Family-centered Program Deters Substance Use, Conduct Problems, and Depressive Symptoms in Black Adolescents
Family-centered Program Deters Substance Use, Conduct Problems, and Depressive Symptoms in Black Adolescents
复制标题
DOI：
10.1542/peds.2011-0623
复制
发表时间：
2012-01-01
期刊：
影响因子：
8
通讯作者：
Wingood, Gina M.
中科院分区：
文献类型：
--
作者：
Brody, Gene H.;Chen, Yi-fu;Wingood, Gina M.
目的：本研究解决了以下重要的问题，在儿科医学：可以参加一个新的家庭为中心的预防性干预，强大的非裔美国人家庭青少年（SAAF-T）计划，阻止行为问题，物质使用，物质使用问题，抑郁症状在农村黑人青少年在22个月？方法：数据收集自格鲁吉亚农村的502个黑人家庭，随机分配到SAAF-T或注意力控制条件。预防条件包括在社区设施连续5次会议，分别为照顾者和青少年举行并行会议，然后是青少年-青少年会议，家庭练习他们在单独会议中学到的技能。青少年自我报告的行为问题行为，物质使用，物质使用问题和抑郁症状，在16岁（预测试）和17岁10个月（长期评估）。参加SAAF-T的青少年表现出较低的行为问题行为，物质使用，物质使用问题，和抑郁症状的频率比青少年在注意力控制条件下在22个月之间的预测试和长期评估。这是第一项研究，以证明有效的预防计划，旨在阻止农村黑人青少年的行为问题，物质使用，物质使用问题和抑郁症状。由于SAAF-T是一个手动的、结构化的计划，因此它可以很容易地传播到公共卫生机构、学校、教堂、男孩和女孩俱乐部以及其他社区组织。儿科2012;129：108-115
OBJECTIVES: The present research addressed the following important question in pediatric medicine: Can participation in a new family-centered preventive intervention, the Strong African American Families-Teen (SAAF-T) program, deter conduct problems, substance use, substance use problems, and depressive symptoms among rural black adolescents across 22 months?METHODS: Data were collected from 502 black families in rural Georgia, assigned randomly to SAAF-T or an attention control condition. The prevention condition consisted of 5 consecutive meetings at community facilities with separate, concurrent sessions for caregivers and adolescents followed by a caregiver-adolescent session in which families practiced skills they learned in the separate sessions. Adolescents self-reported conduct problem behaviors, substance use, substance use problems, and depressive symptoms at ages 16 years (pretest) and 17 years 10 months (long-term assessment).RESULTS: Adolescents who participated in SAAF-T evinced lower increases in conduct problem behavior, substance use, substance use problems, and depressive symptom frequencies than did adolescents in the attention control condition across the 22 months between pretest and long-term assessment.CONCLUSIONS: This is the first study to demonstrate efficacy in a prevention program designed to deter conduct problems, substance use, substance use problems, and depressive symptoms among rural black adolescents. Because SAAF-T is a manualized, structured program, it can be easily disseminated to public health agencies, schools, churches, boys' and girls' clubs, and other community organizations. Pediatrics 2012;129:108-115