December 14, 2018: Guiding Good Choices for Health (GGC4H): Testing Feasibility and Effectiveness of Universal Parent-Focused Prevention in Three Healthcare Systems (Richard F. Catalano, PhD, Margaret Kuklinski, PhD, Stacy Sterling, DrPH, MSW)


Richard F. Catalano, PhD, MPI GGC4H
Co-Founder, Social Development Research Group
Professor, School of Social Work
University of Washington

Margaret Kuklinski, PhD, MPI GGC4H
Research Scientist
Social Development Research Group
School of Social Work
University of Washington

Stacy Sterling, DrPH, MSW, MPI GGC4H
Research Scientist
Drug and Alcohol Research Team
Behavioral Health Research Initiative
Kaiser Permanente Northern California Division of Research


Guiding Good Choices for Health (GGC4H): Testing Feasibility and Effectiveness of Universal Parent-Focused Prevention in Three Healthcare Systems


Guiding Good Choices; GGC4H; Healthcare systems; Pediatric primary care; Adolescent health; Evidence-based parenting programs; Pragmatic clinical trial; Demonstration Project

Key Points

  • By the time they leave high school, 20% to 25% of adolescents will meet criteria for depression, while many others will engage in health-compromising behaviors like delinquency and violence—with consequences for their long-term health.
  • Guiding Good Choices is a parenting program for parents of early adolescents ages 11-14 that has been evaluated in 2 randomized clinical trials and shown to reduce adolescent alcohol, tobacco, and marijuana use; depression; and delinquent behavior. It also strengthened parenting practices and parent–adolescent relationship quality.
  • The GGC4H Demonstration Project is a cluster-randomized trial that will use the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework to test the feasibility and effectiveness of implementing Guiding Good Choices. GGC4H will engage in a novel multisite partnership between Guiding Good Choices developers and 3 large, integrated healthcare systems.

Discussion Themes

Although there is overwhelming evidence that the GGC4H program will work, stakeholders have not yet begun implementing. As ongoing conversations with clinical leaders and stakeholders take place, outcomes, services utilization, and cost analysis can help strengthen the case for implementation.

Enrollment is controlled by the investigative team so that the possibility of crossover from families in the control arm is diminished.

There may be other programs similar to Guiding Good Choices, promoted by the CDC as well as local communities and schools, that may influence the findings of this trial. The study team is making an effort to gain perspective on the impact of GGC4H specifically and reduce the possibility of contamination from other programs.

For more information, visit the GGC4H Demonstration Project on the Living Textbook.


@Collaboratory1, @UW, @KPShare, #healthcare, #depression, #adolescents, #clinicaltrials, #pctGR

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