Two-Year Risk Behavior Outcomes from Connecting, a Prevention Program for Caregivers and Youth in Foster Care
Open accessAbstract
This study experimentally tested risk behavior outcomes of Connecting, a low-cost, self-directed, family-based prevention program for families with youth placed in their care by state child welfare agencies. Families caring for youth aged 11 to 15 years from across Washington State were recruited and randomly assigned to either the self-directed program with supplemental support (n = 110) or a treatment as usual control condition (n = 110). Program materials included a workbook with family activities and DVDs with video clips. Over the 10-week program, participants received motivational support contacts to prompt program completion. Survey data were collected from youth and their caregivers at baseline, directly following intervention, then again at 12 and 24 months post-intervention. Intervention effects at 24-month follow-up were found to be moderated by age. Among 16- to 17-year-old youth at follow-up, there was an intervention benefit yielding reduced use of any substance (OR = 0.71, 95% CI [0.54, 0.93], p = 0.01) and nonviolent delinquency (OR = 0.73, 95% CI [0.57, 0.94], p = 0.02). There was no intervention effect among adolescents aged 13 to 15 years for any risk behaviors. This evidence suggests that the developmental timing of a self-directed, family-focused preventive intervention for youth and their caregivers in the foster care system may influence risk behaviors that typically emerge in late adolescence. ClinicalTrials.gov Identifier: NCT03157895.
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Skills-based programs sometimes demonstrate sleeper effects, which occur when program impacts emerge at long-term follow-up time points.
“Skills-based programs sometimes demonstrate sleeper effects, which occur when program impacts emerge at long-term follow-up time points, when adolescents face new risk contexts and are then able to apply skills learned from prior interventions [28,29].”
From Effectiveness of the Botvin High School LifeSkills Training Intervention on Adolescent Substance Use: A Cluster Randomized Trial (2026) · cites this paper as [28]
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Cites
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1977) · Psychological Review · doi:10.1037/0033-295x.84.2.191 · Cited by 43,925 · see citing works
<b>mice</b>: Multivariate Imputation by Chained Equations in<i>R</i>
Buuren, S. V., & Groothuis-Oudshoorn, K. (2011) · Journal of Statistical Software · doi:10.18637/jss.v045.i03 · Cited by 13,870 · see citing works
Catalano, R. F., Berglund, M. L., Ryan, J. A. M., Lonczak, H. S., & Hawkins, J. D. (2004) · The Annals of the American Academy of Political and Social Science · doi:10.1177/0002716203260102 · Cited by 1,948 · see citing works
Johnston, L. D., Miech, R. A., O'Malley, P. M., Bachman, J. G., Schulenberg, J. E., & Patrick, M. E. (2018) · doi:10.3998/2027.42/148123 · Cited by 1,199 · see citing works
The social development model: An integrated approach to delinquency prevention
Hawkins, J. D., & Weis, J. G. (1985) · The Journal of Primary Prevention · doi:10.1007/bf01325432 · Cited by 965 · see citing works
Johnston, L. D., Miech, R., O'Malley, P., Bachman, J., Schulenberg, J., & Patrick, M. E. (2015) · doi:10.3998/2027.42/150621 · Cited by 850 · see citing works
The ADAPT-ITT Model: A Novel Method of Adapting Evidence-Based HIV Interventions
Wingood, G. M., & DiClemente, R. J. (2008) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0b013e3181605df1 · Cited by 664 · cited 1× · see citing works
“…adapted for youth in foster care and their caregivers (Barkan et al., 2014; Haggerty et al., 2016; Storer et al., 2012), using the ADAPT-ITT framework (Wingood & DiClemente, 2008), from an existing universal parenting program with evidence for preventing risky behaviors in adolescence, Staying…”
