A TRIAL OF CONNECTING TO PREVENT DRUG ABUSE AND RISKY BEHAVIORS IN FOSTER TEENS

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A TRIAL OF CONNECTING TO PREVENT DRUG ABUSE AND RISKY BEHAVIORS IN FOSTER TEENS

`   TABLE OF CONTENTS

Cover page

Title page

Certification        –       –       –       –       –       –       –       –       i

Dedication –       –       –       –       –       –       –       –       –       ii

Acknowledgement      –       –       –       –       –       –       –       iii

Abstract     –       –       –       –       –       –       –       –       –       v

Table of contents        –       –       –       –       –       –       –       –       vi

CHAPTER ONE: INTRODUCTION

1.1    Background of the Study     –       –       –       –       –       1

1.2    Statement of Problem  –       –       –       –       –       –       7

1.3    Purpose of the study           –       –       –       –       –       8

1.4    Objective of the Study –       –       –       –       –       –       9

1.4    Research Questions    –       –       –       –       –       –       10

1.5    Research Hypothesis   –       –       –       –       –       –       10

1.6    Significance of the Study     –       –       –       –       –       11

1.7    Scope of the study      –       –       –       –       –       –       11

1.8    Limitation of the study         –       –       –       –       –

1.9    Definition of Terms             –       –       –       –       –       12

CHAPTER TWO: REVIEW OF RELATED LITERATURE

2.1    Introduction       –       –       –       –       –       –       –       14

2.2 The Theoretical frame Work –       –       –       –       –       21

2.3 conceptual frame work

2.4 empirical review

CHAPTER THREE: RESEARCH METHODOLOGY

3.1    Introduction       –       –       –       –       –       –       –       82

3.2    Area of the study                –       –       –       –       –       –       82

3.3    Research Design        –       –       –       –       –       –       82

3.4    Sample and sampling techniques –       –       –       –       83

3.5    Population of the study               –       –       –       –       –       84

3.6    Procedure for Data Collection      –       –       –       –       85

3.7    Method of Data Analysis      –       –       –       –       –       85

CHAPTER FOUR: PRESENTATION, ANALYSIS AND INTERPRETATION OF DATA

4.1    Introduction       –       –       –       –       –       –       –       87

4.2    Presentation of Data           –       –       –       –       –       87

4.3    Data Analysis     –       –       –       –       –       –       –       88

4.4    Testing of Hypothesis          –       –       –       –       –       91

4.5    Discussion and summary of findings             –       –       94

CHAPTER FIVE:

INTRODUCTION, SUMMARY, RECOMMENDATIONS AND CONCLUSION

5.0    Introduction       –       –       –       –       –       –       –       98

5.1    Summary           –       –       –       –       –       –       –       99

5.2    Conclusion –       –       –       –       –       –       –       –       100

5.3    Recommendations      –       –       –       –       –       –       101

REFERENCES

Appendix

Questionnaire

ABSTRACT

This R01 (PA-01-311) study will conduct a randomized controlled trial of Connecting, a self-directed, family-focused, substance abuse and risky sexual behavior prevention program for foster teens and their caregivers. The program was adapted under an R34 (NIDA #1R34DA029722), for use within the child welfare system, from Staying Connected with Your Teen (SCT), a family-based, self-directed prevention program that has shown long-term (2-year) effects in reducing initiation into drug use and sexual activity, and has reduced the frequency of violent behaviors, especially among low-income African American teens (Haggerty et al., 2007). Pilot data demonstrate less family conflict, clearer family expectations for behavior, less favorable attitudes for drug use, and a reduction in some risky problem behaviors in foster families in the program condition compared to wait-list controls, with small to moderate effect sizes (e.g., family conflict; teen report OR=.61, stealing OR=.31, property damage OR=.31). Conducting an RCT is the next logical step to determine program efficacy. We propose testing the program with 260 foster youth-caregiver dyads across Washington State. This 5-year efficacy study will 1) use a randomized controlled trial to evaluate the impact of the program on key proximal and distal family outcomes for foster care families; 2) collect cost data and complete a cost- benefit analysis, should we find benefits to providing this preventive program; and 3) collaborate with child welfare partners during the final year of the study to maximize the potential of low-impact integration of this evidence-based program into the system should it be found to be efficacious. This proposal unites two University of Washington School of Social Work entities, the Social Development Research Group, which has developed and tested the efficacy of a number of prevention programs, and Partners for Our Children, a research group designed to conduct new thinking, resources, and expertise to improve the child welfare system, focusing its research on child welfare transformation. One innovative feature of this proposal is our strong collaboration with the Washington State Children’s Administration and the Alliance for Child Welfare Excellence, which will allow systems integration and dissemination should the program be efficacious. Porter and Kramer (1999) have identified the diffusion of evidence-based programs as the single most important contribution that government agencies can make to society. This study will explore the efficacy of disseminating a self-directed substance abuse and risky sexual behavior prevention program through the child welfare system, and will generate valuable knowledge about barriers and enablers to effective implementation.

A TRIAL OF CONNECTING TO PREVENT DRUG ABUSE AND RISKY BEHAVIORS IN FOSTER TEENS

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