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Diet Modification NA Continuous Endpoint NCT03517111

The Impact of a Parenting Intervention on Latino Youth Health Behaviors: Complete Statistical Analysis

The registry record describes a randomized, three-group parenting intervention study involving Latino seventh-grade students and a parent. It identifies adolescent recent alcohol intake frequency as the primary outcome, but does not report an analyzed comparison for that outcome.

Trial start: 2018-09-26  ·  Enrollment: 844  ·  Sponsor: Arizona State University
Scope of this record

This page provides an independent statistical analysis and educational interpretation of publicly reported results. ClinicalTrials.gov provides the official trial registry record. Numerical trial results on this page are restricted to the results posted in the ClinicalTrials.gov record; calculations added by Clinical Biostats are labelled as such.

1. Trial at a Glance

This page covers the registry results for The Impact of a Parenting Intervention on Latino Youth Health Behaviors (NCT03517111), a randomized na study. The primary outcome is Adolescent Recent Alcohol Intake Frequency.

844
Enrollment
NA
n/a
Arms
In the primary outcome
n/a
Effect
No re-analysis shown
n/a
95% CI
See limitations
FeatureRegistry value
ClinicalTrials.gov identifierNCT03517111
PhaseNA
ConditionDiet Modification, Substance Use Disorders, Diabetes Mellitus Risk
AllocationRandomized
Design modelParallel
MaskingNone (open label)
Enrollment844
Arms in the primary outcomen/a
Lead sponsorArizona State University
Results postedYes

2. Clinical Question

Population

The study enrolled pairs consisting of Latino seventh-grade students and one parent. The primary outcome analysis population is described as adolescent participants only. The registry record lists enrollment of 844, but does not report how many adolescents contributed primary-outcome data at each measurement time.

Intervention

One program combined parenting and nutrition content while targeting substance-use prevention. A second program provided parenting content focused on substance-use prevention only. Parents attended the intervention sessions; students and parents provided data for assessing study outcomes.

Comparator

The comparison program focused on academic success. The registry describes random assignment to the three programs but does not report the allocation ratio or the procedures used to generate or conceal the assignment sequence.

Primary question

The primary outcome is adolescent recent alcohol intake frequency: how many times in the past 30 days the student drank more than a sip of beer, wine, or liquor. The study planned measurements at baseline and two follow-up periods. The registry record does not report outcome estimates or an inferential comparison, so it does not establish how the groups differed on this measure.

3. Trial Design

This was a randomized, parallel-group study with no masking listed in the registry record. The three behavioral programs were a nutrition and substance-use prevention intervention, a substance-use prevention intervention without the nutrition component, and an academic-success comparison program. The registry describes participants as pairs of seventh-grade students and one parent. Only parents attended intervention sessions, while data were collected from both the parent and student.

The listed enrollment was 844. The record gives a start date of 2018-09-26 and a primary completion date of 2022-03-31, and lists the study status as terminated. It does not explain the reason for termination, or report whether enrollment or follow-up ended as planned. The phase is listed as NA.

The study’s stated purpose was to examine whether a parenting program could address substance-use prevention alongside healthy eating. Its stated hypotheses anticipated improved nutrition habits with the nutrition-enhanced program and lower substance-use rates in both parenting programs than in the academic-success program. These are hypotheses, not results. The registry record does not report an analyzed comparison that tests them.

The record lists 41 outcome measures, including measures related to body size, blood pressure, cholesterol, HbA1c, and diet. It lists zero analyses. Randomization identifies the intended study design, but without reported group estimates and analysis details, the design description alone cannot show the size or precision of any intervention effect.

4. Participant Flow and Accounting

The registry reports how participants moved through each stage of the study. All counts below are exactly as posted; missing counts are not inferred from other stages.

