University of Texas at Austin
The goal of this clinical trial is to determine whether Guiando Buenas Decisiones, a parent-focused alcohol prevention program, can help prevent or delay alcohol initiation and use among Hispanic immigrant adolescents ages 12 to 14 from low-income families. The study will also examine how well the program can be implemented through a faith-based community organization. The main questions this study aims to answer are: 1. Does the refined Guiando Buenas Decisiones program help prevent or delay alcohol initiation and use among adolescents? 2. Does the refined Guiando Buenas Decisiones program improve family, individual, and sociocultural risk and protective factors related to adolescent alcohol use, as reported by parents and adolescents? 3. What individual- and organizational-level barriers and facilitators affect implementation of the refined Guiando Buenas Decisiones program? 4. What are the reach, adoption, implementation, and maintenance outcomes of delivering the refined Guiando Buenas Decisiones program through a faith-based community organization? The study will first conduct a small pilot to refine Guiando Buenas Decisiones and optimize the intervention and study procedures based on feedback from participating families. The study will then conduct a randomized controlled trial comparing families who receive the refined Guiando Buenas Decisiones program with families assigned to a wait-list control group. Families in the wait-list control group will be offered Guiando Buenas Decisiones after completing the 6-month follow-up assessment. The refined Guiando Buenas Decisiones program consists of seven weekly sessions, each lasting approximately 2 hours, delivered by trained community health workers and lay church members. In the randomized trial, parents and adolescents will complete separate assessments at baseline, immediately after the intervention, and 6 months after the intervention. These assessments will examine adolescent alcohol initiation and use and family, individual, and sociocultural risk and protective factors related to adolescent alcohol use. Information will also be collected from parents, program facilitators, and organizational stakeholders to identify individual- and organizational-level barriers and facilitators to implementation and to assess implementation outcomes in a faith-based community setting.
Guiando Buenas Decisiones is the Spanish-language adaptation of Guiding Good Choices, a family-based prevention program grounded in the Social Development Model. The intervention is delivered to parents and is based on the premise that strengthening family processes and parent-child bonding can promote positive youth development and help prevent adolescent alcohol use. Guiando Buenas Decisiones includes components addressing positive involvement with youth, recognition and reinforcement of positive behaviors, family problem solving, clear and consistent limits, monitoring and supervision, and…
Inclusion Criteria: Parents: * Being 18 years or older. * Living in a one- or two-parent household. * Self-identifying as Hispanic or Latino/a. * Self-identifying as a foreign-born and first-generation Hispanic immigrant with one or more United States-born 12-14-year-old children. * Spanish speaker. * Provide written consent to participate in a parenting intervention trial and to be videotaped during parenting sessions. * Combined annual family income that qualifies as "low-income," as defined by federal standards for households earning less than 200% of the federal poverty line. Children:…
Guiando Buenas Decisiones (GBD) is the Spanish version of the U.S. evidence-based alcohol prevention intervention, Guiding Good Choices. GBD is exclusively for parents and aims to enhance parenting skills and foster positive parent-child bonding. The program includes five sessions, with an additional sixth session introduced in a Mexican adaptation focusing on reinforcing alcohol literacy and addressing alcohol expectancies. The refined GBD program to be piloted and tested in this study is informed by the Mexican adaptation and tailored for delivery among Hispanic (predominantly Mexican-origin) U.S. families with children ages 12-14. Refinements incorporate content relevant to the sociocultural realities experienced by U.S. Hispanic immigrant families, resulting in an additional introductory session.