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强大非裔美国家庭项目:一项关于长期影响的整群随机预防试验及中介模型

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

作者信息

Brody Gene H, Murry Velma McBride, Kogan Steven M, Gerrard Meg, Gibbons Frederick X, Molgaard Virginia, Brown Anita C, Anderson Tracy, Chen Yi-fu, Luo Zupei, Wills Thomas Ashby

机构信息

Department of Child and Family Development, University of Georgia, Athens, GA 30602-4527, USA.

出版信息

J Consult Clin Psychol. 2006 Apr;74(2):356-66. doi: 10.1037/0022-006X.74.2.356.

DOI:10.1037/0022-006X.74.2.356
PMID:16649880
Abstract

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.

摘要

“强大非裔美国家庭计划”是一项旨在阻止农村非裔美国青少年饮酒的普遍性预防干预措施,该计划在一项整群随机预防试验中得到了评估。这个为期7周的家庭技能培训计划基于一种情境模型,即对青少年保护因素的干预效果会导致饮酒行为的改变。从9个农村社区随机选取了非裔美国11岁青少年及其主要照顾者(N = 332个家庭)参与研究。社区被随机分配到预防组和对照组。意向性分析表明,开始饮酒的预防组青少年比对照组少;那些开始饮酒的青少年饮酒量随时间的增长也较慢。干预引起的青少年保护因素变化介导了分组对饮酒长期变化的影响。

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