Enrolled

StageNutrition/Substance Use PreventionSubstance Use Prevention OnlyAcademic Success Program
STARTED361222261
Parents215126153
Youth14696108
COMPLETED361221261
NOT COMPLETED010

Reasons for not completing this period:

ReasonNutrition/Substance Use PreventionSubstance Use Prevention OnlyAcademic Success Program
Withdrawal by Subject010

T1 Survey (Week 0)

StageNutrition/Substance Use PreventionSubstance Use Prevention OnlyAcademic Success Program
STARTED361221261
Parents132125153
Youth10196108
COMPLETED361221261
NOT COMPLETED000

T2 Survey (Week 10-12)

StageNutrition/Substance Use PreventionSubstance Use Prevention OnlyAcademic Success Program
STARTED361221261
Parents1327198
Youth1015776
COMPLETED233128174
NOT COMPLETED1289387

Reasons for not completing this period:

ReasonNutrition/Substance Use PreventionSubstance Use Prevention OnlyAcademic Success Program
Intervention workshops cancelled837860
Lost to Follow-up361223
Did not complete T2 survey, but continued with data collection934

T3 Survey (Weeks 24-26)

StageNutrition/Substance Use PreventionSubstance Use Prevention OnlyAcademic Success Program
STARTED242131178
Parents1197092
Youth965571
COMPLETED215125163
NOT COMPLETED27615

Reasons for not completing this period:

ReasonNutrition/Substance Use PreventionSubstance Use Prevention OnlyAcademic Success Program
Lost to Follow-up27615

Analysis population for the primary outcome, as defined in the registry: Only adolescent participants were included in the analysis

5. Baseline Characteristics

The table reproduces the baseline characteristics posted in the registry, which describe the participants analysed at baseline and help show whether the randomized groups were comparable.

CharacteristicUnitNutrition/Substance Use PreventionSubstance Use Prevention OnlyAcademic Success ProgramTotal
Participants analysed361221261843
Age, Continuous: Parentsyears39.7 (SD 6.913)40.48 (SD 6.937)40.01 (SD 6.894)39.99 (SD 6.906)
Age, Continuous: Youthyears12.46 (SD .825)12.48 (SD 1.02)12.35 (SD .9)12.44 (SD .903)
Sex: Female, Male: Parents – FemaleParticipants251162187600
Sex: Female, Male: Parents – MaleParticipants1105974243
Race/Ethnicity, Customized: Parents and youth – Hispanic or LatinoParticipants345210249804
Race/Ethnicity, Customized: Parents and youth – American Indian/Native AmericanParticipants1135
Race/Ethnicity, Customized: Parents and youth – African American/BlackParticipants1102
Race/Ethnicity, Customized: Parents and youth – Asian/Pacific IslanderParticipants2002
Race/Ethnicity, Customized: Parents and youth – More than one categoryParticipants45514
Race/Ethnicity, Customized: Parents and youth – UnknownParticipants73212
Race/Ethnicity, Customized: Parents and youth – White or AngloParticipants1124
Region of Enrollment: United StatesParticipants361221261843
Adolescent Alcohol Use Frequencyunits on a scale0.05 (SD 0.25)0.14 (SD 0.66)0.10 (SD 0.41)0.09 (SD 0.445)
Adolescent Alcohol Use Amount (past 30 days)units on a scale0.01 (SD 0.08)0.11 (SD 0.56)0.12 (SD 0.54)0.07 (SD 0.427)
Parent predicted intake of whole grainsOunce equivalents per day0.750 (SD 0.335)0.694 (SD 0.254)0.806 (SD 0.618)0.753 (SD 0.431)
Parent predicted intake of total added sugarsTsp equivalents per day16.95 (SD 6.90)16.14 (SD 6.39)16.36 (SD 6.26)16.56 (SD 6.57)
Parent predicted intake of fruit and vegetables (including legumes)Cup equivalents per day2.61 (SD 0.80)2.50 (SD 0.79)2.63 (SD 0.74)2.59 (SD 0.78)

6. Primary Endpoint

The registry lists the primary outcome as Adolescent Recent Alcohol Intake Frequency, measured over (T1) Week 0, (T2) Week 10-12, (T3) Week 24-26.

ElementRegistry entry
Result typeMean
Measure of spreadStandard Deviation
Unitscore on a scale
Endpoint classificationContinuous Endpoint

The primary endpoint is adolescent recent alcohol intake frequency. Students were asked how many times in the past 30 days they had drunk more than a sip of beer, wine, or liquor. The response scale assigns ordered scores from 0, meaning 0 times, through 6, meaning 40 or more times. Intermediate categories distinguish increasing frequency. The registry describes the measure as a mean with standard deviation and gives measurements at (T1) Week 0, (T2) Week 10-12, and (T3) Week 24-26.

