PowerPoint Presentations PRC Annual Retreat August 22, 2012 PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY EPISCenter Update Presenter and Director: Brian Bumbarger http://episcenter.psu.edu PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Scaling-up Evidence-based Programs and Practice Prevention Support System as Infrastructure • Build general prevention capacity Resource Center Steering Committee (Policy Makers & Funders) EBP Grantees & Community Coalitions • Build program-specific capacity Bumbarger, B., & Campbell, E. (2011). A state agency-university partnership for translational research and the dissemination of evidence-based prevention and intervention. Administration and Policy in Mental Health and Mental Health Services Research. Rhoades, Bumbarger & Moore (2012). The role of a state-level prevention support system in promoting high-quality implementation and sustainability of evidence-based programs. American Journal of Community Psychology. Technical Assistance Translational Research Build general prevention capacity among practitioners and policy makers EPISCenter (Prevention Support System) Continuous Quality Improvement • Facilitate interaction/ communication between systems (Prevention Delivery System) Penn State’s Prevention Research Center (Prevention Synthesis & Translation System) 2 Multi-Agency Steering Committee (Justice, Welfare, Education, Health) Support to Community Prevention Coalitions Support to Evidence-based Programs Improve Quality of Juvenile Justice Programs and Practices A unique partnership among policymakers, researchers, and communities to bring science to bear on issues of public health and public safety Pennsylvania’s CTC coalitions 2012 Pennsylvania’s EBP dissemination 1998‒2012 5 PROSPER Update Presenter: Elaine Berrena Penn State PI: Mark Greenberg http://prevention.psu.edu/projects/PROSPER.html PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Dissemination/Implementation Projects PROSPER (PROmoting School-community-university Partnerships to Enhance Resilience) This NIDA-funded project is assessing the effectiveness of a model for the diffusion of empirically-validated prevention programs focused on adolescent substance abuse and mental health. It is being conducted in 14 communities in Iowa and Pennsylvania, and involves the Cooperative Extension Service (CES), local community teams, and a prevention coordinator team. Greenberg, Perkins, Mincemoyer, Bumbarger, Feinberg, Welsh PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY PROSPER Activities, 2001–2012 Implementation of family-focused (SFP:10–14) and school-based (LST, All Stars, Project Alert) programs with ongoing fidelity monitoring • • Intensive TA for field staff around issues of program quality, sustainability, marketing & publicity • Regular, ongoing contact with community stakeholders to share data & communicate project developments PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY More on PROSPER . . . The Good News . . . The Bad News . . . • At the end of the first five-year grant period, PROSPER was determined to have met all of its original aims. • During the time that this transition was occurring, CES was undergoing major changes that involved significant downsizing—loss of revenue, loss of staff, and reduction in programming. • Effectiveness of the interventions was demonstrated in a huge RCT involving 28 communities and about 11,000 youth in PA & IA, showing public health impact of PROSPER. • PROSPER was renewed for 5 years with the aims of longitudinal follow-up and continued sustainability planning and professional development for CES team leaders. • Plans were made to transition PROSPER communities away from NIDA/PRC support and toward increased ownership by CES. • This occurred in CES in PA, but also throughout the country. • The College of Agriculture underwent significant restructuring. • This has created great challenges for PROSPER’s sustainability. PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY PROSPER . . . Despite the bad news . . . • CES at PSU recognized the value of PROSPER as one of the few evidence-based models in its portfolio. • PROSPER maintains 10 active communities in PA, including 6/7 of the original sites. • CES has gradually assumed full “ownership” of PROSPER, by covering: –Salaries of team leaders & prevention coordinators –10% prevention scientist time –All programming costs covered locally by PROSPER team sustainability efforts PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Mindfulness: SFP Update Presenter: Mary Ann Demi PI: Doug Coatsworth http://prevention.psu.edu/projects/Mindfulness_Families.html PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Mindfulness Projects MSFP (Efficacy Trial of a Mindfulness Enhanced Strengthening Families Program) This NIDA-funded project tests the efficacy of a Mindfulness-enhanced version of the Strengthening Families Program: For Parents and Youth 10‒14 (SFP 10‒14) within a randomized study that will also attempt to replicate and extend research findings for SFP 10‒14. P.I.’s : Coatsworth, Duncan, Nix & Greenberg Project Manager: Demi Current Team: Bamberger, Berrena, Ford, Foster, Gayles, Geier, & McCarthy PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY MSFP Activities, 2009–2012 Multi-site implementation •Lower Dauphin •Central Dauphin •State College Area School District •Mifflin County Area •Philipsburg/Osceola Area School District Families (mother and/or father and target youth) randomly assigned to one of three program options: SFP, MSFP, Home Study/control PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY More on MSFP . . . • ‘Rolling’ engagement /implementation—Fall and Spring cohorts • Data collected at three time points: – Baseline – Post-Intervention – 1 year follow-up • Families served through spring ‘12: – There have been 5 cohorts of implementation to date, with the 6th and final round to be implemented this fall. • Baseline & Post = 5 cohorts • 1 year follow-up = 3 cohorts – Total number of families to date = 