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Classes of Caregiver-Student Responsiveness to a Self-Directed Handbook Preventive Intervention and Their Associated Impact on First-Year Student Substance Use

Title: Classes of Caregiver-Student Responsiveness to a Self-Directed Handbook Preventive Intervention and Their Associated Impact on First-Year Student Substance Use
Language: English
Authors: Kathryn E. Bruzios; Brittany Rhoades Cooper; Jennifer Duckworth; Clara M. Hill; Laura Hill
Source: Prevention Science. 2025 26(6):956-967.
Availability: Springer. Available from: Springer Nature. One New York Plaza, Suite 4600, New York, NY 10004. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-460-1700; e-mail: customerservice@springernature.com; Web site: https://link.springer.com/
Peer Reviewed: Y
Page Count: 12
Publication Date: 2025
Sponsoring Agency: National Institute on Drug Abuse (NIDA) (DHHS/PHS)
Contract Number: R01DA039247
Document Type: Journal Articles; Reports - Research
Education Level: Higher Education; Postsecondary Education
Descriptors: At Risk Persons; Prevention; Intervention; Guides; Caregiver Role; Readiness; Responses; Participation; Interests; Program Implementation; Program Effectiveness; College Freshmen; Adjustment (to Environment); Interpersonal Relationship; Drinking; Drug Abuse
DOI: 10.1007/s11121-025-01832-9
ISSN: 1389-4986; 1573-6695
Abstract: The novelty of the college transition places older adolescents and emerging adults at increased risk for engaging in substance misuse. Preventive interventions such as "First Years Away from Home," a self-directed handbook intervention, can teach caregivers effective strategies for preparing their student for this transition. Responsiveness (i.e., participants' engagement and interest in an intervention), is one implementation dimension that can impact participant outcomes and can be improved by selecting appropriate implementation strategies (i.e., methods that aim to improve implementation outcomes; IS). Using a person-centered analytic approach, this study examines classes of responsiveness to "First Years Away from Home" among caregivers of first-year college students with data from 543 dyads randomly assigned to two intervention conditions (Handbook, Handbook +) who were exposed to two ISs in the randomized controlled trial. Handbook and Handbook + caregivers had access to a Transition Support Specialist (IS #1) the summer prior to students moving to campus, and Handbook + caregivers received booster messages (IS #2) to remind them of the handbook content throughout the students' first year in college. A multiple group latent class analysis was conducted to identify classes of responsiveness and determine whether the classes differ by Handbook condition. Responsiveness classes were then used to predict any past 30-day student alcohol, cannabis, or simultaneous alcohol and cannabis use during their first semester. We identified four distinct classes of responsiveness among caregiver-student dyads ("Non-Responders," "Discontinued Average Responders," "Average Responders," "High Responders"). Moreover, class membership varied across Handbook conditions and "Average Responders" reported any drinking significantly less than "Non-Responders" in the Handbook + condition. Implications for implementation of self-directed interventions and addressing varying ways participants respond to interventions are discussed. ClinicalTrials.gov Identifier: NCT03227809.
Abstractor: As Provided
Entry Date: 2025
Accession Number: EJ1482307
Database: ERIC