Family Mediation Program For At-Risk Youth

This study is currently recruiting participants. (see Contacts and Locations)
Verified June 2014 by RAND
Sponsor:
Information provided by (Responsible Party):
RAND
ClinicalTrials.gov Identifier:
NCT01944748
First received: September 3, 2013
Last updated: June 6, 2014
Last verified: June 2014
  Purpose

The goal of this project is to conduct a pilot evaluation of a parent-child mediation program for at-risk youth. It is investigating whether families who receive parent-child mediation show greater improvement in family functioning, as well as adolescent substance use, academic performance, and delinquency, over a 6-week and 12-week period compared to a wait-list control sample.


Condition Intervention
Family Functioning
Behavioral: Families Able To Resolve Situations (FARS)

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: Family Mediation Program For At-Risk Youth

Further study details as provided by RAND:

Primary Outcome Measures:
  • Positive Family Relations [ Time Frame: 6-week ] [ Designated as safety issue: No ]
    6-item Positive Family Relations measure adapted from the Cohesion subscale of Moos & Moos Family Environment Scale (Metzler et al., 1998; Journal of Family Psychology, 12, 600-619). Items are rated on a 5-point scale ("not at all" to "very much") and averaged to create a scale score.

  • Family Conflict [ Time Frame: 6-week ] [ Designated as safety issue: No ]
    5-item measure from the Family, Friends and Self (FFS) assessment scales (Simpson & McBride, 1992; Hispanic Journal of Behavioral Sciences, 14, 327-340). Items are rated on a 5-point scale ("never" to "almost always") and averaged to create a scale score.

  • Family Communication [ Time Frame: 6-week ] [ Designated as safety issue: No ]
    10-item measure assessing open vs. problem communication (McCubbin, Thompson & McCubbin, 1996; Family assessment: Resiliency, coping and adaptation - Inventories for research and practice. Madison, WI: University of Wisconsin). Items are rated on a 5-point scale ("never" to "almost always") and averaged to create a scale score.

  • Parent Support [ Time Frame: 6-week ] [ Designated as safety issue: No ]
    4-item measure (Wills et al., 2004; Psychology of Addictive Behaviors, 18, 122-134). Items are rated on a 5-point scale ("never" to "almost always") and averaged to create a scale score.

  • Positive Family Relations [ Time Frame: 12-week ] [ Designated as safety issue: No ]
    6-item Positive Family Relations measure adapted from the Cohesion subscale of Moos & Moos Family Environment Scale (Metzler et al., 1998; Journal of Family Psychology, 12, 600-619). Items are rated on a 5-point scale ("not at all" to "very much") and averaged to create a scale score.

  • Family Conflict [ Time Frame: 12-week ] [ Designated as safety issue: No ]
    5-item measure from the Family, Friends and Self (FFS) assessment scales (Simpson & McBride, 1992; Hispanic Journal of Behavioral Sciences, 14, 327-340). Items are rated on a 5-point scale ("never" to "almost always") and averaged to create a scale score.

  • Family Communication [ Time Frame: 12-week ] [ Designated as safety issue: No ]
    10-item measure assessing open vs. problem communication (McCubbin, Thompson & McCubbin, 1996; Family assessment: Resiliency, coping and adaptation - Inventories for research and practice. Madison, WI: University of Wisconsin). Items are rated on a 5-point scale ("never" to "almost always") and averaged to create a scale score.

  • Parent Support [ Time Frame: 12-week ] [ Designated as safety issue: No ]
    4-item measure (Wills et al., 2004; Psychology of Addictive Behaviors, 18, 122-134). Items are rated on a 5-point scale ("never" to "almost always") and averaged to create a scale score.


Secondary Outcome Measures:
  • Lifetime and Past Month Substance Use [ Time Frame: 6-week ] [ Designated as safety issue: No ]

    Number of times used in lifetime (range: "0 times" to "7 or more times") and number of days used in past month (range: "0 days" to "20-30-days") for each of the following substances: cigarettes; alcohol; marijuana; inhalants; any other illegal drug or pill to get high; over-the-counter medicines or OTCs to get high; and prescription medicines to get high.

    Additional items ask about quantity of cigarette, alcohol and marijuana use on days used, as well as intentions to use each of these substances in next 6 months (4-point scale, ranging from "definitely yes" to "definitely no").