335 – An additional 150 anticipated this final 6th round (5 sites) PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY MSFP . . . • Ongoing collaboration with communities to help sustain SFP implementation after research – Three communities (Lower Dauphin, State College, and Mifflin) have obtained funding to continue offering SFP • Papers in progress to date using project data (Lead Author): – – – – – – – – – – – Intervention Description – D. Coatsworth Self-report Measurement of Mindfulness in Parenting – L. Duncan Mindfulness in Parenting Observational Scale Development – M. Geier Youth Competencies - S. Doyle Father Effects – R. Nix Predicting Attendance – A. Doub Participant Engagement – K. Bamberger Co-parenting – C. Foster Youth and Parent Report of Material Hardship and Youth Outcomes – E. Pressler Supervision and Model Adherence – E. Berrena & K. McCarthy Model Adherence, Participant Engagement and Parent Satisfaction – K. Bamberger • Future potential: – Modification to youth sections of SFP curriculum – Extending follow-up visits beyond the current 1-year follow-up PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY CARE Update Presenter and PI: Tish Jennings http://prevention.psu.edu/people/CARE.html PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Intervention Development Projects CARE for Teachers Cultivating Awareness and Resilience in Education) The CARE for Teachers professional development program is designed to reduce teacher stress and improve performance resulting in improved classroom climate, teacher-student relationships, and student academic and behavioral outcomes. CARE has received two grants from IES. The Goal 2 Development project was completed this spring. The Goal 3 Efficacy project is currently underway in partnership with Fordham University and the Garrison Institute. Jennings, Greenberg, Brown, Turksma, Snowberg, Coccia, Frank, Doyle PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY CARE Activities, 2009–2012 • Development of the CARE for Teachers professional development program. • Refinement —multiple iterations and evaluation of program to improve feasibility and attractiveness to teachers • Pilot RCT—to determine program efficacy (teacher and classroom outcomes) • Planning large RCT in NYC (adding student outcomes) PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY More on CARE . . . The Good News . . . • At the end of the first three-year grant period, CARE was determined to have met all of its original aims. • The pilot RCT found significant improvements in efficacy, timerelated stress, daily physical symptoms, emotion regulation (reappraisal), burnout (personal accomplishment), and depressive symptoms among CARE teachers compared to controls. The Bad News . . . • The original plans for the RCT included elementary teachers only. However, due to recruitment difficulties, we included teachers at all levels, making it difficult to assess classroom climate. • While we had hoped to demonstrate that CARE had positive effects on classroom climate, our data showed no significant differences between treatment and control groups. • Because the classroom measure (CLASS) was designed for use among elementary classrooms, the data we collected from secondary teachers are probably not valid. • We received 4 years of funding to test CARE in a large cluster RCT in NYC in partnership with Fordham University and Garrison Institute. PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY CARE . . . Despite the bad news . . . • IES granted funding for the large RCT. • We have recruited 8 elementary schools for the coming year. • We are in the process of recruiting approximately 8 teachers per school. • We were granted passive consent to collect teacher reports on students. PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Alcohol and Skin Cancer Projects Presenters and Lab Directors: Rob Turrisi and Kim Mallett PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Rob Turrisi, Ph.D. Kimberly Mallett, Ph.D. Professor/Director Associate Professor/Clinical Director ___________________________ Projects: Achieve, ACT, iStart, Options, PACT, PIRE, Skin Watch, Style _________________________________ Projects: Achieve, ACT, iStart, Options, PACT, PIRE, Skin Watch Racheal Reavy, Ph.D. Michael Cleveland, Ph.D. Assistant Professor/Research Associate _________________________________ Projects: Achieve, ACT, iStart, PACT, PIRE, Emerge Research Associate _________________________________ Projects: Achieve, iStart, PACT, PIRE, Skin Watch Holly Gunn, M.D., M.P.H Research Associate _________________________________ Projects: Style Diana Poorman Administrative Staff Lindsey Varvil-Weld, M.S. Graduate Research Assistant ______________________ Projects: ACT, PACT, PIRE, Skin Watch Aimee Read, B.S. Research Coordinator/IRB Coordinator _____________________________ Projects: Achieve, ACT, Options, PACT PIRE, Skin Watch Nichole Scaglione, M.S., CHES Graduate Research Assistant ______________________________ Projects: Achieve, iStart, PACT, PIRE, Skin Watch Sarah Favero, M.S. Research Coordinator __________________________ Projects: Achieve, iStart, PACT, PIRE, Skin Watch Undergraduate Research Assistants Rachel Cotter Chloe Strader Shelly Erb (Multi-Project) Brittney Hultgren, B.A. Graduate Research Assistant ____________________________ Projects: iStart, PACT, PIRE, Skin Watch, Style Carly Comer, B.S. Research Technician ______________________________ Projects: Achieve, ACT, iStart, Options, PACT, PIRE, Skin Watch Undergraduate Research Assistants Lindsey Wilde Kate Barbara Casey Bartoe Daniel Doxbeck (PIRE Project) Catilin Mill Laura Moser Christina Nguyen Raquel Phiilips _______________________ Projects: Achieve, ACT, iStart, Options, PACT, PIRE, Skin Watch Main Contact Phone: 814-865-5041 Email: dlp20@psu.edu Project Options Enhancing Patient Communication Among Dermatologists R03 CA144435-01 – NIH/NCI Principal Investigator: Kimberly Mallett, Ph.D. Co-Investigator: Rob Turrisi, Ph.D. Collaborators: June Robinson, M.D. (PI-NWU); Elizabeth