This endpoint was chosen to assess a substance-use behavior relevant to the study’s prevention aim. Measuring it at baseline and follow-up allows investigators, in principle, to examine how reported recent drinking changes over time and whether patterns differ among the randomized programs. However, no group means, standard deviations, changes, confidence intervals, or tests are reported in the registry record. The outcome definition and schedule therefore describe what was intended to be measured; they do not indicate what the students reported or whether the groups differed.

Because the scale uses ordered frequency categories, its values represent coded responses rather than exact counts of drinks or drinking occasions. A mean can summarize scores across participants, but by itself does not describe the full distribution of responses. That distinction matters when interpreting an average for a scale with grouped categories, particularly when the underlying response distributions are not reported.

7. Why No Re-analysis Is Shown

Reported as posted, not recalculated. Primary outcome has several categories or time points; not reduced to one comparison. A result is recalculated only when the posted data support a clean two-arm comparison, so no result is shown beyond what the sponsor posted.

8. Statistical Interpretation

Clinical Biostats interpretation

The registry record establishes the study’s design and the definition of its primary outcome, but it does not provide the primary-outcome results needed to estimate an intervention effect. There are no reported group means or standard deviations at the scheduled measurement times, no between-group estimates, and no confidence intervals or p-values. The record lists zero analyses. Consequently, no conclusion about the direction, size, or statistical precision of a difference in adolescent recent alcohol intake frequency can be drawn from the posted registry information.

The listed hypotheses describe what the investigators expected to test: nutrition habits were expected to improve with the nutrition-enhanced program, and substance-use rates were expected to be lower in the two parenting programs than in the academic-success program. These expectations should not be mistaken for observed findings. The primary endpoint concerns recent alcohol intake frequency, but the registry does not report an estimate for any of the planned comparisons or time points.

The record lists enrollment of 844, while the safety entries identify group-specific numbers at risk. Those figures do not supply primary-outcome sample sizes. The primary outcome is limited to adolescent participants, and the number of adolescents with usable measurements at each time point is not reported in the registry record. Nor does the record describe missing outcome data, exclusions, or whether the analysis followed the randomized assignment.

General statistical interpretation: an effect estimate describes the contrast between groups, while a confidence interval indicates the range of values compatible with the data under the analysis assumptions. A p-value addresses how compatible the data are with a specified null model; it is not a measure of clinical importance. None of these quantities is reported for the primary outcome here, so precision and evidence against a no-difference model cannot be assessed.

The terminated status is relevant context, but the registry does not state why the study was terminated or how that status affected data collection and analysis. It would be inappropriate to infer that termination caused a particular result or that planned comparisons were completed. The record supports a description of the intended comparison, not an efficacy conclusion.

9. Statistical Methods Explained

The registry describes a randomized, parallel-group design. Randomization is intended to make assigned groups comparable, on average, with respect to measured and unmeasured baseline factors. That benefit depends on implementation and does not guarantee identical groups in a particular study. The record does not report the randomization sequence method, allocation concealment, or allocation ratio, so those details cannot be evaluated.

What does the primary outcome summarize?

The endpoint is a score based on ordered categories of self-reported drinking frequency during the previous 30 days. The registry specifies a mean and standard deviation as the summary measures. A mean provides a compact description of the average coded score; a standard deviation describes dispersion around that mean. General statistical consideration: when an outcome is made from ordered categories, an average may not convey whether responses cluster in a few categories or are spread across them. Category counts or a distributional summary can add context, but those results are not reported in the registry record.

How would the group comparison be interpreted?

In general, a randomized comparison estimates how outcomes differ between assigned groups, subject to missing data, adherence, and analysis choices. For this study, relevant contrasts could involve either parenting program and the academic-success program, or the two parenting programs against one another. The registry record does not identify which pairwise contrasts were analyzed, report any group estimates, or provide an analysis model. It also does not state whether the primary comparison focused on a particular follow-up time or modeled repeated measurements across time.

