Abstract
The reported study tests an extension of a previously supported model of family context and health belief predictors of parental inclination to enroll in preventive interventions. The extended model addresses limitations in the prior investigation; it examines the role of intervention-related beliefs and inclinations on actual enrollment in a skills training intervention research project. Model testing was conducted with a sample of 635 parents of 6th graders who completed a prospective participation factor survey and were recruited for an intervention research project 6 months later. The model fit was strong and all but one of the primary hypothesized effects were supported. Notably, both stated inclination to enroll in an intervention and in the research project had significant positive effects on actual project enrollment occurring 6 months later. Perceived intervention benefits and barriers had significant effects on both types of stated inclination to enroll. Examination of modification indices for the model suggested an additional path linking educational attainment with actual enrollment.
Similar content being viewed by others
REFERENCES
Achenbach, T. M., & Edelbrock, C. (1983). Manual for the child behavior checklist and revised child behavior profile. Burlington, VT: Author.
Arbuckle, J. L. (1999). Amos 4 [Computer software]. Chicago, IL: Smallwaters Corp.
Bentler, P. M. (1998). EQS for Windows 5.7 [Computer software].Encino, CA: Multivariate Software, Inc.
Bentler, P. M. (1990). Comparative fit indexes in structural models.Psychological Bulletin, 107, 238–246.
Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88, 588–606.
Bernal, M. (1984). Consumer issues in parent training. In R. Danzel & R. Polster (Eds.). Parent training: Foundations of research and practice (pp. 477–501). New York: Guilford Press.
Biglan, A., & Metzler, C. (1999). A public health perspective for research on family-focused interventions. In R. Ashery, E. Robertson, & K. Kumpfer (Eds.). Drug abuse prevention through family interventions (National Institute on Drug Abuse Research Monograph on family-focused prevention research). Rockville, MD: National Institute on Drug Abuse.
Botvin, G. J. (1996). Life Skills Training: Promoting heath and personal development. Princeton: Princeton Health Press.
Carnegie Council on Adolescent Development. (1995). Great transitions: Preparing adolescents for a new century. New York: Carnegie Council of New York.
Center for Substance Abuse Prevention. (1998). Family-centered approaches to prevent alcohol, tobacco, and other drug use among children and adolescents. DHHS Publication No. (SMA) 3223-FY98.
Coie, J. D., Watt, N. F., West, S. G., Hawkins, J. D., Asarnow, J. R., Markman, H. J., Ramey, S. L., Shure, M. B., & Long, B. (1993). The science of prevention:Aconceptual framework and some directions for a national research program. American Psychologist, 48, 1013–1022.
DeMarsh, J., & Kumpfer, K. L. (1986). Family-oriented interventions for the prevention of chemical dependency in children and adolescents. Prevention, 18, 117–151.
Firestone, P., & Witt, J. E. (1982). Characteristics of families completing and prematurely discontinuing a behavioral parent training program. Journal of Pediatric Psychology, 7, 209–222.
Fontana, C. A., Fleischman, A. R., McCarton, C., Meltzer, C., & Ruff, H. (1988). A neonatal preventive intervention study: Issues of recruitment and retention. Journal of Primary Prevention, 9(3), 164–176.
Herzog, E. P., Cherniss, D. S., & Menzel, B. J. (1986). Issues in engaging high-risk mothers in supportive work. Infant Mental Health Journal, 7, 59–68.
Hoelter, J. W. (1983). The analysis of covariance structures: Goodness-of-fit indices. Sociological Methods and Research, 11, 325–344.
Holden, G., Rosenberg, G., Barker, K., Tuhrim, S., & Brenner, B. (1993). The recruitment of research participants: A review.Social Work in Health Care, 19(2), 1–44.
Janz, N. K., & Becker, M. H. (1984). The Health Belief Model: A decade later. Health Education Quarterly, 11, 1–47.
Jöreskog, K. G., & Sörbom, D. (1986). LISREL VI: Analysis of linear structural relationships by maximum likelihood and least square methods [Computer software]. Mooresville, IN: Scientific Software.
Jöreskog, K. G., & Sörbom, D. (1999). LISREL 8.30 and PRELIS 2.30 [Computer software]. Lincolnwood, IL: Scientific Software International.
Kahler, L. R., O'Shea, R. M., Duffy, L. C., & Buck, G. M. (1992).Factors associated with rates of participation in WIC by eligible pregnant women. Public Health Reports, 107, 60–65.
Kazdin, A. E. (1985). Treatment of antisocial behavior in children and adolescents. Homewoood, IL: Dorsey Press.
Kelly, R. B., Zyzanski, S. J., & Alemango, S. A. (1991). Prediction of motivation and behavior change following health promotion: Role of health beliefs, social support, and self-efficacy.Social Science and Medicine, 32, 311–320.
Klitzner, M., Bamberger, E., & Gruenewald, P. J. (1990). The assessment of parent-led prevention programs: A national descriptive study. Journal of Drug Education, 20(2), 111–125.
Masten, A. S. (1994). Resilience in individual development: Successful adaptation despite risk and adversity. In M. C. Wang & E. Gordon (Eds.). Educational resilience in inner-city America: Challenges and prospects (pp. 3–25). Hillsdale, NJ: Lawrence Erlbaum.
