The Strong African American Families Program: a cluster-randomized prevention trial of long-term effects and a mediational model.

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.

The strong African American families program: prevention of youths' high-risk behavior and a test of a model of change.

In this study, the efficacy of the Strong African American Families Program (SAAF) was tested. The trial, which included 332 families, indicated that families who participated in SAAF experienced increases over time in regulated, communicative parenting; increases in targeted parenting behaviors, according to youths' reports; and low rates of high-risk behavior initiation among youths. Changes in regulated, communicative parenting mediated the intervention's impact on youths' recognition of changes in parenting, which in turn was linked to changes in youths' high-risk behavior.

Risk and protective factors for substance use among African American high school dropouts.

Risk and protective factors that predict substance use were investigated with 318 African American high school dropout youths who completed the 1992 follow-up of the National Educational Longitudinal Study of 1988. A conceptual model linking positive family relationships and religious involvement to youths' substance use and conventional peer affiliations through a positive life orientation was examined with structural equation modeling. Positive life orientation, which included optimism and conventional goals for the future, fully mediated the influence of family relationships on conventional peer affiliations. Religious involvement directly predicted conventional peer affiliations and positive life orientation. Conventional peer affiliations mediated the other variables' influence on substance use.

The influence of high school dropout on substance use among African American youth.

The role of high school dropout in the onset and rapid escalation of substance use was investigated with 1,762 African American youth participating in the 1990 and 1992 follow-ups of the National Educational Longitudinal Study of 1988 (NELS:88). In 1990, all youth were students; most were in the 10th grade and approximately 16 years old. Path analysis models were used to examine dropout's unique contribution to substance use and its mediational effect on the association of prior problem behavior with later substance use. Compared with students, dropout youth were 1.6 times more likely to smoke cigarettes and 1.3 times more likely to smoke marijuana. Partial mediational effects emerged for problem behavior and use of cigarettes and marijuana.

Social support factors as moderators of community violence exposure among inner-city African American young adolescents.

Using both surveys and the experience sampling method (ESM), community violence exposure, social support factors, and depressive and anxiety symptoms were assessed longitudinally among inner-city African American adolescents. Moderator models were tested to determine protective factors for youth exposed to community violence. Several social support factors emerged as protective-stabilizing forces for witnesses of violence both cross-sectionally and longitudinally, including maternal closeness, time spent with family, social support, and daily support (ESM). Contrary to hypotheses, several social support factors demonstrated a promotive-reactive effect such that, in conditions of high victimization, they failed to protect youth from developing symptoms. Effects did not differ by outcome or sex, though sex differences in findings emerged. Protective-stabilizing effects occurred more for witnessing violence, whereas promotive-reactive patterns occurred more for victimization. Results affirm social support factors as protective from the adverse effects of violence exposure, but they also suggest that some factors typically conceived as contributing to resilience might at times fail to protect youth in conditions of extreme risk.

Risky and protective contexts and exposure to violence in urban African American young adolescents.

Contexts of risk for and protection from exposure to violence were identified and the relation of exposure to violence to delinquent behaviors and symptoms of trauma was examined. Using the Experience Sampling Method (ESM), the immediate daily experience of risky and protective contexts was examined. One hundred sixty-seven African American 6th-, 7th-, and 8th-grade children from urban neighborhoods carried watches and booklets for 1 week. Structural equation modeling supported the hypotheses that more time in risky contexts and less time in protective contexts was related to more exposure to violence. Exposure to violence partially mediated the relation of time in protective and risky contexts to delinquent behaviors, assessed with the Juvenile Delinquency Scale and the Child Behavior Checklist, and distress levels, assessed by a posttraumatic stress disorder (PTSD) score.

The Strong African American Families Program: translating research into prevention programming.

A randomized prevention trial contrasted families who took part in the Strong African American Families Program (SAAF), a preventive intervention for rural African American mothers and their 11-year-olds, with control families. SAAF is based on a contextual model positing that regulated, communicative parenting causes changes in factors protecting youths from early alcohol use and sexual activity. Parenting variables included involvement-vigilance, racial socialization, communication about sex, and clear expectations for alcohol use. Youth protective factors included negative attitudes about early alcohol use and sexual activity, negative images of drinking youths, resistance efficacy, a goal-directed future orientation, and acceptance of parental influence. Intervention-induced changes in parenting mediated the effect of intervention group influences on changes in protective factors over a 7-month period.