  • Academic Performance [ Time Frame: 6-week ] [ Designated as safety issue: No ]
    Items ask about typical grades in past month (range: "mostly A's" to "mostly F's"), school attachment (4-item measure from National Longitudinal Study of Adolescent Health), highest level of school the youth plans to finish (range: "I may not finish high school" to "I plan to go to graduate or professional school"), number of days skipped school in past month, and history of suspension from school.

  • Delinquency [ Time Frame: 6-weeks ] [ Designated as safety issue: No ]
    13-item measure that includes items from Project ALERT and National Longitudinal Study of Adolescent Health. Items are rated on a 7-point scale ("0 days" to "20-30 days").

  • Lifetime and Past Month Substance Use [ Time Frame: 12-week ] [ Designated as safety issue: No ]

    Number of times used in lifetime (range: "0 times" to "7 or more times") and number of days used in past month (range: "0 days" to "20-30-days") for each of the following substances: cigarettes; alcohol; marijuana; inhalants; any other illegal drug or pill to get high; over-the-counter medicines or OTCs to get high; and prescription medicines to get high.

    Additional items ask about quantity of cigarette, alcohol and marijuana use on days used, as well as intentions to use each of these substances in next 6 months (4-point scale, ranging from "definitely yes" to "definitely no").


  • Academic Performance [ Time Frame: 12-week ] [ Designated as safety issue: No ]
    Items ask about typical grades in past month (range: "mostly A's" to "mostly F's"), school attachment (4-item measure from National Longitudinal Study of Adolescent Health), highest level of school the youth plans to finish (range: "I may not finish high school" to "I plan to go to graduate or professional school"), number of days skipped school in past month, and history of suspension from school.

  • Delinquency [ Time Frame: 12-weeks ] [ Designated as safety issue: No ]
    13-item measure that includes items from Project ALERT and National Longitudinal Study of Adolescent Health. Items are rated on a 7-point scale ("0 days" to "20-30 days").


Estimated Enrollment: 200
Study Start Date: July 2011
Estimated Study Completion Date: December 2014
Estimated Primary Completion Date: December 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Family Mediation
Families receive FARS family mediation program after completing baseline survey.
Behavioral: Families Able To Resolve Situations (FARS)
Family mediation is a method of resolving conflicts between parents and teens. During the mediation session, the parent and teen each meet one-on-one with a trained volunteer mediator, who is a neutral person who listens to each party's concerns without taking sides. Then the parent and teen come together and meet with this mediator to work on resolving conflicts they are having. Families participate in up to 3 mediation sessions.
No Intervention: Wait-list control
Families receive FARS family mediation program after completing baseline, 6-week and 12-week surveys.

  Eligibility

Ages Eligible for Study:   12 Years to 19 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Has a child referred to FARS due to having problems in any of the following areas: (a) poor grades; (b) truancy; (c) defiant behavior; (d) running away; (e) delinquency; (f) substance use
  2. Agrees to participate in at least one FARS mediation session
  3. Agrees to complete 3 surveys and be available over the next 3 months for follow-up
  4. Fluent in English or Spanish

    -

    Exclusion Criteria: Families referred to FARS due to: (a) conflicts involving gang violence (e.g., shootings, killings); (b) conflicts involving weapons; (c) arson; (d) conflicts involving explicit sex activities; (e) conflicts involving domestic violence/child abuse; and (f) threats to harm self or others.

    -

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01944748

Contacts
Contact: Joan S. Tucker, PhD 310-393-0411 ext 7519 jtucker@rand.org

Locations
United States, California
Centinela Youth Services Recruiting
Hawthorne, California, United States, 90250
Contact: Maritza Molina    310-970-7758      
Sponsors and Collaborators
RAND
Investigators
Principal Investigator: Joan S. Tucker, PhD RAND
  More Information

No publications provided

Responsible Party: RAND
ClinicalTrials.gov Identifier: NCT01944748     History of Changes
Other Study ID Numbers: R34DA031910
Study First Received: September 3, 2013
Last Updated: June 6, 2014
Health Authority: United States: Federal Government
United States: Data and Safety Monitoring Board
United States: Institutional Review Board

ClinicalTrials.gov processed this record on September 16, 2014