Building Competencies to Prevent Youth Substance Use in Kazakhstan: Mixed Methods Findings From a Pilot Family-Focused Multimedia Trial

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
Leyla Ismayilova, Assel Terlikbayeva

Abstract

The knowledge-based approach to substance use and HIV prevention, commonly used in Central Asia, does not equip at-risk adolescents with risk reduction skills. This pilot study aims to adapt and test the feasibility and estimate the effect size parameters of a skill-based and family-focused intervention for at-risk adolescents from communities affected by heroin trade and use in Kazakhstan, located on the major drug trafficking route from Afghanistan. This National Institute on Drug Abuse-funded pilot trial used a mixed-methods approach and included 181 adolescents (ages 14-17) that reported at least one risk factor (e.g., substance-using family members or friends and parental criminal history). In addition to the school-based health education program, intervention-arm adolescent-caregiver dyads received three computerized pilot sessions focusing on risk reduction self-efficacy, resistance to peer pressure, and strengthening of family relationships. Adolescents completed baseline, 3- and 6-month Audio Computer-Assisted Self-Interview surveys in Russian and treatment group adolescents (n = 12) also participated in postintervention focus groups. Small size effects were observed for youth-level theoretical mediators associated wit...Continue Reading

Associated Clinical Trials

Citations

Sep 22, 2020·Journal of Interpersonal Violence·Sasha MintzDorothy L Espelage
Feb 10, 2021·Child Psychiatry and Human Development·Enrique López-RamírezOlga Inozemtseva

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