Billingsley (Co-I PSHMC); Aimee Read, B.S. (Project Coordinator-PSU) Project Skin Watch A Comparison of Intervention Methods to Teach Melanoma Patients Skin Self-Examination R01 CA154908-01 – NIH/NCI Principal Investigator: June Robinson, M.D. (NWU) Co-Investigator: Rob Turrisi, Ph.D. (PI-PSU); Kimberly Mallett, Ph.D. (Co-I-PSU) Collaborators: Aimee Read, B.S. & Sarah Favero, M.S. (Project Coordinators-PSU); Rikki Gaber, B.A. (Project Coordinator-NWU) Project iStart An Appearance-Based Intervention to Reduce Teen Skin Cancer Risk R01 CA134891-02 – NIH/NCI Principal Investigator: Joel Hillhouse, Ph.D. (ETSU) Co-Investigator: Rob Turrisi, Ph.D. (PI-PSU) Investigators: Michael Cleveland, Ph.D., Kimberly Mallett, Ph.D. Collaborators: Katie Baker, M.P.H. (ETSU); Sarah Favero (Project Coordinator–PSU) *Additional projects include numerous non-RO1 grants, F31s, supplements and CYFCs – Projects Style, PET, Stand-Out This project was designed to examine how well medical doctors can deliver the brief, 2- to 3-minute ABC (Addressing Behavior Change) method of physician-patient communication during a routine office visit. - PSHMC intervention site; NWU control site All patients completed a brief survey assessing communication and use of sunprotective behaviors Findings include: - MDs successfully delivered ABC method with fidelity at 6-month follow-up. - Patients who received the intervention reported greater satisfaction with their care and had stronger intentions to increase use of sunscreen and sun-protective behaviors. Next Steps: An R21 seeking to examine patient outcomes of the ABC Method was submitted for funding and received a promising score; revise and resubmit is scheduled for October 2012. Recent Publications: • Mallett, K. A., Turrisi, R., Billingsley, E., Comer, C. D., Read, A., Varvil-Weld, L., Garber, R., Favero, S., Guttman, K., & Robinson, J. (2012). Enhancing patients’ satisfaction and sun protective behaviors using the ABC method of physician-patient communication. Archives of Dermatology, In press. • Mallett, K. A., Turrisi, R., Guttman, K., Read, A., Billingsley, E., & Robinson, J. (2011). Assessing dermatologists’ ability to deliver a novel intervention to improve patients’ use of sun protection: The ABC method of physicianpatient communication. Archives of Dermatology, 147, 1451‒1453. The purpose of this study is to enhance the ability of patients with a history of melanoma and their partners to detect future melanomas through the use of skin self-examinations. Extension of R21 CA103833 A -Intervention site: NWU; Subcontract site: PSU -Three groups: In-person intervention, Workbook intervention, Control - Patients are followed for 24 months; with assessments every four months *Baseline data collection is ongoing; original patients have reached the 8-month follow-up mark Recent Publications: • Robinson, J. K., Turrisi, R., Stapleton, J., Mallett, K., & Martini, M. (2011). Aids to detection of changing pigmented lesions during partner-assisted skin examination. Journal of the American Academy of Dermatology, 64, 1186‒1188. • Robinson, J. K., Turrisi, R., & Stapleton, J. (2007). Efficacy of a partner assistance intervention designed to increase skin self-examination performance. Archives of Dermatology, 143(1), 37‒41. PMID: 17224540. Project iStart, a collaboration with East Tennessee State University, is a web-based, appearance-focused intervention directed at a nationally representative sample of high school girls with a goal of reducing tanning intentions, frequency, and the overall percentage of users while increasing sun protective behavior. Extension of ACS RSGPB CPPB-109015 -Participants are recruited through Knowledge Networks; intervention delivered via a strategically designed website designed by Marketing Strategies, Inc. -Two-year, longitudinal design -Identifies tanning behaviors of participants’ mothers -Aims to identify subgroups for whom the intervention is more effective, such as having a mother who tans, peer group affiliation, or year in school *Data collection is ongoing Recent Publications: Hillhouse, J., Turrisi, R., Stapleton, J., & Robinson, J. (2008). A randomized controlled trial of an appearance-focused intervention to prevent skin cancer. Cancer, 113(11), 3257‒3266. PMID: 18937268. Stapleton, J., Turrisi, R., Hillhouse, J., Robinson, J. K., & Abar, B. (2010). A comparison of the efficacy of an appearance-focused skin cancer intervention within indoor tanner subgroups identified by latent profile analysis. Journal of Behavioral Medicine, 33, 181‒190. Project Achieve A Longitudinal and Person-Centered Study of College Alcohol Consequences R01 AA021117-01A1 – NIH/NIAAA Principal Investigator: Kimberly Mallett, Ph.D. Co-Investigators: Rob Turrisi, Ph.D., Michael Cleveland, Ph.D. Collaborators: Racheal Reavy, Ph.D., Aimee Read, B.S. & Sarah Favero, M.S. (Project Coordinators) Project PACT Project ACT Parent Based Interventions to Prevent Student Drinking R01 AA015737-05 – NIH/NIAAAA Principal Investigator: Rob Turrisi, Ph.D. Co-Investigator: Kimberly Mallett, Ph.D. Investigator: Michael Cleveland, Ph.D. Collaborators: Aimee Read, B.S. (Project Coordinator) A Longitudinal Study of Parent Communication with College Students about Alcohol R01 AA012529-09A1 – NIH/NIAAA Principal Investigator: Rob Turrisi, Ph.D. Co-Investigator: Kimberly Mallett, Ph.D. Collaborators: Mary Larimer, Ph.D. (PI-UW); Michelle Hospital, Ph.D. (PI-FIU); Sarah Favero, M.S. (Project Coordinator–PSU) Project Zero-Tolerance (PIRE) A Community Based Zero Tolerance Program: Completing the Model of Minimal Legal Drinking Age Enforcement R01 AA017186-01A2 – NIH/NIAAA Principal Investigator: Rob Turrisi, Ph.D. Investigators: Kimberly Mallett, Ph.D., Michael Cleveland, Ph.D. Collaborators: Mark Johnson, Ph.D. (PI-PIRE); Eileen Taylor, M.S. (Project Coordinator–PIRE); Aimee Read, B.S. (Project Coordinator–PSU) *Additional projects include numerous non-RO1 grants, F31s, supplements and CYFCs – Projects ABCs, Emerge, Engage, Event-Level Analysis, Exceed, MADD, PATS, Result