General statistical consideration: repeated observations from the same student are correlated rather than independent. An analysis using multiple time points should account for that correlation or specify another appropriate approach. The measurement schedule includes baseline and two follow-up windows, but the registry does not report how those repeated observations were handled.

What do significance levels and confidence intervals tell readers?

General statistical explanation: a significance level sets a threshold for a statistical testing procedure; a p-value measures the compatibility of observed data with a specified null hypothesis and model. A confidence interval conveys uncertainty around an estimated effect under the method used. Neither a p-value nor an interval alone establishes whether a difference is important in practice. The registry record does not report a significance level for the trial’s outcome analysis, p-values, effect estimates, or confidence intervals.

The record describes a separate planning illustration based on an observed effect, with a two-sided significance level of 0.05, equal allocation between two arms, and a normal approximation. The effect to detect is described as a stated fraction of the observed effect. These assumptions describe a planning calculation, not the trial’s own design justification. The record does not report a sample-size justification or the numerical planning results. Such illustrations are not observed power and cannot substitute for the actual outcome estimates or their uncertainty.

Why can over-dispersion matter?

General statistical explanation: over-dispersion occurs when observed variation is greater than a statistical model assumes. If it is ignored, standard errors and tests can be misleading. This concept is relevant to some count or frequency outcomes, but the registry describes this endpoint as a scored scale and does not report a model or diagnose over-dispersion. It would therefore be unwarranted to claim that over-dispersion occurred or affected the results.

For a complete interpretation, readers would need the analyzed sample sizes, group summaries, treatment contrasts, uncertainty estimates, model specification, and account of missing observations. These details are not reported in the registry record. The design and outcome description explain the question and intended measurement, but not the statistical evidence from the trial.

10. Multiplicity, Missing Data and Analysis Populations

The registry lists 41 outcome measures, while the primary endpoint has measurements at three scheduled time points. Considering several outcomes, time points, or group contrasts can create a multiplicity issue: the more statistical tests conducted, the greater the chance that at least one result appears notable by chance if each test is interpreted in isolation. General statistical approaches include defining a limited set of primary comparisons in advance or adjusting inference when appropriate. The registry record does not report a multiplicity strategy, a hierarchy among the outcomes, or the comparisons included in an analysis.

The record lists zero analyses and does not report primary-outcome estimates. It also does not report participant counts with outcome data at each time point, reasons for missingness, imputation methods, or sensitivity analyses. Thus, it is not possible to assess whether missing observations could have affected the comparisons.

The primary outcome population is described as adolescent participants only. The registry does not give additional analysis-population definitions, such as whether participants were analyzed according to randomized assignment, whether adherence was required, or how participants without follow-up measurements were handled. These choices can affect the interpretation of a randomized comparison. Their absence from the registry record means the analysis population and missing-data handling remain unclear; it does not establish that any particular method was or was not used outside the record.

11. Safety Results

The registry reports serious adverse events as affected participants divided by participants at risk.

ArmParticipants with serious adverse eventsParticipants at riskPercentage
Nutrition/Substance Use Prevention03610.0%
Substance Use Prevention Only02220.0%
Academic Success Program02610.0%

Deaths

ArmDeaths (participants affected of at risk)
Nutrition/Substance Use Prevention0 of 361
Substance Use Prevention Only0 of 222
Academic Success Program0 of 261

Other (non-serious) adverse events

Participants with at least one non-serious event at or above the registry's 5% reporting threshold.

ArmParticipants affected of at risk
Nutrition/Substance Use Prevention0 of 361
Substance Use Prevention Only0 of 222
Academic Success Program0 of 261
Do not overextend the safety comparison. Serious-adverse-event counts are safety observations, not efficacy outcomes, and should not be combined with the primary result into a single benefit-risk number.

The registry lists three groups for adverse events: Nutrition/Substance Use Prevention, Substance Use Prevention Only, and Academic Success Program. For each group, the listed number at risk is 361, 222, and 261, respectively. The serious adverse event count is 0 in each group, and the other adverse event count is also 0 in each group. The listed death count is 0 in each group. No serious adverse-event terms are listed.

