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Behavior Modification
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Longitudinal Retention of Families in the Assessment of a Prevention Program Targeting Adolescent Alcohol and Tobacco Use

The Utility of an Ecological Systems Framework

Deborah J. Jones

University of North Carolina at Chapel Hill

Sarah E. Foster

University of North Carolina at Chapel Hill

Ardis L. Olson

Dartmouth Hitchcock Medical School

Rex L. Forehand

University of Vermont

Cecelia A. Gaffney

Dartmouth Hitchcock Medical School

Michael S. Zens

Dartmouth Hitchcock Medical School

J.J. Bau

University of Georgia

This study examined the association between ecological context (extrafamilial, familial, child factors) at baseline and longitudinal retention of families in the 36-month assessment of an adolescent alcohol and tobacco use prevention program that was conducted within a pediatric primary care setting. A total of 1,780 families were enrolled at baseline when the youth were in the fifth and sixth grades, and 1,220 of these families participated in the 36-month assessment. Findings indicated that familial and child, but not extrafamilial, factors were associated with the participation of families in the 36-month assessment. Clinical implications and future research directions are discussed.

Key Words: alcohol use • families • prevention • primary care • tobacco use • youth

Behavior Modification, Vol. 31, No. 5, 638-659 (2007)
DOI: 10.1177/0145445507300868
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