MethodGottfredson, D. C., Cook, T. D., Gardner, F. E. M., Gorman-Smith, D., Howe, G. W., Sandler, I. N., & Zafft, K. M. (2015) · Prevention Science · doi:10.1007/s11121-015-0555-x · Cited by 627 · see citing works
The Analysis of Multiple Endpoints in Clinical Trials
Pocock, S. J., Geller, N. L., & Tsiatis, A. A. (1987) · Biometrics · doi:10.2307/2531989 · Cited by 524 · see citing works
Outcomes of children who grew up in foster care: Systematic-review
Gypen, L., Vanderfaeillie, J., Maeyer, S. D., Belenger, L. M., & Holen, F. V. (2017) · Children and Youth Services Review · doi:10.1016/j.childyouth.2017.02.035 · Cited by 516 · see citing works
Spoth, R. L., Redmond, C. R., & Shin, C. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.69.4.627 · Cited by 377 · see citing works
Spoth, R. L., Redmond, C. R., & Shin, C. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.69.4.627 · Cited by 290 · see citing works
van Aar, J., Leijten, P. H. O., de Castro, B. O., & Overbeek, G. J. (2016) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.11.006 · Cited by 209 · see citing works
Spoth, R. L., Redmond, C. R., Shin, C., & Azevedo, K. (2004) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.72.3.535 · Cited by 206 · see citing works
Barth, R. P., Crea, T. M., John, K., Thoburn, J., & Quinton, D. (2005) · Child & Family Social Work · doi:10.1111/j.1365-2206.2005.00380.x · Cited by 159 · see citing works
The Prevalence of Child Sexual Abuse in Out-of-Home Care
Euser, S., Alink, L. R. A., Tharner, A., van IJzendoorn, M. H., & Bakermans‐Kranenburg, M. J. (2013) · Child Maltreatment · doi:10.1177/1077559513489848 · Cited by 126 · see citing works
A Randomized Trial of Parents Who Care: Effects on Key Outcomes at 24-month Follow-up
Haggerty, K. P., Skinner, M. L., MacKenzie, E. P., & Catalano, R. F. (2007) · Prevention Science · doi:10.1007/s11121-007-0077-2 · Cited by 120 · see citing works
Self-citationFoster parent perceptions of competency: Implications for foster parent training
Cooley, M. E., & Petren, R. E. (2011) · Children and Youth Services Review · doi:10.1016/j.childyouth.2011.05.023 · Cited by 90 · see citing works
Predictors of Participation in Parenting Workshops
Haggerty, K. P., Fleming, C. B., Lonczak, H. S., Oxford, M. L., Harachi, T. W., & Catalano, R. F. (2002) · The Journal of Primary Prevention · doi:10.1023/a:1015227623145 · Cited by 81 · see citing works
Self-citationBrody, G. H., Murry, V. M., Chen, Y., et al. (2006) · Prevention Science · doi:10.1007/s11121-006-0032-7 · Cited by 79 · see citing works
In search of connection: The foster youth and caregiver relationship
Storer, H. L., Barkan, S. E., Stenhouse, L. L., Eichenlaub, C., Mallillin, A., & Haggerty, K. P. (2014) · Children and Youth Services Review · doi:10.1016/j.childyouth.2014.04.008 · Cited by 78 · see citing works
Self-citationHaggerty, K. P., MacKenzie, E. P., Skinner, M. L., Harachi, T. W., & Catalano, R. F. (2006) · The Journal of Primary Prevention · doi:10.1007/s10935-005-0019-3 · Cited by 69 · see citing works
Self-citationFoster and Adoptive Parent Perspectives on Needs and Services: a Mixed Methods Study
Barnett, E. R., Jankowski, M. K., Butcher, R. L., Meister, C., Parton, R. R., & Drake, R. E. (2017) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-017-9569-4 · Cited by 64 · see citing works
Price, J. M., Roesch, S., Walsh, N. E., & Landsverk, J. A. (2014) · Prevention Science · doi:10.1007/s11121-014-0532-9 · Cited by 63 · see citing works
Human trafficking victimization among youth who run away from foster care
Latzman, N. E., Gibbs, D. A., Feinberg, R., Kluckman, M. N., & Aboul-Hosn, S. (2018) · Children and Youth Services Review · doi:10.1016/j.childyouth.2018.12.022 · Cited by 56 · see citing works
Baggett, K. M., Davis, B., Feil, E. G., Sheeber, L., Landry, S. H., Leve, C. S., & Johnson, U. (2017) · Child Maltreatment · doi:10.1177/1077559517712000 · Cited by 52 · see citing works
Storer, H. L., Barkan, S. E., Sherman, E. L., Haggerty, K. P., & Mattos, L. M. (2012) · Children and Youth Services Review · doi:10.1016/j.childyouth.2012.05.017 · Cited by 44 · see citing works