Recent Publications: Mallett, K. A., Varvil-Weld, L., Turrisi, R., & Read, A. (2011). Willingness to experience consequences as a unique predictor of alcohol problems. Psychology of Addictive Behaviors, 25, 41‒47. PMID: 21219039 Mallett, K. A, Marzell, M., & Turrisi, R. (2011). Is reducing drinking always the answer to reducing consequences in first year college students? Journal of Studies on Alcohol and Drugs, 72, 240‒246. PMID: 21388597 The purpose of this study is to examine processes by which parent communication affects student drinking outcomes throughout the entire college experience. Patterns that emerge while individuals are under the legal drinking age on through age 21 are examined. - Multi-site (PSU, UW, FIU) Longitudinal design (4 surveys over 4 years) Examines both parent and student responses Examines contextual changes Large Latino subgroup (FIU) Recent Publications: Turrisi, R., & Ray, A. E. (2010). Sustained parenting and college drinking in first-year students. Developmental Psychobiology, 52(3), 286‒294. PMID: 20213752. Varvil-Weld, L., Turrisi, R., & Mallett, K. (2012). Predicting membership in a high risk subset of college students experiencing diverse and repeated alcohol-related consequences: Focus on protective and risky parenting behaviors. Journal of Studies on Alcohol and Drugs, 73, 434‒443. This study was designed in conjunction with the Pacific Institute for Research and Evaluation (PIRE) as an intervention to prevent underage drinking and driving. - Implements an enforcement and publicity zero-tolerance program in State College, PA and Morgantown, WV. Includes increased sobriety checkpoints, use of passive alcohol sensors, publicity and media advocacy. Program will be evaluated using driver and pedestrian surveys on campus and downtown. * The final year of data collection and Morgantown’s intervention period will begin in Fall 2012. - Seven currently funded grants; 10 clinical RTC trials in the past 5 years - Several R21s, F31s, R01 supplements, CYFC grants - Manuscripts and presentations—busy, busy, busy… - Launching new projects Welcoming new faculty members Grants awaiting funding Expansion in new building - Thanks to our sponsors at NIAAA, NCI, ACS, NIDA University Life Study and British Cohort Studies Updates Presenter: Meg Small PI: Jenn Maggs http://prevention.psu.edu/people/University_Life.html PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY University Life Study NIAAA, 2006‒2012 • Q: Alcohol use and sex across days and college: For whom / under what conditions are they linked? • Data collection 14 days x 7 semesters x 750 people, completed 2010 • Paper writing phase – active and growing • Spring break • State Patty’s day crime • Eating/exercise ▪ Positive affect & drinking ▪ Consequences of sex (Pos and Neg) ▪ Talking with parents Investigators: Maggs, Lefkowitz, Small Collaborators: Patrick (UM), Vasilenko, Abar (Brown), Howard (UNC), Lanza ULS New Developments • Energy drinks + alcohol, R21 (NIAAA), 2012‒2014 to Patrick & Maggs • PAMT postdoctoral fellow Fairlie • NICHD proposal development for R01 on sexual health by Lefkowitz & Vasilenko British Cohort Studies NIAAA, 2010‒2014 Prevalence, predictors, and consequences of alcohol use across the life span • Predictors of alcohol use onset – Age 11 data collection ½ completed • Is light/moderate adult alcohol use beneficial? – 3 cohorts, recruited at birth in 1958, 1970, 2001 Penn State: Maggs, Staff, Morgan Partners: Centre for Longitudinal Studies (London), University of Michigan (Patrick, Schulenberg) PAMT Update Presenter: Ed Smith PIs: Mark Greenberg, Linda Collins, Ed Smith http://methodology.psu.edu/pamt/ PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Training Projects PAMT (Prevention And Methodology Training) Program NIH/NIDA The PAMT program (T32) produces scientists trained in the integration of prevention and statistical methodology. Pre- and post-doctoral positions in this program present a unique opportunity for highly motivated pre- and post-doctoral students to continue their training in a synergistic environment that includes highly qualified prevention scientists and methodologists from the Prevention Research Center and the Methodology Center. Greenberg, Collins, Ed Smith PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY PAMT 2012–2013 PAMT has received four more years of funding! • 38 program faculty in 4 colleges (HHD, LA, Science, AGSCI) • Departmental partners have included/currently include Human Development & Family Studies, Biobehavioral Health, Recreation, Park, & Tourism Management, Communication Arts & Sciences, and Neuroscience (Huck) • Dual-mentoring of each pre- and post-doctoral fellow by prevention and methodology faculty—each is advised by at least one faculty member in each area, and often more than one • Strong, demonstrated commitment to recruiting underrepresented pre- and post-doctoral students--from 2009‒2010 to 2011‒2012, 5 of 13 pre-docs and 1 of 6 post-docs were from underrepresented groups. PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY More on PAMT . . . Summary of Productivity of PAMT Training Program Trainees, 2005–2010 Pre-doctoral Fellows 13 Post-doctoral Fellows 7 NRSA’s Awarded 6 Other Grants Awarded to Fellows 1 SPR Cups* 2 Journal Articles Published or in Press 89 Presentations or Posters at Conferences 122 *Another SPR Cup was won this year! PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY New Training Components • Structured formal review process for each fellow focused on publications, grant writing, and other accomplishments (3/year, pre-docs; 4/year, post-docs) • R03 “boot camp” for post-docs • Informal work/discussion groups on several cuttingedge methodological/prevention topics • Increased efforts to involve fellows in international prevention and methodological research • Increased attention to dissemination, implementation, and services research/new statistical models to fit related research issues Class of 2012–2013 Pre-doctoral Fellows Post-doctoral Fellows Katherine