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01-02-2016

Implementing Family-Centered Prevention in Rural African American Communities: a Randomized Effectiveness Trial of the Strong African American Families Program

Authors: Steven M. Kogan, Man-Kit Lei, Gene H. Brody, Ted G. Futris, Megan Sperr, Tracy Anderson

Published in: Prevention Science | Issue 2/2016

Abstract

Efforts to disseminate evidence-based prevention programs are hampered by a lack of real-world effectiveness trials undertaken with community providers. The Strong African American Families (SAAF) program is an empirically validated intervention designed to prevent problem behavior among rural African American youth. To evaluate the effectiveness of SAAF and its implementation protocols when delivered by a community provider, we conducted a randomized, wait-list-controlled trial with outcome measurements assessed longitudinally at baseline and 6 months after baseline. A total of 465 African American youth and their parents were recruited randomly from public school lists of fifth- and sixth-grade students in eight rural counties in south Georgia. Youth and parents assessed targeted outcomes in their homes. The main outcome, problem behavior vulnerability, was operationalized as a latent construct comprising three indicators: tolerance for deviance, intentions to engage in risky behavior, and affiliations with risk-taking peers. SAAF was implemented with uniformly high levels of adherence (85.5 %; SD = 10.8) and attendance (M = 4.1, SD = 2.9, range = 0–7). Intent-to-treat and complier average causal effect analyses revealed significant program effects on intervention-targeted parenting practices, youth self-regulatory processes, and problem behavior vulnerability. SAAF influenced problem behavior vulnerability indirectly via effects on targeted parenting and youth processes. This study supported the effectiveness of SAAF in a community setting when a systematic implementation model supports participant engagement and intervention adherence.

Aber, J. L., Bennett, N. G., Conley, D. C., & Li, J. (1997). The effects of poverty on child health and development. Annual Review of Public Health, 18, 463–483. doi:10.1146/annurev.publhealth.18.1.463.PubMedCrossRef

Beach, S. R. H., Kogan, S. M., Brody, G. H., Chen, Y. F., Lei, M.-K., & Murry, V. M. (2008). Change in caregiver depression as a function of the Strong African American Families program. Journal of Family Psychology, 22, 241–252. doi:10.1037/0893-3200.22.2.241.PubMedCrossRef

Boatright, S. R. (2009). The Georgia county guide, 28th ed. Athens, GA: Center for Agribusiness and Economic Development.

Bridges, G. S., & Steen, S. (1998). Racial disparities in official assessments of juvenile offenders: Attributional stereotypes as mediating mechanisms. American Sociological Review, 63, 554–570. Retrieved from http://www.jstor.org/stable/2657267.CrossRef

Brody, G. H., Chen, Y. F., Kogan, S. M., Murry, V. M., & Brown, A. C. (2010). Long-term effects of the Strong African American Families program on youths’ alcohol use. Journal of Consulting and Clinical Psychology, 78, 281–285. doi:10.1037/a0018552.

Brody, G. H., Ge, X., Conger, R., Gibbons, F. X., Murry, V. M., Gerrard, M., & Simons, R. L. (2001). The influence of neighborhood disadvantage, collective socialization, and parenting on African American children’s affiliation with deviant peers. Child Development, 72, 1231–1246. doi:10.1111/1467-8624.00344.

Brody, G. H., Kogan, S. M., Chen, Y. F., & Murry, V. M. (2008). Long-term effects of the Strong African American Families program on youths’ conduct problems. Journal of Adolescent Health, 43, 474–481. doi:10.1016/j.jadohealth.2008.04.016.

Brody, G. H., Kogan, S. M., & Grange, C. M. (2012). Translating longitudinal, developmental research with rural African American families into prevention programs for rural African American youth. In V. Maholmes & R. B. King (Eds.), Oxford handbook of poverty and child development (pp. 553–570). New York, NY: Oxford University Press-USA.

Brody, G. H., Murry, V. M., Chen, Y. F., Kogan, S. M., & Brown, A. C. (2006a). Effects of family risk factors on dosage and efficacy of a family-centered preventive intervention for rural African Americans. Prevention Science, 7, 281–291. doi:10.1007/s11121-006-0032-7.

Brody, G. H., Murry, V. M., Gerrard, M., Gibbons, F. X., McNair, L. D., Brown, A. C., et al. (2006b). The Strong African American Families program: Prevention of youths’ high-risk behavior and a test of a model of change. Journal of Family Psychology, 20, 1–11. doi:10.1037/0893-3200.20.1.1.

Brody, G. H., Murry, V. M., Gerrard, M., Gibbons, F. X., Molgaard, V., McNair, L. D., et al. (2004). The Strong African American Families program: Translating research into prevention programming. Child Development, 75, 900–917. doi:10.1111/j.1467-8624.2004.00713.x.

