohen (Eds.), Developmental psychopathology: Vol. 2. Risk, disorder, and adaptation (pp. 421–471). New York: Wiley.

    Google Scholar 

  • Dishion, T. J., & Kavanagh, K. (2000). A multilevel approach to family-centered prevention in schools: Process and outcomes. Addictive Behaviors, 25(6), 899–911.

    Google Scholar 

  • Dishion, T. J., Kavanagh, K., Nelson, S., Schneiger, A., & Kaufman, N. (2002). Preventing early adolescent substance use: A family-centered strategy for the public middle-school ecology. In R. L. Spoth, K. Kavanagh, & T. J. Dishion (Eds.), Universal family-centered prevention strategies: Current findings and critical issues for public health impact [Special Issue]. Prevention Science, 3, 191–201

  • Dishion, T. J., & Patterson, G. R. (1999). Model building in developmental psychopathology: A pragmatic approach to understanding and intervention. Journal of Clinical Child Psychology, 28(4), 502–512.

    Google Scholar 

  • Dishion, T. J., & Stormshak, E. (in press). An ecological approach to child clinical and counseling psychology. Washington, DC: APA Books.

  • Dryfoos, J. G. (1997). The prevalence of problem behaviors: Implications for programs. In R. P. Weissberg, T. P. Gullotta, R. L. Hampton, B. A. Ryan, & G. R. Adams (Eds.), Enhancing children's wellness (pp. 17–46). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Durlak, J. A. (1998). Why program implementation is important. Journal of Prevention and Intervention in the Community, 17(2), 5–18.

    Google Scholar 

  • Elias, M. J., Gager, P., & Leon, S. (1997). Spreading a warm blanket of prevention over all children: Guidelines for selecting substance abuse and related prevention curricula for use in the schools. Journal of Primary Prevention, 18, 41–69.

    Google Scholar 

  • Ennett, S., Tobler, N., Ringwalt, C., & Flewelling, R. (1994). How effective is drug abuse resistance education: A meta-analysis of Project DARE outcome evaluations. American Journal of Public Health, 84, 1394–1401.

    Google Scholar 

  • Fisher, P. A., & Ball, T. J. (this issue). Tribal participatory research: Implications for family-centered preventive interventions. Prevention Science.

  • Forehand, R., & McMahon, R. J. (1981). Helping the noncompliant child: A clinician's guide to parent training. New York: Guilford.

    Google Scholar 

  • Forgatch, M. S. (1989). Patterns and outcome in family problemsolving: The disrupting effect of negative emotion. Journal of Marriage and the Family, 51, 115–124.

    Google Scholar 

  • Fraser, M. W., Hawkins, J. D., & Howard, M. O. (1988). Parent training and prevention approaches. Child and Youth Services, 11, 93–125.

    Google Scholar 

  • Hawkins, J. D., Catalano, R. F., Morrison, D. M., O'Donnell, J., Abbott, R. D., & Day, L. E. (1992). The Seattle Social Development Project: Effects of the first four years on protective factors and problem behaviors. In J. McCord & R. Tremblay (Eds.), Preventing antisocial behavior (pp. 139–161). New York: Guilford.

    Google Scholar 

  • Henggeler, S. W., Melton, G. B., & Smith, L. A. (1992). Family preservation using multisystemic treatment: An effective alternative to incarcerating serious juvenile offenders. Journal of Consulting and Clinical Psychology, 60, 953–961.

    Google Scholar 

  • Henggeler, S. W., Schoenwald, S. K., Borduin, C. M., Rowland, M. D., & Cunningham, P. B. (1998). Multisystemic treatment of antisocial behavior in children and adolescents. New York: Guilford.

    Google Scholar 

  • Hoagwood, K., & Koretz, D. (1996). Embedding prevention services within systems of care: Strengthening the nexus for children. Applied and Preventive Psychology, 5(4), 225–234.

    Google Scholar 

  • Kacir, C. D., & Gordon, D. A. (1999). Parenting adolescents wisely: The effectiveness of an interactive videodisk parent training program in Appalachia. Child and Family Behavior Therapy, 21(4), 1–22.