Bamberger (HDFS) Brea Burger (BBH) Lauren Connell (BBH) Jacqueline Cox (HDFS) David DuPuis (Neuro) Jason Scott (RPTM) Elizabeth Weybright (HDFS) Yao Zheng (HDFS) Anne Fairlie Keri Jowers Sara Vasilenko PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Family Foundations Update Presenter and PI: Mark Feinberg http://prevention.psu.edu/projects/Coparenting_Pubs.html PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Efficacy Projects This NICHD-funded project is assessing the efficacy of a transition-toparenthood class series for expectant, first-time parents. The key innovation is to focus on enhancing the coparenting relationship, based on a conceptual model of the domains of coparenting and the key role of coparenting in each parent’s adjustment (depression, stress), parenting quality, and child adjustment and outcomes. In a second trial now, the classes are integrated with standard childbirth education, and implementation partners are located in Hershey, Delaware, and Texas. Feinberg, Jones, Hostetler, Paul, Marshall PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Family Foundations program • 5 prenatal and 4 postnatal classes • Co-led by female childbirth educator and male facilitator • Implemented by childbirth education departments in local hospitals, although could be implemented in a range of settings • Engaging mix of discussion, video vignettes, couple exercises PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Outcomes of first FF trial The Good News . . . The Bad News . . . • Positive impact on parents’ coparenting relationship • We failed to measure interparental violence at post-test/follow-up • Reduced parental stress, increased parental efficacy, decreased mother depression • Sample was majority White • Increased parental warmth and reduced negativity, harshness, and over-reactivity • Although wide range of income from poor to rich, many were middle-class • Increased infant self-regulatory capacity, better social-emotional functioning and lower behavior problems at child age 3 • Lower family aggression, including mother physical aggression to children, for families where parents had more prenatal conflict PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY FF Adaptations, Spinoffs Current • DVD/workbook home-study version (small business, NIH) • FF adapted and integrated into prenatal home visiting programs (Cinn. Medical School, NIH) • FF adapted for low-income, urban teen parents (Children’s National Medical Center, D.C., HHS) • Interactive, web-based version for military reserve couples – (PSU: pending funding award, NIH) Proposed • FF adapted for couples w/ autistic child (U. of South Carolina, proposal submitted, NIH) • FF adapted for couples at risk of violence (proposal, NIH) • Web-based fatherhood promotion, multi-component system (with National Fatherhood Initiative, NIH or foundations) PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY FF Dissemination Reviews and Ratings • NREPP (National Registry of Evidence Programs and Policies) – High ratings for rigor of research and dissemination readiness • Parenting Toolkit (UK) – High ratings on research and dissemination Projects • 12 UK cities, funded by the UK Ministry of Education. • U.S. Department of Defense for active-duty military families starting this fall in a train-the-trainer model PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY New Family Research Projects Presenter and PI: Greg Fosco PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Greg Fosco, Ph.D. PRC Fall Retreat, August 22, 2012 In Progress: Understanding Fathers in Family Interventions: An Examination of Participation, Engagement, and Outcomes Proposed: Family Mechanisms of Adolescent Well-Being: Implications for Early Adult Health Supplement to Coatsworth et al.’s SFP/MSFP RCT SSRI funding granted January 2012 Data collection began in spring 2012 Additional groups to occur fall 2012 Submitted in response to the Healthy Habits PA: mechanisms of influence that promote sustainable positive behavior, interest in health outcomes Secondary Data Analysis Grant Using Prosper In-Home Sample 979 Families intensive mother, father, youth interviews 5 waves, 6th‒9th grades Long-term follow-up at age 19, 20 Whole Family Conflict, Cohesion Healthy Lifestyle Adolescent Subj. Well-Being Interparental Conflict Effective Parenting & Involvement Middle School, Grades 6‒8 High-Risk Sexual Beh. Adjustment Problems Substance Use Problems Grade 9 Early Adulthood Family Life Project Update Presenter: Maureen Ittig Penn State PI: Mark Greenberg http://prevention.psu.edu/projects/Family_Life.html PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Dissemination/Implementation Projects The Family Life Project is a longitudinal study of family life, child development, rurality, and poverty. Conducted collaboratively by the University of North Carolina at Chapel Hill and Penn State University, it is funded by the National Institutes of Health and the National Institute of Child Health and Human Development. Vernon-Feagans, Greenberg, and the Family Life Project Investigators PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY 2002–2012 Mission: To better understand how child characteristics, family life, quality of schooling, and community conditions interact to contribute to the growth and development of rural children in America. • •2003: Began recruiting and following nearly 1300 children in three counties in North Carolina and three in Pennsylvania. • Data collection: Conducted 12 home visits since birth, along with biannual school observations and assessments since pre-school. • 2012: Currently the children are entering 3rd grade. Nearly 60% of the sample are considered either low income (101‒200% of FPL) or poor (100% or below FLP). Over 40% non-White. PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Current Project Structure PreK‒Grade 3 • Project I: Temperament, Psychobiological, and Cognitive Predictors of Competence. – Led by Clancy Blair, NYU and Mark Greenberg, PSU • Project 2: Learning in Context: