The purpose of this project is to develop, evaluate, and disseminate
a community-based cancer risk reduction program for Hispanic migrant
youth. A social influence model provides the basis for the intervention
approach which concentrates on social skills development (e.g., refusal
skills, norm setting). To increase maintenance and capitalize on the
buffering effect of parental support, the intervention is also designed
to develop parental skills (e.g., communication) that lead to health
behaviors. Adolescents and their parents will participate in a skills
training program implemented by college students, Migrant Community
Aides, and project staff The intervention package addresses (1) tobacco
use and (2) alcohol use.
The target population for the study are Hispanic migrant adolescents
between the ages of 12-15 who are enrolled in the San Diego County
Migrant Education Program. The overall design of the study is a
randomized control group design with repeated measures at pre/post, and
12 and 24 month follow-up. A total of 700 adolescents will be randomly
assigned to intervention and attention control conditions. Measurements
of the primary outcomes expectations will be examined. Gender and
acculturation will be assessed to determine if outcomes vary as a
function of these characteristics. Finally, process evaluation will be
conducted to monitor program implementation.
The results from this study will (1) demonstrate the effectiveness of
a cancer risk reduction intervention package for Hispanic migrant
youth, (2) provide data on the acceptability and implementation of a
community-based intervention for Hispanic migrant youth, and (3)
provide a model that can be used and adapted to other high-risk youth.
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