    Google Scholar 

  • Kazdin, A. E. (1993). Adolescent mental health: Prevention and treatment programs. American Psychologist, 48(2), 127–141.

    Google Scholar 

  • Kellam, S. G. (1990). Developmental epidemiological framework for family research on depression and aggression. In G. R. Patterson (Ed.), Depression and aggression in family interaction (pp. 11–48). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Kellam, S. G., Werthamer-Larsson, L., & Dolan, L. J. (1991). Developmental epidemiologically-based preventive trials: Baseline modeling of early target behaviors and depressive symptoms. American Journal of Community Psychology, 19, 563–584.

    Google Scholar 

  • Kellogg Commission on the Future of State and Land Grant Universities. (1999). Returning to our roots: The engaged institution. New York: National Association of State Universities and Land-Grant Colleges.

    Google Scholar 

  • Kelly, J. G. (1987). An ecological paradigm: Designing mental health consultation as a preventive service. In J. G. Kelly & R. E. Hess (Eds.), The ecology of prevention: Illustrating mental health consultation (pp. 139–161). New York: Guilford.

    Google Scholar 

  • Kelly, J. G. (1988). A guide to conducting preventive research in the community: First steps. New York: Hallworth Press.

    Google Scholar 

  • Kumpfer, K. L., Alvarado, R., Smith, P., & Bellamy, N. (this issue). Cultural sensitivity in universal family-based prevention interventions. Prevention Science.

  • Lerner, R. M., & Simon, L. A. K. (1998). Directions for the American Outreach University in theTwenty-First Century. In R. M. Lerner & L. A. K. Simon (Eds.), University-community collaborations for the Twenty-First Century (pp. 463–480). New York: Garland.

    Google Scholar 

  • Loeber, R., & Dishion, T. J. (1983). Early predictors of male delinquency: A review. Psychological Bulletin, 94, 68–99.

    Google Scholar 

  • Masten, A. S., & Coatsworth, J. D. (1998). The development of competence in favorable and unfavorable environments: Lessons from research on successful children. American Psychologist, 53(2), 205–220.

    Google Scholar 

  • Morrisey, E., Wandersman, A., Seybolt, D., Nation, M., Crusto, C., & Davino, K. (1997). Toward a framework for bridging the gap between science and practice in prevention: A focus on evaluator and practitioner perspectives. Evaluation and Program Planning, 20, 367–377.

    Google Scholar 

  • Mrazek, P., & Haggerty, R. (Eds.). (1994). Reducing risks for mental disorders: Frontiers for preventive intervention research. Washington, DC: National Academy Press.

    Google Scholar 

  • Offord, D. R., & Bennett, K. J. (1994). Conduct disorder: Longterm outcomes and intervention effectiveness. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 1069–1078.

    Google Scholar 

  • Offord, D. R., Kraemer, H. C., Kazdin, A. E., Jensen, P. S., & Harrington, R. (1998). Lowering the burden of suffering from child psychiatric disorder: Trade-offs among clinical, targeted, and universal interventions. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 686–694.

    Google Scholar 

  • Olds, D. L. (this issue). Prenatal and infancy home visiting by nurses: From randomized trials to community replication. Prevention Science.

  • Patterson, G. R., Dishion, T. J., & Chamberlain, P. (1993). Outcomes and methodological issues relating to treatment of antisocial children. In T. R. Giles (Ed.), Effective psychotherapy:Ahandbook of comparative research (pp. 43–88). New York: Plenum.

    Google Scholar 

  • Prinz, R. J., & Miller, G. E. (1994). Family-based treatment for childhood antisocial behavior: Experimental influences on dropout and engagement. Journal of Consulting and Clinical Psychology, 62, 645–650.

    Google Scholar 

  • Resnick, M. D., Bearman, P. S., Blum, R. W., Bauman, K. E., Harris, K. M., Jones, J., Tabor, J., Beuhring, T., Sieving, R. E., Shew, M., Ireland, M., Bearinger, L. H., & Udry, J. R. (1997). Protecting adolescents from harm: Findings from the national longitudinal study on adolescent health. Journal of the American Medical Association, 278, 823–832.

