The Strong African American Families Community Dissemination Model

描述（由申请人提供）：强大的非裔美国人家庭（SAAF）方案是一项普遍的预防性干预措施，旨在阻止生活在南方农村的青少年使用酒精。SAAF旨在服务的家庭生活在格鲁吉亚农村的小城镇和社区，那里的贫困率是全国最高的，失业率高于全国平均水平。对于生活在南方农村地区的数百万非洲裔美国青年来说，预防项目很少，如果有的话；目前还没有针对这一人群制定以经验为基础的干预措施来预防酒精使用和滥用。在一项涉及677名农村非洲裔美国青年及其家庭的随机试验中，SAAF的疗效得到了广泛的证明。迄今为止，SAAF已证明在预防方案编制结束后的5年内有效地阻止了酒精使用的开始和升级。在本申请中，我们建议通过测试在南方农村社区实施SAAF的社区传播模式的有效性来提高SAAF的公共卫生影响。为了发展这种传播模式，SAAF的开发者、农村非洲裔美国人社区成员和合作推广服务（CES）之间建立了伙伴关系。基于这一伙伴关系的共同见解，SAAF社区传播模式（SAAF- cdm）得以发展。该提案的总体目标是将SAAF-CDM纳入佐治亚州的八个农村县，并通过一项随机试验评估其在预防酒精使用和滥用方面的有效性。有七年级儿子或女儿的非裔美国家庭（N = 576）将被随机招募。采用等候名单对照设计，我们将随机选择一半的参与者在随机化后不久接受SAAF；另一半将在一年后获得SAAF。县执行小组在当地社会服务中心代理人的监督下，将包括一名援助援助协调员和三名来自社区的非专业干预促进者。乔治亚大学家庭研究中心的州级个人教育计划教授和实施专家将培训实施小组成员，并向他们提供持续的技术援助。公共卫生相关性：拟议的研究将测试社区传播模式在南部农村社区实施强大的非洲裔美国人家庭（SAAF）酒精使用预防计划的有效性。如果拟议的研究证明社区传播模式在阻止非洲裔美国农村青年使用酒精方面的有效性，这将为在整个南方农村地区传播SAAF铺平道路。

DESCRIPTION (provided by applicant): The Strong African American Families (SAAF) program is a universal preventive intervention designed to deter alcohol use among adolescents living in the rural South. The families whom SAAF is designed to serve live in small towns and communities in rural Georgia in which poverty rates are among the highest in the nation and unemployment rates are above the national average. Few, if any, prevention programs are available to the several million African American youth who live in the rural South and, other than SAAF; no empirically based interventions have been developed for this population to prevent alcohol use and abuse. SAAF's efficacy has been documented extensively in a randomized trial involving 677 rural African American youth and their families. Thus far, SAAF has demonstrated efficacy in deterring the initiation and escalation of alcohol use for 5 years following the end of prevention programming. In this application, we propose to advance SAAF's public health impact by testing the effectiveness of a community dissemination model for implementing SAAF in rural Southern communities. To develop the dissemination model, a partnership was formed among SAAF's developers, rural African American community members, and the Cooperative Extension Service (CES). From this partnership's collective insights, the SAAF Community Dissemination Model (SAAF-CDM) was developed. The overarching aim of this proposal is to embed the SAAF-CDM into eight rural Georgia counties and evaluate its effectiveness in preventing alcohol use and abuse using a randomized trial. African American families with a son or daughter in the seventh grade (N = 576) will be recruited randomly. Using a wait-list control design, we will randomly select half of the participants to receive SAAF shortly after randomization; the other half will receive SAAF 1 year later. County implementation teams, under the supervision of the local CES Agent, will include a SAAF Coordinator and three lay intervention facilitators from the community. State-level CES professors and implementation specialists from the Center for Family Research at the University of Georgia will train implementation team members and provide them with ongoing technical assistance. PUBLIC HEALTH RELEVANCE: The proposed research will test the effectiveness of a community dissemination model for implementing the Strong African American Families (SAAF) alcohol use prevention program in rural Southern communities. If the proposed research demonstrates the effectiveness of the community dissemination model in deterring alcohol use among rural African American youth, this will pave the way for the dissemination of SAAF throughout rural areas of the South.