ArticleChild and adolescent psychiatry and mental health2024
Short-term effects of the strengthening families Program (SFP 10-14) in Brazil: a cluster randomized controlled trial.
Article in Child and adolescent psychiatry and mental health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Does the Brazilian version of the strengthening families program (Familias Fortes) reduce adolescent substance use and change parental behavior? Evidence from a 2-year follow-up study.BMC public health · 2025Trial
- Formative evaluation of the online version of the strengthening families program in Brazil.BMC public health · 2026Article
- Effect of Parental Behaviors on Adolescents' Binge Drinking and Externalizing and Internalizing Problems Via Adolescents' Future Orientation.Research on child and adolescent psychopathology · 2025Article
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Authors and funding
9 authors.
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Abstract
introductionThis study reports the evaluation of the short-term effects of the Strengthening Families Program (SFP 10-14), adapted as Famílias Fortes (Strong Families) in Brazil, on preventing adolescent drug use and improving parenting behaviors.
methodsA two-arm, parallel cluster randomized controlled trial was conducted in 60 Social Assistance Reference Centers (SARC) from 12 Brazilian municipalities. In each city, the SARC were randomly assigned to the intervention or control group. A total of 805 families participated in the study, each contributing data from one parent or legal guardian and one adolescent totaling 1,610 participants. Data collection occurred before intervention implementation and 6 months after baseline collection. Data were analyzed using multilevel mixed-effects modeling with repeated measures in two different paradigms: Intention to Treat (ITT) and Per protocol (PP). The study was registered in the Brazilian Ministry of Health Register of Clinical Trials (REBEC), under protocol no. RBR-5hz9g6z.
resultsConsidering the ITT paradigm, the program reduced the chance of parents and legal guardians being classified as negligent by 60% (95%CI 0.21; 0.78), increased the use of nonviolent discipline by caregivers (Coef 0.33, 95%CI 0.01; 0.64) and decreased the chance of adults exposing adolescents to their drunken episodes by 80% (95%CI 0.06; 0.54). No program effects were observed on outcomes related to adolescent drug use. Similar results were found for the PP paradigm.
conclusionThe positive effects on family outcomes suggest preventive potential of the program among the Brazilian population. Long-term evaluations are necessary to verify if the program can also achieve the drug use reduction goals not observed in the short term.
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