Family, School, and Extracurricular Influences on Low-Income, Nonurban Children’s Literacy Trajectories. – Led by Lynne Vernon-Feagans, UNC and Margaret Burchinal, UNC • Project 3: Family Processes in the Transition to School in Poor, Rural Communities. – Led by Martha Cox PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY The Future of FLP. . . • Currently preparing to visit the majority of children in 3rd grade this coming school year. • Positive Score on Phase 3—Waiting to hear about refunding • If refunded, FLP will: –follow the children and families through 6th grade –Continue to explore child development and family life in the contexts of poverty and rurality –Add a 4th project focused on the study peer relationships • Led by Karen Bierman and Scott Gest, PSU • Other grants currently under review include: –Study of Immunological Risk and Behavior –Study of Obesity and Effects of Stress and Poverty PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Afterschool Projects Update Presenter and PI: Emilie Smith http://www.hhdev.psu.edu/hdfs/labs/legacy PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Emilie Smith, Wayne Osgood, Linda Caldwell, Howard Rosen, Daniel Perkins In partnership with the Survey Research Center, Hempfield Behavioral Health, Paxis Institute and Promise Neighborhoods Research Consortium Funded by NIH/NIDA, William T. Grant, and Wallace Foundation More and more children are using afterschool programs Afterschool programs help to serve working, dual-career, and singleparent families (especially given welfare reforms) Ethnic minority youth and families disproportionately subscribe to afterschool Afterschool provides a lesser-tapped opportunity for both prevention and promotion Theory of Change Logic Model: Fostering Appropriate Structure and Support in Afterschool Settings CONTEXTUAL INFLUENCES •Program Mission •Program Infrastructure ACTIVITIES •Promote structure and support in afterschool •Staffing •Training on PAX-GBG •Neighborhood/ Community Factors •Collaborative visioning and goal-setting •Socio-Cultural Context •Weekly consultation and support OUTPUTS •Staff shared norms •Implementa tion of PAXGBG •Improved Staff structure and support •Staff shared collective efficacy PROXIMAL OUTCOMES IMPACT: LONGTERM OUTCOMES •Youth shared norms, expectancies •Reduced chaos, overcontrol) •Supportive adult and youth relationships •Decreased youth problem behavior and adjustment •Youth Collective efficacy •Positive Youth identity and acculturation Sample of Settings, Children, Staff and Directors # Programs Observ ations Children Directors Staff COHORT 1 24 212 226 22 53 COHORT 2 20 159 200 13 44 COHORT 3 31 194 289 31 125 TOTAL 75 565 715 66 222 4 Developmental Model of Children’s Collective Efficacy, Adjustment, and Behavior Wave 1 and Wave 4 Grade -.02 e2 SDQ Difficulties Scale Gender .21 -.27 .21 .34 COLLECTIVE EFFICACY -.34 e4 like to try smoking someday? Fit Index x2 CFI RMSEA .76 .01 tried smoking already? Collective Efficacy Model 7.92(7), p>.05 1.00 .00 e1 e5 There is promise that we can strengthen afterschool programs! Prosocial Behav Problem Behav Scholarship • Halgunseth, L. C., Carmack, C., Childs, S., Caldwell, L. L., Craig, A., & Smith, E. P. (2012). Using the interactive systems framework in understanding the relation between program capacity and implementation in afterschool settings. American Journal of Community Psychology. DOI: 10.1007/s10464-012-9500-3. • Flaspohler, P., Wandersman, A., Puddy, R., Lesesne, C., & Smith, E. P. (2012). The Interactive Systems Framework: Introduction to the special issue. • Hynes, K., Smith, E. P., & Perkins, D. F. (2009). Piloting a school-based intervention in after-school settings: A case study in science migration. Journal of Children’s Services, 4(3), 4-20. • Smith, E. P. (2007). The role of afterschool programs in promoting positive youth development. Journal of Adolescent Health, 41,219-220. • Smith, E. P., Osgood, D. W., Caldwell, L. L., Hynes, K., & Perkins, D. F. (under review). Collective efficacy, adjustment, and problem behavior among children, in community-based afterschool. American Journal of Community Psychology. • Johnson, K., Vandiver, B., & Smith, E. P. (under review). The relation between school connectedness and problem behaviors among ethnic minority elementary school youth in afterschool: Implications for prevention and research. • Smith, E. P., Osgood, D. W., & Oh, Y. (under preparation). Measuring afterschool quality using settings-level observational approaches. • Rosen, A., Hahn, T., Moulder, L., & Schraudner, J. (under preparation). Building rapport for prevention programs: Coaching strategies for after school staff. International Journal of Emotional Education. • Witherspoon, D., Lindeke, L., & Smith, E. P. (under preparation). Context matters: Neighborhoods, racial attitudes, and school-aged children’s well-being. • Witherspoon, D., Vandiver, B., & Smith, E. P. (under preparation . School-aged children’s perceptions of their neighborhoods: An examination of factor invariance across cultural groups. • Rosen, A., Hahn, T., Moulder, L., & Schraudner, J. (under preparation). Building rapport for prevention programs: Coaching strategies for after school staff. International Journal of Emotional Education. • Smith, E. P. , Childs, S., et al., (under preparation). Recruitment and Retention of Diverse Youth and Adults in Afterschool Programs. New Frontiers Sites combining PaxGBG and service learning in new states Information systems for afterschool programs using technology from project (PDA’s, web-based information systems, Ruggid laptops) PaxHome pilot – outreach to families using books with GBG principles Statewide QRIS – nominated to board establishing quality standards for older youth in afterschool HealthWise Update Presenter and PI: Linda Caldwell http://prevention.psu.edu/projects/HealthWiseII.html PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Funded by: At University of the Western Cape: Joachim Jacobs Lisa Wegner Tania Vergnani Insaaf Evans Nathan Kayser