Elizabeth T Couch, Kayla Lieuw, Claudia Guerra Castillo, Bonnie Halpern-Felsher, Benjamin W Chaffee, Kristin S Hoeft
{"title":"Familial Influences on Adolescent E-Cigarette and Cannabis Use: A Qualitative Analysis.","authors":"Elizabeth T Couch, Kayla Lieuw, Claudia Guerra Castillo, Bonnie Halpern-Felsher, Benjamin W Chaffee, Kristin S Hoeft","doi":"10.1080/29973368.2026.2732043","DOIUrl":"https://doi.org/10.1080/29973368.2026.2732043","url":null,"abstract":"<p><p>Family factors influencing adolescent cigarette smoking are well described, but specific family influences of e-cigarettes and cannabis behaviors are underexamined. The objective of this study was to explore the role of family in adolescent e-cigarette, other tobacco, and cannabis use. Semi-structured interviews with 47 California adolescents, aged 13-17, who had ever used tobacco products were conducted between May 2020 and December 2021. Thematic analysis techniques identified unifying themes related to family factors and adolescent e-cigarette and cannabis use behaviors. Family members often played a role in initiating or facilitating access to substances. Some participants perceived that their parents displayed permissive attitudes toward e-cigarettes and cannabis, often setting weaker boundaries and allowing exceptions to otherwise stricter rules for combustible tobacco. Others expressed fear of being caught using tobacco by their family and used more easily concealed products (e.g., small, odorless devices) and other strategies to hide use from parents and family. For some, experiencing parental punishment or observing addiction in the family only partly deterred e-cigarette and cannabis use. Future research and education initiatives should focus on developing strategies that reduce youth access to e-cigarettes and cannabis by addressing and leveraging the nuanced role family plays in adolescent substance use behaviors.</p>","PeriodicalId":523869,"journal":{"name":"Journal of child & adolescent substance use","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kelli A Komro, Juli R Skinner, Emily Ivanich, Caroline M Barry, Ashna Jagtiani, Bethany J Livingston, Sierra L Talavera-Brown, Hannah LaBounty, Ashley N Gassaway, Melvin D Livingston
{"title":"Connect Kits for Family Action: Intervention Development and Exploratory Data Analysis of Proximal Outcomes.","authors":"Kelli A Komro, Juli R Skinner, Emily Ivanich, Caroline M Barry, Ashna Jagtiani, Bethany J Livingston, Sierra L Talavera-Brown, Hannah LaBounty, Ashley N Gassaway, Melvin D Livingston","doi":"10.1080/29973368.2026.2674902","DOIUrl":"10.1080/29973368.2026.2674902","url":null,"abstract":"<p><p>We designed a home-based family intervention to address risk of substance use among adolescents in rural and Native American communities. Through a Tribal-University partnership, study aims were to develop, implement and explore effects on proximal risk and protective factors. The study was conducted in or near the Cherokee Nation Reservation in northeastern Oklahoma and was a cluster-randomized trial with 10 high schools randomly assigned to intervention and 10 to delayed intervention group. The study involved a cohort of 919 tenth-grade students, surveyed approximately every six months over three years. Self-reported measures assessed the intervention's impact on proximal outcomes linked to receipt of specific intervention components. Results indicate successful altering of norms, increased risk perceptions and parental disapproval of substance use. No improvements were found for parent/caregiver support and monitoring, friend support, or anxiety and depressive symptoms. The intervention's cultural relevance and community involvement were key strengths, particularly in addressing health disparities in rural and Native populations. Despite some limitations, such as unchanged perceptions of social support, the findings suggest that culturally tailored, family-centered interventions can effectively reduce risk factors and increase protective factors. The study contributes to the limited literature on family-focused prevention for Indigenous youth and underscores the importance of community partnerships and culturally inclusive approaches in public health practice.</p>","PeriodicalId":523869,"journal":{"name":"Journal of child & adolescent substance use","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13251735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148230520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Caroline M Barry, Melvin D Livingston, Eugena Atkinson, Juli R Skinner, Kelli A Komro
{"title":"Motivations for Nonuse as Predictors of Substance Use Among Reservation-Based Youth in a Computerized Screening and Brief Intervention: The Power of Positive People.","authors":"Caroline M Barry, Melvin D Livingston, Eugena Atkinson, Juli R Skinner, Kelli A Komro","doi":"10.1080/29973368.2026.2667173","DOIUrl":"10.1080/29973368.2026.2667173","url":null,"abstract":"<p><p>Adolescent substance use is a critical public health issue in rural and American Indian communities with disparities persisting into young adulthood. This study examines motivations for nonuse as predictors of substance use trajectories among adolescents in a computerized Screening and Brief Intervention in 10 high schools on and near the Cherokee Nation Reservation. Low-risk students (n = 360) reported their motivations for nonuse during the initial Screening and Brief Intervention session, and substance use outcomes (alcohol, cannabis, prescription opioid misuse, vaping) were assessed in subsequent surveys. Results from longitudinal growth curve models indicated that most motivations for nonuse were not associated with differential trajectories of substance use over time. One notable exception was \"having positive people in one's life,\" which predicted a significantly lower likelihood of nicotine vaping at the initial follow-up, followed by a faster increase in vaping over subsequent semesters. In secondary wave-specific models, this motivation also predicted reduced cannabis use at the first follow-up, whereas endorsing \"it makes me feel bad\" predicted higher cannabis use. Reinforcing positive social influences and addressing negative feelings may be an important part of prevention strategies like Screening and Brief Intervention. This study offers new evidence on motivations for nonuse to inform the design of digital prevention tools for underserved rural youth.</p>","PeriodicalId":523869,"journal":{"name":"Journal of child & adolescent substance use","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148039284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thomas B Sease, Jennifer Becan, Brooke Preston, Randi Proffitt, Danica Knight, Kevin Knight
{"title":"Acceptability, Feasibility, and Preliminary Efficacy of the Substance Use and Health Risk Intervention (SUHRI) for Youth on Probation.","authors":"Thomas B Sease, Jennifer Becan, Brooke Preston, Randi Proffitt, Danica Knight, Kevin Knight","doi":"10.1080/29973368.2025.2610649","DOIUrl":"10.1080/29973368.2025.2610649","url":null,"abstract":"<p><p>Youth involved in the juvenile justice system are a vulnerable population that often engage in illegal and destructive behaviors, including substance use, crime, and risky sex practices. Brief, interactive interventions that engage at-risk youth in prosocial activities and are designed to improve decision making around high-risk behaviors are needed. The current study tested the acceptability, feasibility, and preliminary efficacy of a technology-based intervention for risky behavior among youth on probation. The Substance Use and Health Risk Intervention (SUHRI) is a four-session protocol using mapping-enhanced counseling and decision-making activities to reduce drug use and risky sex practices. The results showed that SUHRI was well-received by probation staff and youth. Staff (<i>N</i> = 27) expressed confidence in SUHRI's recruitment approach and reported feeling comfortable when discussing the project with families. Youth (<i>N</i> = 34) felt comfortable completing the SUHRI sessions, believed the content was relevant, and reported that the content helped them learn strategies for handling situations involving substance use and risky sex. Receipt of SUHRI was associated with improved treatment readiness, decision making, critical thinking, and attitudes toward SU and risky sex practices. The SUHRI curriculum provides probation staff with a brief intervention aimed at enhancing decision-making skills and treatment motivation among juvenile justice youth.</p>","PeriodicalId":523869,"journal":{"name":"Journal of child & adolescent substance use","volume":"31 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13455617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148709443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}