These entries describe what the registry reports; they are not a comparison of event rates or evidence that no events occurred outside the recorded data. The registry does not explain the event-collection period, definitions, monitoring procedures, or completeness of reporting. It also does not give a narrative account of safety monitoring. A zero count in a registry entry should therefore be read as zero events reported in that entry, not as proof that an intervention is free of risk.

12. What the Result Does, and Does Not, Mean

The registry record identifies a randomized study of three parenting or educational programs and defines a primary measure of adolescent recent alcohol intake frequency. It also records planned assessments at baseline and two follow-up periods. Those details help clarify the research question and the intended outcome measurement.

The record does not report an analyzed primary-outcome comparison, group means, effect estimates, or uncertainty measures. Therefore, it cannot show whether the outcome differed between programs, how large any difference was, or how precisely a difference was estimated. The investigators’ stated hypotheses are not trial findings. The listed enrollment is not a substitute for outcome results, and the adverse-event counts do not answer the primary research question.

General statistical distinction: absence of a reported analysis is not evidence of no effect, and it is not evidence that an effect exists. A result can only be interpreted in light of the estimate, its uncertainty, the analysis population, and the methods used. Those elements are not reported for the primary endpoint in the registry record.

The study status is listed as terminated, but the reason is not reported in the registry record. That status alone does not establish why the trial ended, whether data collection was complete, or whether a particular result influenced the decision. The responsible interpretation is limited to the documented design, outcomes, enrollment, status, and adverse-event entries. No medical or treatment conclusion follows from those details alone.

13. Why This Trial Matters Statistically

This trial is statistically notable for the structure of its question: it planned to compare two parenting programs with an academic-success program and to measure a behavioral outcome in adolescents over more than one time point. The nutrition-enhanced program also creates a distinct comparison with the substance-use prevention-only program. Those comparisons address different questions, so clear specification of the target contrast is important when interpreting results.

The endpoint is a coded frequency score rather than a direct count of drinks. Reporting its group distributions alongside means would help readers understand how students’ responses were distributed across the ordered categories. Repeated measurement also makes it important to explain how observations from the same student were handled. These are general interpretive considerations; the registry record does not report the outcome analysis or its model.

The registry lists 41 outcome measures, making transparent reporting of the primary comparison and any multiplicity strategy especially relevant. It lists zero analyses and provides no primary-outcome estimate or confidence interval. As a result, the record illustrates a distinction central to clinical statistics: a well-defined question and randomized design do not by themselves provide evidence about the size or precision of an outcome difference. The analysis results and their limitations are necessary to interpret what the trial found.

14. Limitations

The most direct limitation for interpreting this trial record is the absence of reported primary-outcome results. No group summaries, contrasts, confidence intervals, or p-values are listed, and the record lists zero analyses. The planned endpoint and follow-up schedule therefore cannot be connected to a reported estimate of change or difference.

Other analysis details are also not reported in the registry record: the randomization procedure, allocation ratio, group-specific primary-outcome sample sizes, handling of repeated measurements, missing-data methods, and analysis population beyond the statement that only adolescents were included. The reason for the terminated status is not reported. These omissions prevent assessment of attrition, analysis choices, and the potential effect of missing observations.

The outcome is based on self-reported drinking frequency recorded in ordered categories. The registry does not report category-level response distributions or discuss measurement limitations. The listed adverse-event counts are zero, but the event definitions and collection procedures are not described in the record, limiting interpretation of those entries. These limitations describe what is unavailable in the registry record; they do not establish that a particular bias or problem occurred.

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18. Record Summary

The registry record describes a randomized, parallel-group study with no masking listed and three behavioral programs: nutrition and substance-use prevention, substance-use prevention only, and academic success. It lists enrollment of 844, a start date of 2018-09-26, primary completion on 2022-03-31, and a terminated status.

The primary outcome is adolescent recent alcohol intake frequency, measured with a score based on past-30-day response categories at baseline and two follow-up periods. The analysis population is described as adolescents only. The record lists 41 outcome measures and zero analyses; primary-outcome estimates and inferential results are not reported. Each group’s adverse-event entry lists zero serious events, zero other events, and zero deaths.

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