Molgaard, V. K., Kumpfer, K, & Fleming, E. (1997). Strengthening Families Program for Parents and Youth 10-14: A video-based curriculum. Ames, IA: Institute for Social and Behavioral Research.
Moskowitz, J. M. (1989). The primary prevention of alcohol problems: A critical review of the research literature. Journal of Studies on Alcohol, 50, 54–88.
Nelson, D. J., Lasater, T. M., Niknian, M., & Carleton, R. A. (1989). Cost effectiveness of different recruitment strategies for self-help smoking cessation programs. Health Education Research, 4, 79–85.
Patteson, D. M., & Barnard, K. E. (1990). Parenting of low birth weight infants: A review of issues and interventions. Infant Mental Health Journal, 11, 37–56.
Rissel, C., Finnegan, J., Wolfson, M., & Perry, C. L. (1995). Factors which explain amount of participation in rural adolescent alcohol use prevention task forces. American Journal of Health Promotion, 9, 169–171.
Rosenstock, I. M. (1990). The Health Belief Model: Explaining health behavior through expectancies. In K. Glanz, F. M. Lewis, & B. K. Rimer (Eds.). Health behavior and health education: Theory, research and practice (pp. 39–62). San Francisco: Jossey-Bass.
Saylor, C. F., Elksnin, N., Farah, B. A., & Pope, J. A. (1990).Depends on who you ask: What maximizes participation of families in early intervention programs. Journal of Pediatric Psychology, 15, 557–569.
Spanier, G. B. (1999). Enhancing the Quality of Life: A model for the 21st Century Land-Grant University. Applied Developmental Science, 3, 199–205.
Spoth, R. (1999). Family-focused preventive intervention research: A pragmatic perspective on issues and future directions. In R. Ashery, E. Robertson, & K. Kumpfer (Eds.). NIDA Research Monograph on drug abuse prevention through family interventions (pp. 459–510). Rockville, MD: National Institute on Drug Abuse.
Spoth, R., & Conroy, S. (1993). Survey of prevention-relevant beliefs and efforts to enhance parenting skills among rural parents. The Journal of Rural Health, 9(3), 227–239.
Spoth, R., Goldberg, C., & Redmond, C. (1999). Engaging families in longitudinal preventive intervention research: Discretetime survival analysis of socioeconomic and social-emotional risk factors. Journal of Consulting and Clinical Psychology, 67, 157–163.
Spoth, R., & Molgaard, V. (1993). Consumer-focused data collection in prevention program evaluation: Rationale and illustrations.Evaluation and the Health Professions, 16(3), 278–294.
Spoth, R., & Redmond, C. (1993a). Identifying program preferences through conjoint analysis: Illustrative results from a parent sample. American Journal of Health Promotion, 8(2), 124–133.
Spoth, R., & Redmond, C. (1993b). Study of participation barriers in family-focused prevention: Research issues and preliminary results. International Quarterly of Community Health Education, 13(4), 365–388.
Spoth, R., & Redmond, C. (1994). Effective recruitment of parents into family-focused prevention research:Acomparison of two strategies. Psychology and Health: An International Journal, 9, 353–370.
Spoth, R., & Redmond, C. (1995). Parent motivation to enroll in parenting skills programs: A model of family context and health belief predictors. Journal of Family Psychology, 9(3), 294–310.
Spoth, R., & Redmond, C. (1996). A theory-based parent competency model incorporating intervention attendance effects.Family Relations, 45, 139–147 (special issue on family-related preventive interventions).
Spoth, R., & Redmond, C. (2000). Research on family engagement in preventive interventions: Toward improved use of scientific findings in primary prevention practice. The Journal of Primary Prevention, 21(2), 267–284.
Spoth, R., Redmond, C., Kahn, J., & Shin, C. (1997).Aprospective validation study of inclination, belief, and context predictors of family-focused prevention involvement. Family Process, 36, 403–429.
Taylor, T. K., & Biglan, A. (1998). Behavioral family interventions for improving childrearing: A review of the literature for clinicians and policy makers. Clinical Child & Family Psychology Review, 1(1), 41–60.
Weinstein, N. D. (1988). The precaution adoption process. Health Psychology, 7, 355–386.
Webb, G. R., Sanson-Fisher, R. W., & Bowman, J. A. (1988).Psychosocial factors related to parental restraint of pre-school children in motor vehicles. Accident Analysis and Prevention, 20, 87–94.
Williams, C. L., Perry, C. L., Dudovitz, B., Veblen-Mortenson, S., Anstine, P. S., Komro, K. A., & Toomey, T. L. (1995). A home-based prevention program for sixth-grade alcohol use: Results from Project Northland. Journal of Primary Prevention, 16, 125–147.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Spoth, R., Redmond, C. & Shin, C. Modeling Factors Influencing Enrollment in Family-Focused Preventive Intervention Research. Prev Sci 1, 213–225 (2000). https://doi.org/10.1023/A:1026551229118
Issue Date:
DOI: https://doi.org/10.1023/A:1026551229118