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Evaluating the efficacy of the Family Check-Up Online: A school-based, eHealth model for the prevention of problem behavior during the middle school years

Published online by Cambridge University Press:  13 August 2019

Elizabeth A. Stormshak ,
John R. Seeley ,
Allison S. Caruthers ,
Lucia Cardenas ,
Kevin J. Moore ,
Milagra S. Tyler ,
Christopher M. Fleming ,
Jeff Gau  and
Brian Danaher
Elizabeth A. Stormshak*
Affiliation:
Prevention Science Institute, University of Oregon, Eugene, OR, USA
John R. Seeley
Affiliation:
Prevention Science Institute, University of Oregon, Eugene, OR, USA
Allison S. Caruthers
Affiliation:
Prevention Science Institute, University of Oregon, Eugene, OR, USA
Lucia Cardenas
Affiliation:
Prevention Science Institute, University of Oregon, Eugene, OR, USA
Kevin J. Moore
Affiliation:
Prevention Science Institute, University of Oregon, Eugene, OR, USA
Milagra S. Tyler
Affiliation:
Prevention Science Institute, University of Oregon, Eugene, OR, USA
Christopher M. Fleming
Affiliation:
Prevention Science Institute, University of Oregon, Eugene, OR, USA
Jeff Gau
Affiliation:
Prevention Science Institute, University of Oregon, Eugene, OR, USA
Brian Danaher
Affiliation:
Prevention Science Institute, University of Oregon, Eugene, OR, USA
*
Author for Correspondence: Elizabeth A. Stormshak, Knight Chair and Professor, 5251, College of Education, University of Oregon, Eugene, OR 97403; E-mail: [email protected].
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Abstract

This study evaluated the efficacy of a family-centered preventive intervention, the Family Check-Up (FCU), delivered as an online, eHealth model to middle school families. To increase accessibility of family-centered prevention in schools, we adapted the evidence-based FCU to an online format, with the goal of providing a model of service delivery that is feasible, given limited staffing and resources in many schools. Building on prior research, we randomly assigned participants to waitlist control (n = 105), FCU Online as a web-based intervention (n = 109), and FCU Online with coaching support (n = 108). We tested the effects of the intervention on multiple outcomes, including parental self-efficacy, child self-regulation, and child behavior, in this registered clinical trial (NCT03060291). Families engaged in the intervention at a high rate (72% completed the FCU assessment) and completed 3-month posttest assessments with good retention (94% retained). Random assignment to the FCU Online with coaching support was associated with reduced emotional problems for children (p = .003, d = −0.32) and improved parental confidence and self-efficacy (p = .018, d = 0.25) when compared with waitlist controls. Risk moderated effects: at-risk youth showed stronger effects than did those with minimal risk. The results have implications for online delivery of family-centered interventions in schools.

Keywords

at riskeHealthfamily interventionmiddle schoolparenting
Type
Special Issue Articles
Information
Development and Psychopathology , Volume 31 , Special Issue 5: Honoring the Contributions and Legacy of Thomas Dishion , December 2019 , pp. 1873 - 1886
Copyright
Copyright © Cambridge University Press 2019 

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