Linking Families Together Study- A Randomized Trial to Raise Parental Monitoring



Status:Not yet recruiting
Conditions:Psychiatric
Therapuetic Areas:Psychiatry / Psychology
Healthy:No
Age Range:11 - 15
Updated:7/11/2015
Start Date:May 2014
End Date:June 2017
Contact:Mitchell D Wong, MD PhD
Email:MitchellWong@mednet.ucla.edu
Phone:310-794-3322

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In this study, we will evaluate the efficacy and sustainability of the Linking Families
Together (LIFT) intervention to improve parental monitoring during the transition from
middle to high school a particularly risky time for students' academic performance and
health behaviors. This study is based in middle schools around Los Angeles County a region
with a high prevalence of teen risky health behaviors.

The aims of our study are:

1. To conduct a randomized trial of the LIFT intervention and examine whether providing
detailed academic information to parents during their child's 7th and 8th grade
increases parental monitoring at the end of the two year intervention and one year
follow up. We will partner with 3-10 middle schools and recruit 500 student-parent
dyads: 250 will be randomized to the intervention arm and 250 to the usual care control
group.

2. To determine whether the LIFT intervention improves students' academic outcomes, as
measured by grades, attendance, and standardized test scores at the end of the two year
intervention and one year follow up.

3. To evaluate whether the LIFT intervention lowers rates of adolescent risky health
behaviors, specifically substance use (alcohol, marijuana, inhalants, and other drugs)
at the end of the two year intervention and one year follow up.

Despite parental monitoring and school involvement being among the most important protective
factors leading to positive teen academic and health trajectories, few theoretically based
rigorously evaluated interventions test strategies to support low income parents as their
adolescents transition from middle to high school, a particularly risky time for students'
academic and health behaviors.

In a successful pilot study, student's missing assignments information was communicated
directly to parents. Intervention parents were nearly twice as likely to report their child
not telling them enough about his or her school work than control parents. After just 6
months, intervention students had a 0.19 standard deviation increase in GPA over the control
group and 0.20 standard deviation higher standardized math test score.

In the proposed study, we will evaluate the efficacy and sustainability of an intervention
to improve parental monitoring and thus improve academic outcomes and reduce risky health
behaviors. The adapted intervention will also include sessions for parents to build positive
parent-child communication and awareness of school expectations.

We propose a randomized controlled trial with 2 arms examining whether providing parents
detailed information on their child's academic and behavioral performance in school in
combination with basic parenting support, increases parental monitoring for low-income,
minority families. We hypothesize that better parental monitoring will lead to improved
academic and behavioral performance. Using this design we can determine whether the impact
of the information and parenting intervention is also protective of teens engaging in risky
health behaviors. We will compare the experimental and control group parents to examine
whether providing high-quality academic information to parents of middle school students
increases parental monitoring, student academic performance, and teen health outcomes during
middle school and beyond.

If the intervention boosts adolescent academic and health outcomes as hypothesized, the
results of the proposed study offer schools low-cost strategies to simultaneously positively
influence student academic and health trajectories. These findings have the potential to
stimulate new research to improve health through innovative interventions to bolster parent
teen relationships for gains accrued throughout the life span.

The aims of our study are:

1. To conduct a randomized trial of the LIFT intervention and examine whether providing
detailed academic information to parents during their child's 7th and 8th grade
increases parental monitoring at the end of the two year intervention and one year
follow up. We will partner with 3-10 middle schools and recruit 500 student-parent
dyads: 250 will be randomized to the intervention arm and 250 to the usual care control
group.

2. To determine whether the LIFT intervention improves students' academic outcomes, as
measured by grades, attendance, and standardized test scores at the end of the two year
intervention and one year follow up.

3. To evaluate whether the LIFT intervention lowers rates of adolescent risky health
behaviors, specifically substance use (alcohol, marijuana, inhalants, and other drugs)
at the end of the two year intervention and one year follow up.

Thus the proposed study builds on and extends the earlier pilot study by recruiting more
middle schools around Los Angeles, offering parents additional supports through parenting
workshops, and assessing the program's impact on adolescent behavioral outcomes.
Successfully implementing this study will allow us to demonstrate feasibility for a future
randomized controlled trial and assess effect size for parental monitoring and health
outcomes.

Inclusion Criteria:

- For adults, must be a parent/guardian of a student at a participating middle school

- For minors, must be a student at a participating middle school

- Must speak English or Spanish

- Entering 7th grade in Fall 2014 at one of the middle schools participating in the
study

Exclusion Criteria:

- None
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