Predictors of Attendance Patterns in a Universal Family‑Based Preventive Intervention Program

Achieving sustained engagement in family-based preventive intervention programs is a serious challenge faced by program implementers. Despite the evidence supporting the effectiveness and potential population-level impacts for these programs, their actual impact is limited by challenges around retention of participants. In order to inform efforts to better retain families, it is critical to understand the different patterns of attendance that emerge across the duration of program implementation and the factors that are associated with each attendance pattern. In this study, we identified latent classes of attendance patterns across the seven program sessions of the Strengthening Families Program: For Parents and Youth Ages 10–14 (SFP 10–14). Youth and their parents who attended at least one SFP 10–14 program session together were included in the analysis. Four distinct classes emerged: First-Session Attenders (7%), Early Attenders (9%), Declining-High Attenders (18%), and Consistent-High Attenders (66%). An examination of individual, family, and sociodemographic predictors of class membership revealed that adolescent school bonding predicted families having relatively high attendance, adolescent involvement with deviant peers predicted early dropout, and family low-income status predicted early dropout. Findings point to the need for potential targeted strategies for retaining these groups, such as involving school personnel, employing brief interventions to identify and address barriers at the outset, and leveraging the positive influence of Consistent-High Attenders. Findings also shed light on ways to reach those who may continue to drop out early, such as restructuring program content to address critical material early in the program. This study adds to the growing body of literature that seeks to understand for whom, when, and in which ways program dropout occurs.



Work Title Predictors of Attendance Patterns in a Universal Family‑Based Preventive Intervention Program
Open Access
  1. Emily J. LoBraico
  2. Gregory Fosco
  3. Mark E. Feinberg
  4. Richard L. Spoth
  5. Cleve Redmond
  6. Bethany C. Bray
  1. Family-based program
  2. Attendance
  3. Motivations
  4. Barriers
  5. Latent class analysis
License CC BY-NC-ND 4.0 (Attribution-NonCommercial-NoDerivatives)
Work Type Article
  1. The Journal of Primary Prevention
Publication Date May 20, 2021
Publisher Identifier (DOI)
Deposited August 12, 2022




This resource is currently not in any collection.

Work History

Version 1

  • Created
  • Updated
  • Added Creator Emily J. LoBraico
  • Added Creator Gregory Fosco
  • Added Creator MARK E FEINBERG
  • Added Creator Richard L. Spoth
  • Added Creator Cleve Redmond
  • Added Creator Bethany C. Bray
  • Added LoBraico et al. Predictors of Attendance 2021.pdf
  • Updated License Show Changes
  • Published
  • Updated Keyword, Publisher, Publication Date Show Changes
    • Family-based program · Attendance · Motivations · Barriers · Latent class analysis
    • Family-based program, Attendance, Motivations, Barriers, Latent class analysis
    • The Journal of Primary Prevention
    Publication Date
    • 2021
    • 2021-05-20
  • Renamed Creator Mark E. Feinberg Show Changes
    • Mark E. Feinberg