The Strong African American Families–Teen Trial: Rationale Design Engagement Processes and Family-Specific Effects

摘要

This study addresses two limitations in the literature on family-centered intervention programs for adolescents: ruling out nonspecific factors that may explain program effects and engaging parents into prevention programs. The Rural African American Families Health project is a randomized, attention controlled trial evaluating the efficacy of the Strong African American Families–Teen (SAAF–T) program, a family-centered risk-reduction intervention for rural African American adolescents. Rural African American families (n = 502) with a 10^th-grade student were assigned randomly to receive SAAF–T or a similarly structured, family-centered program that focused on health and nutrition. Families participated in audio computer-assisted self-interviews at baseline and 6-month follow-up. Program implementation procedures yielded a design with equivalent doses, 5 sessions of family-centered intervention programming for families in each condition. Of eligible families screened for participation, 76% attended 4 or 5 sessions of the program. Consistent with our primary hypotheses, SAAF–T youth, compared to attention control youth, demonstrated higher levels of protective family management skills, a finding that cannot be attributed to nonspecific factors such as aggregating families in a structured, interactive setting.