Brody, G. H., Murry, V. M., Kogan, S. M., Gerrard, M., Gibbons, F. X., Molgaard, V., et al. (2006c). The Strong African American Families program: A cluster-randomized prevention trial of long-term effects and a mediational model. Journal of Consulting and Clinical Psychology, 74, 356–366. doi:10.1037/0022-006x.74.2.356.

Chen, H., Geng, Z., & Zhou, X.-H. (2009). Identifiability and estimation of causal effects in randomized trials with noncompliance and completely nonignorable missing data. Biometrics, 65, 675–682. doi:10.1111/j.1541-0420.2008.01120.x.PubMedPubMedCentralCrossRef

Curtis, N. M., Ronan, K. R., & Borduin, C. M. (2004). Multisystemic treatment: A meta-analysis of outcome studies. Journal of Family Psychology, 18, 411–419. doi:10.1037/0893-3200.18.3.411.PubMedCrossRef

Elliott, D. S., & Mihalic, S. (2004). Issues in disseminating and replicating effective prevention programs. Prevention Science, 5, 47–52. doi:10.1023/B:PREV.0000013981.28071.52.PubMedCrossRef

Gillmore, M. R., Catalano, R. F., Morrison, D. M., & Wells, E. A. (1990). Racial differences in acceptability and availability of drugs and early initiation of substance use. American Journal of Drug & Alcohol Abuse, 16, 185–206.CrossRef

Gottfredson, D., Kumpfer, K., Polizzi-Fox, D., Wilson, D., Puryear, V., Beatty, P., & Vilmenay, M. (2006). The Strengthening Washington D.C. Families project: A randomized effectiveness trial of family-based prevention. Prevention Science, 7, 57–74. doi:10.1007/s11121-005-0017-y.PubMedCrossRef

Gupta, S. K. (2011). Intention-to-treat concept: A review. Perspectives in Clinical Research, 2, 109–112. doi:10.4103/2229-3485.83221.PubMedPubMedCentralCrossRef

Guyll, M., Spoth, R., & Redmond, C. (2003). The effects of incentives and research requirements on participation rates for a community-based preventive intervention research study. Journal of Primary Prevention, 24, 25–41. doi:10.1023/A:1025023600517.

Haggerty, K. P., MacKenzie, E. P., Skinner, M. L., Harachi, T. W., & Catalano, R. F. (2006). Participation in “Parents Who Care”: Predicting program initiation and exposure in two different program formats. Journal of Primary Prevention, 27, 47–65. doi:10.1007/ s10935-005-0019-3.PubMedCrossRef

Hair, E. C., Anderson Moore, K., Hadley, A. M., Kaye, K., Day, R. D., & Orthner, D. K. (2009). Parent marital quality and the parent-adolescent relationship: Effects on adolescent and young adult health outcomes. Marriage and Family Review, 45(2/3), 218–248. doi:10.1080/01494920902733567.

Hallfors, D., Cho, H., Sanchez, V., Khatapoush, S., Kim, H. M., & Bauer, D. (2006). Efficacy vs. effectiveness trial results of an indicated “model” substance abuse program: Implications for public health. American Journal of Public Health, 96, 2254–2259. doi:10.2105/AJPH.2005.067462.PubMedPubMedCentralCrossRef

Hays, R. D., & Ellickson, P. L. (1990). How generalizable are adolescents’ beliefs about pro-drug pressures and resistance self-efficacy? Journal of Applied Social Psychology, 20, 321–338. doi:10.1111/j.1559-1816.1990.tb00414.x.CrossRef

Heinrichs, N. (2006). The effects of two different incentives on recruitment rates of families into a prevention program. Journal of Primary Prevention, 27, 345–365. doi:10.1007/s10935-006-0038-8.PubMedCrossRef

Jessor, R., Turbin, M. S., & Costa, F. M. (1998). Risk and protection in successful outcomes among disadvantaged adolescents. Applied Developmental Science, 2, 194–208. doi:10.1207/s1532480xads0204_3.CrossRef

Jones-Webb, R. (1998). Drinking patterns and problems among African-Americans: Recent findings. Alcohol Health & Research World, 22, 260–264. Retrieved from http://pubs.niaaa.nih.gov/publications/arh22-4/260.pdf.

Kumpfer, K. L., & Alvarado, R. (2003). Family-strengthening approaches for the prevention of youth problem behaviors. American Psychologist, 58, 457–465. doi:10.1037/0003-066X.58.6-7.457.PubMedCrossRef

Kumpfer, K. L., Alvarado, R., Smith, P., & Bellamy, N. (2002). Cultural sensitivity and adaptation in family-based prevention interventions. Prevention Science, 3, 241–246. doi:10.1023/A:1019902902119.PubMedCrossRef

Lochman, J. E., & van den Steenhoven, A. (2002). Family-based approaches to substance abuse prevention. Journal of Primary Prevention, 23, 49–114. doi:10.1023/A:1016591216363.CrossRef

Mattingly, M. J., & Bean, J. A. (2010). The unequal distribution of child poverty: Highest rates among young Blacks and children of single mothers in rural America. Durham, NH: Carsey School of Public Policy, University of New Hampshire Scholars’ Repository, Paper 124. Retrieved from http://scholars.unh.edu/carsey/124.

