Presenter Disclosures Using Layout PNG Title Engaging delinquent - PDF document

11/2/2012 1. Insert New Slide Presenter Disclosures Using Layout PNG Title Engaging delinquent 2. Paste (or Insert) the The following personal financial relationships with New Picture on the adolescents in fam ily- Slide commercial interests relevant to this presentation existed 3. Size/Crop the Picture during the past 12 months: to Fit over black area based interventions: 4. Right-Click on Picture • No relationships to disclose and a d Challenges and lessons Challenges and lessons ARRANGE/SEND TO BACK learned Note: If you need to re-fit the photo, click on the white part of the slide and ARRANGE/SEND Norw eeta G. Milburn, Ph.D. TO BACK, then Repeat Steps 3 & 4. Marguerita Lightfoot, Ph.D. 1 Affiliations & Support Overview UCLA Department of Psychiatry and Biobehavioral Sciences • Challenges Semel Institute for Neuroscience and Human Behavior Nathanson Family Resilience Center milburn@mednet.ucla.edu • Strategies Department of Medicine University of California, San Francisco University of California San Francisco • Lessons Learned Supported by NIMH grants MH61185 , MH70322, and MH080664, and NIMHD P20MD000182 • Implications Presentation at the annual meeting of the American Public Health Association, San Francisco, CA October 31, 2012 3 1. Insert New Slide “ Delinquent” Using Layout PNG Fam ily-based interventions for Photos Adolescents 2. Paste (or Insert) the •Social context  Family system New Picture on the Slide • < 18 years old 3. Size/Crop the Picture to Fit over black area •“Relatively unexplored” (Tolou-Shams et al., 2010) 4. Right-Click on Picture and a d • Ethnic/racial minority ARRANGE/SEND TO BACK ⬇ Participation Note: If you need to re-fit the • At-risk photo, click on the white part of the slide and ARRANGE/SEND TO BACK, then Repeat Steps 3 & 4. 5 1

11/2/2012 Characteristics  recruitm ent, Participation engagem ent & retention • Recruitment • Demographics (e.g., SES) • Engagement • Child (e.g., GPA) • Retention • Family (e.g., stress) • Intervention (e.g., goals) 6 7 Theoretical Model (m odified Wigfield Eccles, expectancy-value theory of m otivation) Strategies  Participation Background Motivation Outcomes Family Characteristics Family size Expectancy of Success Recruitment Ethnicity Perceived competence at task # agree to participate • Motivational interviewing Education level Perceived difficulty of task # complete baseline Income level # attend one session Marital status Value of Task/Activity Parental monitoring Enjoyment/intrinsic value Engagement Utility in reaching future goals Enthusiasm Environmental • Culture Perceived importance of doing well Involvement Transportation Perceived negative aspects/costs Stress Retention # sessions attended Child Mental Health Depression Hyperactivity • Incentives Proposed Enhanced Strategy Recruitment Engagement Retention • Motivational DVD • Pre-session for family to • Increased motivation and tell their story (feel heard) engagement • Motivational recruitment & articulate current family session goals • End each session with a positive • In home sessions • Racial/ethnic match of staff 8 Developm ent of Overview of Research Inspirational/ Motivational DVD Formative Research • Interviews • Focus groups • Key informant interviews / Focus groups Phase 1 Enhanced Strategy • DVD development • Media developer • Staff training Pilot Testing T: Enhanced Strategy C: Standard Strategy Schools Schools Phase 2 Youth Youth Parents/guardians Parents/guardians Baseline Baseline 3 months assessment 3 months assessment 11 2

11/2/2012 Modification of Enhanced Strategy Prelim inary Findings ⬆ Recruitment Recruitment Engagement - 100% baseline enhanced, 71% standard • Motivational DVD • End each session with a positive • Motivational recruitment ⬆ Retention session session • Racial/ethnic match of staff Racial/ethnic match of staff - 100% 3 months enhanced, 50% standard 12 13 1. Insert New Slide Lessons Learned Using Layout PNG for Photos Im plications 2. Paste (or Insert) the • Fewer sessions New Picture on the Slide • Need to include other race/ethnicity 3. Size/Crop the Picture • Contextual barriers to Fit over black area • School sites, not home 4. Right-Click on Picture a d and • Flexibility Fl ibilit • Engagement ARRANGE/SEND TO BACK Note: If you need to re-fit the photo, click on the white part of the slide and ARRANGE/SEND TO BACK, then Repeat Steps 3 & 4. 14 3