TY - JOUR
T1 - Pathways for African American success
T2 - Results of three-arm randomized trial to test the effects of technology-based delivery for rural African American families
AU - Murry, Velma Mc Bride
AU - Berkel, Cady
AU - Inniss-Thompson, Misha N.
AU - Debreaux, Marlena L.
N1 - Publisher Copyright:
© The Author(s) 2019. Published by Oxford University Press on behalf of the Society of Pediatric Psychology.
PY - 2019/4/1
Y1 - 2019/4/1
N2 - Objective The objective of this study was to test the effectiveness of a technology-based program to avert risky behaviors among rural African American youth. We hypothesized that the technology-based and group-based formats of the Pathways for African Americans Success (PAAS) program would lead to improvements in primary outcomes, and that the technology condition would perform at least as well as the group condition. Methods A three-arm Randomized Control Trial (RCT) ([N ¼ 141] technology-based delivery, [N ¼ 141] small group delivery, and [N ¼ 136] literature control) was conducted with 421 sixth graders and their caregivers, Summer 2009–Fall 2012. Families were recruited from five rural counties in Tennessee and completed baseline, posttest [M ¼ 14.5 (4.4) months after pretest] and long-term follow-up [M ¼ 22.6 (3.7) months after posttest]. Structural Equation Modeling (SEM) was used to test intervention-induced changes in both parents and youths’ primary outcomes (pretest to posttest) and on secondary targeted outcome, youth sexual risk, and substance use patterns (pretest to follow-up). Results Parents in the technology condition reported significant increases in strategies to reduce risk. Youth in the technology condition experienced a significant decline in intent to engage in risk behaviors and reduction in substance use and sexual risk behavior. Youth in the group condition experienced a significant increase in affiliation with deviant peers. Conclusions This study provides evidence of the ability of eHealth to improve parenting and reduce adolescent engagement in substance use and sexual risk behavior. Suggestions for dissemination in schools and health-care systems are offered.
AB - Objective The objective of this study was to test the effectiveness of a technology-based program to avert risky behaviors among rural African American youth. We hypothesized that the technology-based and group-based formats of the Pathways for African Americans Success (PAAS) program would lead to improvements in primary outcomes, and that the technology condition would perform at least as well as the group condition. Methods A three-arm Randomized Control Trial (RCT) ([N ¼ 141] technology-based delivery, [N ¼ 141] small group delivery, and [N ¼ 136] literature control) was conducted with 421 sixth graders and their caregivers, Summer 2009–Fall 2012. Families were recruited from five rural counties in Tennessee and completed baseline, posttest [M ¼ 14.5 (4.4) months after pretest] and long-term follow-up [M ¼ 22.6 (3.7) months after posttest]. Structural Equation Modeling (SEM) was used to test intervention-induced changes in both parents and youths’ primary outcomes (pretest to posttest) and on secondary targeted outcome, youth sexual risk, and substance use patterns (pretest to follow-up). Results Parents in the technology condition reported significant increases in strategies to reduce risk. Youth in the technology condition experienced a significant decline in intent to engage in risk behaviors and reduction in substance use and sexual risk behavior. Youth in the group condition experienced a significant increase in affiliation with deviant peers. Conclusions This study provides evidence of the ability of eHealth to improve parenting and reduce adolescent engagement in substance use and sexual risk behavior. Suggestions for dissemination in schools and health-care systems are offered.
KW - Computer applications/eHealth
KW - Evidence-based practice
KW - Parenting
KW - Race/ethnicity
KW - Risk behavior
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U2 - 10.1093/jpepsy/jsz001
DO - 10.1093/jpepsy/jsz001
M3 - Article
C2 - 30865782
AN - SCOPUS:85062858478
SN - 0146-8693
VL - 44
SP - 375
EP - 387
JO - Journal of pediatric psychology
JF - Journal of pediatric psychology
IS - 3
ER -