Open Access Study protocol

Immigrant family skills-building to prevent tobacco use in Latino youth: study protocol for a community-based participatory randomized controlled trial

Michele L Allen1*, Diego Garcia-Huidobro12, G Ali Hurtado3, Rose Allen3, Cynthia S Davey4, Jean L Forster5, Monica Hurtado6, Katia Lopez-Petrovich7, Mary Marczak3, Ursula Reynoso6, Laura Trebs6 and María Veronica Svetaz6

Author Affiliations

1 Department of Family Medicine and Community Health, School of Medicine, University of Minnesota, 717 Delaware Street S.E., Suite 166, Minneapolis, MN, 55414, USA

2 Department of Family Social Science, University of Minnesota, 290 McNeal Hall, 1985 Buford Avenue, St Paul, MN, 55108, USA

3 Center for Family Development, University of Minnesota Extension, 444 Coffey Hall, 1420 Eckles Avenue, St Paul, MN, 55108, USA

4 Biostatistical Design and Analysis Center, Clinical and Translational Science Institute, University of Minnesota, 717 Delaware Street S.E., Minneapolis, MN, 55455, USA

5 Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, 1300 S. Second Street, Suite 300, Minneapolis, MN, 55454, USA

6 Aqui Para Ti Clinic for Latino Youth, Hennepin County Medical Center, 2700 East Lake Street, Minneapolis, MN, 55406, USA

7 Centro-El Zocalo, 1915 Chicago Avenue, Minneapolis, MN, 55404, USA

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Trials 2012, 13:242  doi:10.1186/1745-6215-13-242

Published: 19 December 2012

Abstract

Background

Despite declines over recent years, youth tobacco and other substance use rates remain high. Latino youth are at equal or increased risk for lifetime tobacco, alcohol, marijuana, and other illicit drug use compared with their white peers. Family plays an important and influential role in the lives of youth, and longitudinal research suggests that improving parenting skills may reduce youth substance use. However, few interventions are oriented towards immigrant Latino families, and none have been developed and evaluated using a community-based participatory research (CBPR) process that may increase the effectiveness and sustainability of such projects. Therefore, using CBPR principles, we developed a randomized clinical trial to assess the efficacy of a family-skills training intervention to prevent tobacco and other substance use intentions in Latino youth.

Methods/Design

In collaboration with seven Latino community-serving agencies, we will recruit and randomize 336 immigrant families, into intervention or delayed treatment conditions. The primary outcome is youth intention to smoke 6 months post intervention. The intervention consists of eight parent and four youth sessions targeting parenting skills and parent–youth relational factors associated with lower smoking and other substance use in youth.

Discussion

We present the study protocol for a family intervention using a CBPR randomized clinical trial to prevent smoking among Latino youth. The results of this trial will contribute to the limited information on effective and sustainable primary prevention programs for tobacco and other substance use directed at the growing US Latino communities.

Trial registration

ClinicalTrials.gov: NCT01442753

Keywords:
Community-based participatory research; Hispanic Americans; Adolescent; Family; Smoking; Prevention and control