title: The Strong African American Families Program: a cluster-randomized prevention trial of long-term effects and a mediational model.
abstract: The Strong African American Families Program, a universal preventive intervention to deter alcohol use among rural African American adolescents, was evaluated in a cluster-randomized prevention trial. This 7-week family skills training program is based on a contextual model in which intervention effects on youth protective factors lead to changes in alcohol use. African American 11-year-olds and their primary caregivers from 9 rural communities (N = 332 families) were randomly selected for study participation. Communities were randomized to prevention and control conditions. Intent-to-treat analyses indicated that fewer prevention than control adolescents initiated alcohol use; those who did evinced slower increases in use over time. Intervention-induced changes in youth protective factors mediated the effect of group assignment on long-term changes in use.
authors.affiliation: Department of Child and Family Development, University of Georgia, Athens, GA 30602-4527, USA. gbrody@uga.edu
authors.forename: Gene H
authors.initials: GH
authors.lastname: Brody
authors.forename: Velma McBride
authors.initials: VM
authors.lastname: Murry
authors.forename: Steven M
authors.initials: SM
authors.lastname: Kogan
authors.forename: Meg
authors.initials: M
authors.lastname: Gerrard
authors.forename: Frederick X
authors.initials: FX
authors.lastname: Gibbons
authors.forename: Virginia
authors.initials: V
authors.lastname: Molgaard
authors.forename: Anita C
authors.initials: AC
authors.lastname: Brown
authors.forename: Tracy
authors.initials: T
authors.lastname: Anderson
authors.forename: Yi-fu
authors.initials: YF
authors.lastname: Chen
authors.forename: Zupei
authors.initials: Z
authors.lastname: Luo
authors.forename: Thomas Ashby
authors.initials: TA
authors.lastname: Wills
mesh_terms: D000293:Adolescent; D001741:Black or African American / Q000523:psychology; D016000:Cluster Analysis; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D019966:Substance-Related Disorders / Q000517:prevention & control*; D013997:Time Factors