At University of Cape Town: Catherine Matthews At Penn State: Caldwell, PI Ed Smith, Co-PI John Graham Linda Collins Damon Jones Donna Coffman Elizabeth Weybright Jacqueline Cox What is HealthWise? • Comprehensive curriculum for 8th and 9th graders – Increase positive free time use and experiences – Increase self-awareness – Increase positive communication with others – Establish and maintain healthy relationships – Reduce substance use – Reduce risky sexual behavior What have we done so far? • Pilot during 2001‒02 – Goal: Does HW make sense and can we improve? • HealthWise 1 between 2003‒09 – Goal: Is HW effective? • Positive research findings (5 years of data) – 3 cohorts, 7 waves of data And Now? • Understand factors that influence implementation quality Teacher survey & daily diary Video recordings Student surveys netbooks SCENARIOS VIR RISIKO-DILEMMAS 1 Sunica hang saam met ‘n groep van haar vriende by ‘n winkelsentrum rond. Hulle is in ‘n winkel en voor Sunica dit weet, steel n hele paar van haar vriende goed uit die winkel en hulle sê vir haar as sy dit nie ook doen nie, wil hulle nie meer met haar vriende wees nie. Wat moet sy doen? RISK DILEMMA SCENARIO 4 Kanisha just moved to a new school and is a star on the track team. She decides to go to the school dance with some new friends on the team. While at the dance with her friends, several of her friends suggest that they all go outside to smoke dagga. Table D.1 Experimental Design Independent variables Experimental group Enhanced Training Support Enhanced Environment No. of schools 1 Yes Yes Yes 7 2 Yes Yes No 7 3 Yes No Yes 7 4 Yes No No 7 5 No Yes Yes 7 6 No Yes No 7 7 No No Yes 7 8 No No No 7 Total Schools: 56 Pilot in 3 Schools • Boys—57% (n=386) • Girls—43% (n=291) • • • • Black—70.8% (n=468) Coloured/Multi-racial —22.8% (n=151) White—5.6% (n=35) Indian & Other—1% (n=7) Wave 1 Data • 56 Schools • 108 Teachers • 10,376 students: 47.2% boys, 52.8% girls • Afrikaans—49.2% (n=5,080) • English—42.4% (n=4,251) • Xhosa—40.9% (n=4,242) • Coloured/Multi-racial — 47.8% (n=4,896) • Black—42.4% (n=4,346) • White—7.6% (n=781) • Indian & Other—2.2% (n=224) Head Start REDI Update Presenter: Rob Nix PI: Karen Bierman http://prevention.psu.edu/projects/Head_Start_REDI.html PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Karen Bierman Celene Domitrovich Robert Nix Scott Gest Janet Welsh Sukhdeep Gill Damon Jones 1 Research Design 356 4-year-old children in 44 Head Start (HS) classrooms Classrooms randomly assigned to intervention or “usual practice” control conditions Intervention classrooms received intensive teacher mentoring and an enhanced, integrated curriculum targeting children’s emergent literacy skills, self-regulation, and positive social behavior 2 Intervention Effects on Teaching Quality Observations of teachers in intervention classrooms revealed significantly better: Instructional support Emotional support Positive discipline/classroom management Use of complex language (e.g., questions and decontextualized statements) 3 Intervention Effects on Child Functioning Direct testing, observations, and teacher/parent ratings showed significant differences, favoring REDI children, on: Vocabulary Emergent literacy skills Emotion understanding Competent problem solving Positive social behavior (e.g., high prosocial behavior and emotion regulation and low aggression) Learning behaviors 4 Unpacking Effects: Children Benefit as the Result of High-Quality Teaching Practices and the REDI Curriculum REDI with High-Quality Teaching “Usual Practice” with High-Quality Teaching REDI with Lower-Quality Teaching .13+ -.07 .03 .37*** .03 .37** Emotion Recognition Skills .28* .06 .17 Social Problem-Solving Skills .35* -.02 .33 Observed Social Competence .39* .32 .45+ Observed Aggression -.36+ -.46* -.49+ Vocabulary Emergent Literacy Skills Comparison Group is “Usual Practice” with Low-Quality Teaching 5 Sustained Intervention Effects on Child Functioning in Kindergarten Teacher/parent ratings showed significant differences, favoring REDI children, on: Social competence Aggression Inattention Learning behaviors Student-teacher relationships Indirect effects on literacy-related outcomes, but no main effects 6 Improvements in Social-Emotional Skills During HS Uniquely Predict Reading Achievement in Kindergarten Vocabulary Change During HS Emergent Literacy Change During HS .25* .14** .49*** HS REDI Intervention Status Emotion Understanding .36** Change During HS .36** .33** .18*** .20*** .17*** Reading Achievement in Kindergarten Competent Problem-solving Change During HS Positive Social Behavior Change During HS 7 REDI Intervention Effects on Developmental Trajectories Through Third Grade Intervention significantly increases likelihood of being in highincreasing trajectory of social competence (35% vs. 21%). Similarly positive results for trajectories of aggression, inattention, peer victimization, learning behaviors, and student-teacher relationships. Next Generation: REDI-Parent The parents of 200 children in HS REDI classrooms randomly assigned to receive home visits or self-study materials When parents receive intervention focused on positively supporting children’s learning, their children do better in transition to kindergarten 9 New Projects/Initiatives Bo Cleveland Lisa Kopp Chuck Geier PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY gPROSPER Presenter and PI: Bo Cleveland PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY New Projects gPROSPER AKA: Implications of Genetic Variance for Substance Use Interventions This NIDA-funded project is designed to investigate the moderation of the effects of a substance use intervention on the development of substance use behaviors across adolescence and into early adulthood. It leverages the community-level randomized design of the PROSPER study to examine geneenvironment interactions linked to intervention status without the confound of gene-environment correlations. Cleveland (M-PI), Vandenbergh (M-PI), Feinberg, Neiderhiser, and Greenberg PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY gPROSPER Conceptual Framework: How genes may influence substance use and transact with intervention, family, and peer factors PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY gPROSPER Data Collection Framework PROSPER and Follow-up Supplement Adolescent PROSPER Adolescent In-School Surveys N = 8,000 gPROSPER DNA collection N = 2,400 Supplemental Early Adult Interviews N = 900 Follow-up Sample gPROSPER Supplemental Sample In-Home Sample N = 538 (in-home) Sample w/ both DNA and adolescent interviews N = 2,500 -- 3,000 Analysis Data Sets Follow-up Early Adult Interview N =1,500 Adolescent and Early Adult Interviews w/ DNA N = 2,450-2,468 PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY gPROSPER: 2011‒2012 Accomplishments and Goals • Spring and Summer 2012: Collected DNA from “Follow-up” subsample • Summer 2012: Began Genotyping of 560 In-Home participants • Affymetrix 318 thousand exon array • September: Genotyping of VNTR genes and promoters (e.g., DRD4, 5httlpr) • Fall 2012: • Begin “Supplemental” subsample DNA collections and Early Adult Interviews • Begin analyses of genetic moderation of intervention effects on In-Home subsample PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY ACE (Assessing Cost Estimation) Presenter and PI: Lisa Kopp PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY ACE (Assessing Cost Estimation) This project will assess Pennsylvania-based families in the Family Life Project in order to understand how genetic factors interact with biological and experiential environmental factors to influence risky decision-making and impulsivity. Funded by the National Science Foundation: CAREER mechanism PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY What is Cost Estimation? •Decision = Reward valuation – cost valuation •“Cost” comes in more than one category • Time (delay discounting) • Effort • Probability •The brain calculates each cost domain independently •Suboptimal decisions are the equifinal product of multiple decisionmaking profiles PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Aim 1: Identify Discounting Profiles Aim 2: Neurodevelopmental Processes Environmental Enrichment Cortisol Genes Hypoxia Dopamine System PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Aim 3: Moderators of Consequence Executive Function Probability Adverse Behavioral and Academic Outcomes Effort Delay Parenting PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Implications • Identify individual differences in how children weight information about costs and benefits of their actions • Inform intervention efforts aimed at behavioral change • Inform policy and practice around optimizing early brain development PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Examining the Influence of Incentives on Inhibitory Control in Adolescent and Adult Smokers Presenter and PI: Chuck Geier PREVENTION RESEARCH CENTER FOR THE PROMOTION OF HUMAN DEVELOPMENT • THE PENNSYLVANIA STATE UNIVERSITY Examining the Influence of Incentives on Inhibitory Control in Adolescent and Adult Smokers Overview: This project aims to characterize the effects of adolescent smoking on basic brain systems underlying decision-making in order to better understand smoking behavior and emerging nicotine addiction Funded by the Penn State Hershey Cancer Institute, SSRI, and Clinical and Translational Science Institute Charles Geier, Ph.D. (HDFS) Steve Branstetter, Ph.D. (BBH) Jonathan Foulds, Ph.D. (MED) Mark Greenberg, Ph.D. (HDFS) Steve Wilson, Ph.D. (PSYCH) Prevention Research Center for the Promotion of Human Development • The Pennsylvania State University Background P >.25 • Smoking remains a leading, preventable cause of cancer-related deaths worldwide • Most want to quit, but few (<7%) are able to maintain prolonged abstinence Nicotine Prevention Research Center for the Promotion of Human Development • The Pennsylvania State University Background P >.25 • Nicotine activates reward pathways • Abstinence after chronic smoking associated with reduced sensitivity to non-drug rewards (e.g., money) P >.25 Ventral Striatum Prevention Research Center for the Promotion of Human Development • The Pennsylvania State University Ventral Striatum Response to Monetary Cues in Adult Non-Smokers and Abstinent Smokers Visual Cortex (Control) * % MR Signal Change % MR Signal Change Ventral Striatum TR * Group by Time, p < 0.01 TR Non-Smokers Smokers Background P >.25 • Why is this important? • May contribute to relapse as smoking becomes relatively more appealing than alternative reinforcers $$$ Smoking Prevention Research Center for the Promotion of Human Development • The Pennsylvania State University Background • Limited understanding of effects of nicotine on brain systems during adolescence • Most smoking starts during adolescent years • Reward and inhibitory control, core elements of more complex decision making, are immature Prevention Research Center for the Promotion of Human Development • The Pennsylvania State University Methods Overview • Aim: Characterize behavioral and brain responses to reward and its effects on inhibitory control in late adolescent (18‒20 yrs.) and adult daily smokers • Functional magnetic resonance imaging (fMRI) • Rewarded antisaccade task– assess reward and its influence on inhibitory control • Two testing sessions: – Following 12-hours verified abstinence (“ABSTINENT”) – After smoking as usual (“SATIETY”) Prevention Research Center for the Promotion of Human Development • The Pennsylvania State University Research Questions • Will adolescents show greater abstinence-related reward deficits compared to adults? • Or, will their hyper-active reward systems ‘compensate’ during these periods of withdrawal? • Reward function as biomarker for dependence severity? • Findings will advance theoretical models of emerging nicotine dependence during adolescence – Age-specific treatment, prevention efforts Thank you! Prevention Research Center for the Promotion of Human Development • The Pennsylvania State University