This research was supported by grants from the

1
This research was supported by grants from the

• National Institute on Drug Abuse
• National Institute of Mental Health
• National Institute on Alcohol Abuse and
  Alcoholism
• National Institute of Child Health and Human
  Development

2
(No Transcript)
3
County Characteristics

• African American population 49
• living in poverty 29, compared to 17 of
  overall population
• mean weekly wage 471
• median annual household income 21,245
• adults with lt high school education 45
• single-woman-headed families 48
• unemployment
• men, 34 women, 41
• Health care
• 1 hospital per county in 36 counties
• no hospital in 13 counties

4
Community Partnerships

• Community liaisons
• Community ambassadors
• Partnerships with
• Schools
• Faith-based organizations
• Cooperative Extension Service

5
The Strong African American Families (SAAF)
Program

• Based on longitudinal, epidemiological studies of
  rural African American families and youths
• Established efficacy (Brody et al., 2004, 2006,
  2008)

6
SAAF Intervention Implementation and Fidelity

• Weekly meetings
• 7 consecutive weeks
• at community facilities
• two separate, concurrent 1-hr training sessions
• parents
• youth
• joint parent-youth session, 1 hr
• 14 hrs of prevention training provided

7
SAAF Trial Participants

• Rural African American families (N 641)
• Mothers
• 11-year-old youths
• Randomly assigned to
• SAAF preventive intervention program
• Control condition

8
Assessments

• Pretest
• Posttest
• 3 months after intervention ends
• Long-term follow-ups
• at 18, 24, 52, and 63 months after intervention
  ends
• Data collection
• in-home
• using laptop computers

9
Two-year Long-term Efficacyand Mediational
Processes
10
New User Proportions for Alcohol Use at Long-term
Follow-up by Experimental Condition
0.29
0.30
0.25
0.19
0.20
0.15
0.10
0.05
0
Control
SAAF
Z-score for testing proportions 2.16 with p lt
.05 Relative reduction rate 36.93
11
Alcohol Use Index, Pretest
Alcohol Use Index, Posttest
Alcohol Use Index, Long-term Follow-up
1
1
1
3.63
1
0
Intercept
Slope
-.18
SAAF Preventive Intervention
p lt .05
12
Five-year Efficacy
13
Alcohol Use Index Long-term Follow-up 1 (2 years
post-SAAF)
Alcohol Use Index Long-term Follow-up 2 (3 years
post-SAAF)
Alcohol Use Index Long-term Follow-up 3 (4 years
post-SAAF)
Alcohol Use Index Long-term Follow-up 4 (5 years
post-SAAF)
2.9
1
0.8
1
3.8
Slope
1
Intercept
1
0
-.53
SAAF Preventive Intervention
p lt .01