Self-citationPromoting learning from null or negative results in prevention science trials
Axford, N., Berry, V., Lloyd, J., Hobbs, T., & Wyatt, K. (2022) · Prevention Science · doi:10.1007/s11121-020-01140-4 · Cited by 34 · see citing works
Catalano, R. F., Hawkins, J. D., Kosterman, R., Bailey, J. A., Oesterle, S., Cambron, C., & Farrington, D. P. (2020) · Journal of Developmental and Life-Course Criminology · doi:10.1007/s40865-020-00152-6 · Cited by 33 · see citing works
Adapting an evidence-based parenting program for child welfare involved teens and their caregivers
Barkan, S. E., Salazar, A. M., Estep, K., Mattos, L. M., Eichenlaub, C., & Haggerty, K. P. (2014) · Children and Youth Services Review · doi:10.1016/j.childyouth.2014.03.006 · Cited by 27 · see citing works
Self-citationUsing the Social Development Strategy to Unleash the Power of Prevention
Haggerty, K. P., & McCowan, K. J. (2018) · Journal of the Society for Social Work and Research · doi:10.1086/700274 · Cited by 19 · see citing works
Self-citationOrsi, R., Lee, C., Winokur, M., & Pearson, A. (2017) · Youth Violence and Juvenile Justice · doi:10.1177/1541204017721614 · Cited by 17 · see citing works
Brincks, A. M., Perrino, T., Howe, G. W., Estrada, Y. A., Robles, N., & Prado, G. J. (2021) · Prevention Science · doi:10.1007/s11121-021-01247-2 · Cited by 17 · see citing works
Foster Parent Strategies to Support the Functional Adaptation of Foster Youth
Jones, A. S., Rittner, B. A., & Affronti, M. L. (2016) · Journal of Public Child Welfare · doi:10.1080/15548732.2016.1148092 · Cited by 14 · see citing works
Haggerty, K. P., Barkan, S. E., Skinner, M. L., Packard, W. B., & Cole, J. J. (2016) · Journal of the Society for Social Work and Research · doi:10.1086/686986 · Cited by 11 · see citing works
Self-citationHaggerty, K. P., Barkan, S. E., Skinner, M. L., & Hanson, K. G. (2021) · Children and Youth Services Review · doi:10.1016/j.childyouth.2021.106009 · Cited by 6 · see citing works
Self-citationFeltner, A., Day, A., Vanderwill, L. A., Fontaine, E., & Cohick, S. (2020) · Children and Youth Services Review · doi:10.1016/j.childyouth.2020.105835 · Cited by 4 · see citing works
Flagged first, then by citations
Research works printed but not linked: 3
- Hirschi T Causes of delinquency 1969 University of California Press
- Sutherland EH Schuessler K Development of the theory [Private paper published posthumously] Edwin Sutherland on analyzing crime 1973 University of Chicago Press 13 29
- Van Ryzin MJ Kumpfer KL Fosco GM Greenberg MT Family-based prevention programs for children and adolescents: Theory, research, and large-scale dissemination 2016 Psychology Press
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Steeger, C. M., Combs, K. M., Racz, S. J., Brooks-Russell, A., Lain, M. A., Drewelow, K., Zaugg, S., Denker, H. K., & Hill, K. G. (2026) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2026.02.024
- Authors
- Haggerty, K. P., Barkan, S. E., Caouette, J. D., Skinner, M. L., & Hanson, K. G.
- Affiliations
- University of Washington (US)
- Corresponding author
- Caouette, Justin D.
- Venue
- Prevention Science
- Published
- 2022-07-04
- Volume
- 24
- Issue
- 1
- Pages
- 15-26
- ISSN
- 1389-4986 (ISSN-L)
- 1573-6695
- PMC
- PMC9253245
- OpenAlex
- W4283812332
- Cited by
- 9
- References
- 37
- Citations by year
- 2026: 5 · 2025: 3 · 2023: 1
- FWCI
- 1.16
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Prevention Science (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Drug Abuse (R01DA038095)
- Topics
- Social Sciences › Safety Research › Child Welfare and Adoption
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Sociology and Political Science › Crime Patterns and Interventions
- Keywords
- foster care, foster youth, caregivers, family-based prevention, self-guided intervention, substance use, adolescent risk behavior, developmental timing, age moderation, child welfare
- MeSH terms
- Adolescent, Child, Foster Home Care, Humans, Risk-Taking, Washington, Caregivers
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