    Google Scholar 

  • Rohrbach, L. A., D'Onofrio, C. N., Backer, T. E., & Montgomery, S. B. (1996). Diffusion of school-based substance abuse prevention programs. American Behavioral Scientist, 39, 919–934.

    Google Scholar 

  • Rothbaum, F., & Weisz, J. R. (1994). Parental caregiving and child externalizing behavior in nonclinical samples:Ameta-analysis. Psychological Bulletin, 116(1), 55–74.

    Google Scholar 

  • Sanders, M. R. (2001). Helping families change: From clinical interventions to population-based strategies. In A. Booth, A. C. Crouter, & M. Clements (Eds.), Couples in conflict (pp. 185–219). Mahway, NJ: Erlbaum.

    Google Scholar 

  • Sanders, M. R., Turner, K. M. T., & Markie-Dadds, C. (this issue). The development and dissemination of the Triple P-Positive Parenting Program: A multilevel, evidence-based system of parenting and family support. Prevention Science.

  • Shaw, D. S., Winslow, E. B., Owens, E. B., Vondra, J. I., Cohn, J. F., & Bell, R. Q. (1998). The development of early externalizing problems among children from low-income families: A transformational perspective. Journal of Abnormal Child Psychology, 26(2), 95–107.

    Google Scholar 

  • Shedler, J., & Block, J. (1990). Adolescent drug use and psychological health: A longitudinal inquiry. American Psychologist, 45, 612–630.

    Google Scholar 

  • Spanier, G. B. (1999). Enhancing the Quality of Life: A model for the 21st Century Land-Grant University. Applied Developmental Science, 3(4), 199–205.

    Google Scholar 

  • Spoth, R. (1997). Challenges in defining and developing the field of rural mental disorder preventive intervention research. American Journal of Community Psychology, 25(4), 425–448.

    Google Scholar 

  • Spoth, R., & Greenberg, M. (2002). PROSPER Model: Framework for a network of multilevel state partnerships to increase diffusion of proven youth and family interventions. Manuscript submitted for publication.

  • Spoth, R. L., & Redmond, C. (this issue). Project Family's prevention trials: Toward improved public health impact through community-university partnerships. Prevention Science.

  • Spoth, R., Redmond, C., & Shin, C. (2001). Randomized trail of brief family intervention for general populations: Adolescent substance use outcomes four years following baseline. Journal of Consulting and Clinical Psychology, 69(4), 627–642.

    Google Scholar 

  • Stormshak, E., Kaminski, R., & Goodman, M. (this issue). Engaging families in parenting interventions: The role of the home visitor. Prevention Science.

  • Szapocznik, J., & Kurtines, W. M. (1989). Breakthroughs in family therapy with drug-abusing and problem youth. New York: Springer.

    Google Scholar 

  • Taylor, T. K., & Biglan, A. (1998). Behavioral family interventions for improving childrearing: Areview of the literature for clinicians and policy makers. Clinical Child and Family Psychology Review, 1(1), 41–60.

    Google Scholar 

  • Tierney, W. G. (1998). The responsive university: Restructuring for high performance. Baltimore, MD: Johns Hopkins University Press.

    Google Scholar 

  • Tremblay, R. E., Vitaro, F., Bertrand, L., LeBlanc, M., Beauhesne, J., Boileau, H., & David, L. (1992). Parent and child training to prevent early onset of delinquency: The Montreal longitudinal-experimental study. In J. McCord & R. Tremblay (Eds.), Preventing antisocial behavior: Interventions from birth to adolescence (pp. 117–139). New York: Guilford.

    Google Scholar 

  • Webster-Stratton, C. (1990). Long-term follow-up of families with young conduct problem children: From preschool to grade school. Journal of Clinical Child Psychology, 19, 144–149.

    Google Scholar 

  • Weissberg, R. P., & Elias, M. J. (1993). Enhancing young people's social competence and health behavior: An important challenge for educators, scientists, policymakers, and funders. Applied and Preventive Psychology, 2, 179–190.

    Google Scholar 

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Spoth, R.L., Kavanagh, K.A. & Dishion, T.J. Family-Centered Preventive Intervention Science: Toward Benefits to Larger Populations of Children, Youth, and Families. Prev Sci 3, 145–152 (2002). https://doi.org/10.1023/A:1019924615322

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