Milhausen, R. R., Crosby, R., Yarber, W. L., DiClemente, R. L., Wingood, G. M., & Ding, K. (2003). Rural and nonrural African American high school students and STD/HIV sexual-risk behaviors. American Journal of Health Behavior, 27, 373–379. doi:10.5555/ajhb.2003.27.4.373.

Nagin, D. S. (1999). Analyzing developmental trajectories: A semiparametric, group-based approach. Psychological Methods, 4, 139–157. doi:10.1037/1082-989X.4.2.139.CrossRef

Neil, A. L., & Christensen, H. (2009). Efficacy and effectiveness of school-based prevention and early intervention programs for anxiety. Clinical Psychology Review, 29, 208–215. doi:10.1016/j.cpr.2009.01.002.PubMedCrossRef

Pentz, M. A. (2004). Form follows function: Designs for prevention effectiveness and diffusion research. Prevention Science, 5, 23–29. doi:10.1023/B:PREV.0000013978.00943.30.PubMedCrossRef

Prinz, R. J., Foster, S., Kent, R. N., & O’Leary, K. D. (1979). Multivariate assessment of conflict in distressed and nondistressed mother-adolescent dyads. Journal of Applied Behavior Analysis, 12, 691–700. doi:10.1901/jaba.1979.12-691.PubMedPubMedCentralCrossRef

Rohrbach, L. A., Grana, R., Sussman, S., & Valente, T. W. (2006). Type II translation: Transporting prevention interventions from research to real-world settings. Evaluation and the Health Professions, 29, 302–333. doi:10.1177/0163278706290408.PubMedCrossRef

Snyder, A. R., & McLaughlin, D. K. (2004). Female-headed families and poverty in rural America. Rural Sociology, 69, 127–149. doi:10.1526/003601104322919937.CrossRef

Spoth, R., Clair, S., Greenberg, M., Redmond, C., & Shin, C. (2007a). Toward dissemination of evidence-based family interventions: Maintenance of community-based partnership recruitment results and associated factors. Journal of Family Psychology, 21, 137–146. doi:10.1037/0893-3200.21.2.137.PubMedPubMedCentralCrossRef

Spoth, R., Greenberg, M., Bierman, K., & Redmond, C. (2004). PROSPER community-university partnership model for public education systems: Capacity-building for evidence-based, competence-building prevention. Prevention Science, 5, 31–39. doi:10.1023/B:PREV.0000013979.52796.8b.PubMedCrossRef

Spoth, R., Redmond, C., Shin, C., Greenberg, M., Clair, S., & Feinberg, M. (2007b). Substance-use outcomes at 18 months past baseline: The PROSPER community-university partnership trial. American Journal of Preventive Medicine, 32, 395–402. Retrieved from http://www.sciencedirect.com/science/article/pii/S0749379707000438.

Spoth, R., Rohrbach, L. A., Greenberg, M., Leaf, P., Brown, C. H., Fagan, A., et al. (2013). Addressing core challenges for the next generation of type 2 translation research and systems: The translation science to population impact (TSci Impact) framework. Prevention Science, 14, 319–351. doi:10.1007/s11121-012-0362-6.

Spoth, R. L., Kavanagh, K. A., & Dishion, T. J. (2002). Family-centered preventive intervention science: Toward benefits to larger populations of children, youth, and families. Prevention Science, 3, 145–152. doi:10.1023/A:1019924615322.PubMedCrossRef

Vazsonyi, A. T., Trejos-Castillo, E., & Young, M. A. (2008). Rural and non-rural African American youth: Does context matter in the etiology of problem behaviors? Journal of Youth and Adolescence, 37, 798–811. doi:10.1007/s10964-007-9239-6.CrossRef

Wills, T. A., McNamara, G., Vaccaro, D., & Hirky, A. E. (1996). Escalated substance use: A longitudinal grouping analysis from early to middle adolescence. Journal of Abnormal Psychology, 105, 166–180. doi:10.1037/0021-843X.105.2.166.PubMedCrossRef

Title: Implementing Family-Centered Prevention in Rural African American Communities: a Randomized Effectiveness Trial of the Strong African American Families Program
Authors: Steven M. Kogan
Man-Kit Lei
Gene H. Brody
Ted G. Futris
Megan Sperr
Tracy Anderson
Publication date: 01-02-2016
Publisher: Springer US
Published in: Prevention Science / Issue 2/2016
Print ISSN: 1389-4986
Electronic ISSN: 1573-6695
DOI: https://doi.org/10.1007/s11121-015-0614-3

At a glance: The STEP trials

Springer Medicine

Implementing Family-Centered Prevention in Rural African American Communities: a Randomized Effectiveness Trial of the Strong African American Families Program

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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