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Table 3 Description of the intervention sessions

From: Immigrant family skills-building to prevent tobacco use in Latino youth: study protocol for a community-based participatory randomized controlled trial

Session Participants Goals for the session Example activities
1 Parenting Styles Parents Parents will: Parents will:
· Recognize their own parenting style. · Review a video on parenting styles and discuss.
· Distinguish the key elements of the positive parenting style. · Self-assess their parenting styles and discuss in small groups.
2 Between Multiple Worlds Parents Parents will: Parents will:
· Recognize that their strong family orientation as Latino parents protects against youth risk behavior. · Identify their own cultural values as parents and compare/contrast with those of school and youth.
· Understand that their youth must navigate between family, school, and peer cultures. · Self-assess their own and their youth’s cultural orientation and reflect on differences.
· Learn skills to help their youth navigate across cultures.  
3 Adolescent Development Parents Parents will: Parents will:
· Review normal adolescent development and the need to adapt parenting strategies to developmental stages. · Compare the behaviors of their youth with previous years.
· Contextualize challenging behavior within tasks of adolescent development. · Reflect on why adolescents challenge parents and how not to ‘take it personally’.
4 Communication Parents and youth Parents will: Parents will:
· Understand how strong communication fits with the values of respect for authority and confianza (trusting relationships). · Practice active listening.
  · Discuss barriers and facilitators to conversations with youth.
· Learn basic principles of good communication and develop communication skills. · Practice communication using ‘I’ messages.
Youth will: Youth will:
· Recognize the importance of communication with parents. · Play the broken phone and identify barriers in communication.
· Learn specific communication skills. · Practice when and how to talk and listen.
  · Practice ‘I’ messages.
5 Discipline Parents Parents will: Parents will:
· Learn the importance of positive behavioral reinforcement. · Identify strategies to encourage positive behavior in their youth.
· Understand the importance of establishing negotiable and non-negotiable rules, and establishing and reinforcing consequences. · Practice developing negotiable and non-negotiable rules for their family.
6 Conflict resolution Parents and youth Parents will: Parents will:
· Understand that conflict is part of the normal developmental process, and does not need to damage their relationships. · Identify positive and negative aspects of conflicts.
· Identify collaborative problem-solving and conflict resolution strategies. · Discuss and role-play a strategy to solve problems with their youth.
· Learn to recognize and self-regulate emotions. · Develop strategies to manage anger.
Youth will: Youth will:
· Learn collaborative problem-solving strategies. · Talk about rules, consequences and mistakes.
· Identify strategies to recognize and manage emotions. · Talk about emotions and their consequences.
  · Name the steps to effectively solve problems.
7 Supervision and Friends’ Influence Parents and youth Parents will: Parents will:
· Understand the meaning and importance of monitoring. · Discuss scenarios to differentiate supervision from over-control.
· Learn strategies to monitor their youth effectively at each developmental stage of adolescence. · Role-play initiating conversations with parents of their children’s friends.
Youth will: Youth will:
· Identify dreams that they want to achieve. · Develop a collage to help visualize dreams and goals.
· Identify influences and behavior (including substance use) that may get in the way of achieving dreams. · Practice strategies to refuse risky behaviors.
· Learn strategies to avoid problem behaviors.  
8 Connection Parents and youth Parents will: Parents will:
· Understand that parent–youth connection is the foundation for parenting, and recognize barriers to relationship-building. · Engage in activity around setting kids as priority for time.
· Identify strategies to strengthen their relationship with their youth. · Write a letter to their children expressing their love and expectations.
Youth will: Youth will:
· Reflect on the importance of a strong parent–youth relation. · Complete a map of personal connections.
· Identify parents and other adults as a support network. · Write a message to their parents expressing their thankfulness.