Home-based Prevention for African American Families in Rural Communities

描述（由申请人提供）：本申请解决了预防性干预措施的需要，旨在保护双亲，农村非裔美国人家庭的早期青少年免受经济困境的负面影响。经济困难不成比例地影响到南方农村的非裔美国人家庭。农村社区的经济限制和压迫性社会结构联合收割机使稳定就业成为许多非裔美国人父母，特别是父亲的挑战。经济压力在整个家庭系统中蔓延，损害了父母的情感健康、个人和共同养育子女的关系，以及促进能力的养育做法的使用。因此，许多农村非洲裔美国人的早期青少年面临学业失败和辍学，行为和情感问题，物质使用和过早开始性活动的风险。这项申请解决了健康促进和预防计划的需要，旨在加强对生活在农村社区的非裔美国人的保护性家庭程序。我们建议在II期预防试验中评估强大的非洲裔美国人家庭计划（ProSAAF）的有效性。根据对农村非洲裔美国人家庭15年的纵向和预防研究，ProSAAF包括在家庭家中进行的6次结构化的1.5小时会议。第一阶段随机试验（n = 94）表明，（a）我们的招募和实施协议是有效的;（B）ProSAAF显着增强压力缓冲夫妇关系的过程和能力，促进父母的做法;（c）ProSAAF阻止早期青少年自我调节问题。我们建议招募444个农村非洲裔美国家庭谁经历了最近的经济困境，并正在抚养一个10-14岁的青年。家庭将被随机分配到ProSAAF或最小接触控制条件。基线，8，16和24个月的评估将获得青少年的学术，社会和自我调节能力;内化和外化问题;性活动的开始;和物质使用。ProSAAF因果模型在夫妻子系统中纳入了保护过程，这些过程改善了经济不安全感产生的压力的影响（例如，了解财务压力对家庭的影响，解决问题与逃避应对策略，以及获得社区资源）和促进能力的育儿做法（例如，参与-警惕的父母;父母参与青少年的学术追求;和适应性种族社会化）。

DESCRIPTION (provided by applicant): This application addresses the need for preventive interventions designed to protect two-parent, rural African American families with an early adolescent from the negative effects of economic distress. Economic hardship disproportionately affects African American families in the rural South. Economic constraints and oppressive social structures in rural communities combine to render steady employment a challenge for many African American parents, particularly fathers. Economic pressures cascade through the family system, undermining parents' emotional well- being, personal and co-parenting relationships, and use of competence-promoting parenting practices. As a result, many rural African American early adolescents are at risk for academic failure and school dropout, behavioral and emotional problems, substance use, and the early initiation of sexual activity. This application addresses the need for health promotion and prevention programs designed to bolster protective family processes for African Americans living in rural communities. We propose to evaluate the efficacy of the Program for Strong African American Families (ProSAAF) in a Phase II prevention trial. Based on 15 years of longitudinal and prevention research with rural African American families, ProSAAF consists of 6 structured, 1.5-hour sessions conducted in families' homes. A Phase I randomized pilot trial (n = 94) showed that (a) our recruitment and implementation protocols were effective; (b) ProSAAF significantly enhanced stress-buffering couple relationship processes and competence- promoting parenting practices; and (c) ProSAAF deterred early adolescent self-regulatory problems. We propose to recruit 444 rural African American families who have experienced recent economic distress and are rearing a youth age 10-14. Families will be randomly assigned to ProSAAF or a minimal-contact control condition. Baseline, 8, 16, and 24-month assessments will be obtained of adolescents' academic, social, and self-regulatory competence; internalizing and externalizing problems; onset of sexual activity; and substance use. The ProSAAF causative model incorporates protective processes in the couple subsystem that ameliorate the impact of stress generated by economic insecurity (e.g., knowledge of the impact of financial stressors on the family, problem-solving versus avoidant coping strategies, and access to community resources) and competence-promoting parenting practices (e.g., involved-vigilant parenting; parental involvement in adolescents' academic pursuits; and adaptive racial socialization).