Decreasing Substance use Risk among African American Youth: Parent-based Mechanisms of Change
African American couples (N = 139; 67.7 % married; with children between the ages of 9 and 14) were randomly assigned to (a) a culturally sensitive, couple- and parenting-focused program designed to prevent stress-spillover (n = 70) or (b) an information-only control condition in which couples received self-help materials (n = 69). Eight months after baseline, youth whose parents participated in the program, compared with control youth, reported increased parental monitoring, positive racial socialization, and positive self-concept, as well as decreased conduct problems and self-reported substance use. Changes in youth-reported parenting behavior partially mediated the effect of the intervention on conduct problems and fully mediated its impact on positive self-concept, but did not mediate effects on lifetime substance use initiation. Results suggest the potential for a culturally sensitive family-based intervention targeting adults’ couple and parenting processes to enhance multiple parenting behaviors as well as decrease youths’ substance use onset and vulnerability.
KeywordsAfrican American Prevention Couples Parenting Substance use Adolescence
This article was supported in part by grant R01 HD069439 awarded to Steven R. H. Beach and grant P30 DA027827 awarded to Gene H. Brody. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Compliance with Ethical Standards
This article was supported in part by grant R01 HD069439 awarded to Steven R. H. Beach and grant P30 DA027827 awarded to Gene H. Brody.
Conflict of Interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- Barton, A. W., Beach, S. R., Kogan, S. M., Stanley, S. M., Fincham, F. D., Hurt, T. R., & Brody, G. H. (2015). Prevention effects on trajectories of African American adolescents’ exposure to interparental conflict and depressive symptoms. Journal of Family Psychology, 29, 171. doi: 10.1037/fam0000073.CrossRefPubMedPubMedCentralGoogle Scholar
- Beach, S. R., Barton, A. W., Lei, M. K., Brody, G. H., Kogan, S. M., Hurt, T. R., … & Stanley, S. M. (2014). The effect of communication change on long‐term reductions in child exposure to conflict: Impact of the promoting strong African American families (ProSAAF) program. Family Process, 53, 580-595. doi: 10.1111/famp.12085
- Bean, R. A., Barber, B. K., & Crane, D. R. (2006). Parental support, behavioral control, and psychological control among African American youth: The relationships to academic grades, delinquency, and depression. Journal of Family Issues, 27, 1335–1355. doi: 10.1177/0192513X06289649.CrossRefGoogle Scholar
- Brody, G. H., Murry, V. M., Gerrard, M., Gibbons, F. X., Molgaard, V., McNair, L., . . . Neubaum-Carlan, E. (2004). The Strong African American Families program: Translating research into prevention programming. Child Development, 75, 900-917. doi: 10.1111/j.1467-8634.2004.00713.x
- Brody, G. H., Murry, V. M., Kogan, S. M., Gerrard, M., Gibbons, F. X., Molgaard, V., . . . Wills, T. A. (2006). The Strong African American Families program: A cluster-randomized prevention trial of long-term effects and a mediational model. Journal of Consulting and Clinical Psychology, 74, 356-366. doi: 10.1037/0022-006X.74.2.356
- Brody, G. H., Chen, Y., Kogan, S. M., Yu, T., Molgaard, V. K., DiClemente, R. J., & Wingood, G. M. (2012). Family-centered program deters substance use, conduct problems, and depressive symptoms in Black adolescents. Pediatrics, 129, 108–115. doi: 10.1542/peds.2011-0623.CrossRefPubMedPubMedCentralGoogle Scholar
- CDC [Centers for Disease Control and Prevention] (2008). Youth risk behavior surveillance—United States, 2007. Morbidity and Mortality Weekly ReportGoogle Scholar
- Child Trends (2014). Family structure: Indicators on children and youth. Child trends. Retrieved from http://www.childtrends.org/?indicators=family-structure
- Coard, S. I., Wallace, S. A., Stevenson, H. C., Jr., & Brotman, L. M. (2004). Towards culturally relevant preventive interventions: The consideration of racial socialization in parent training with African American families. Journal of Child and Family Studies, 13, 277–293. doi: 10.1023/b:jcfs.0000022035.07171.f8.CrossRefGoogle Scholar
- Cummings, E. M., Goeke-Morey, M. C., & Graham, M. A. (2002). Interparental relations as a dimension of parenting. In M. M. Bristol-Power, J. G. Borkowski, & S. L. Landesman (Eds.), Parenting and the child’s world: Influences on academic, intellectual and socio-emotional development (pp. 251–264). Mahwah: Erlbaum. doi: 10.4324/9781410603616.Google Scholar
- Dever, B. V., Schulenberg, J. E., Dworkin, J. B., O’Malley, P. M., Kloska, D. D., & Bachman, J. G. (2012). Predicting risk-taking with and without substance use: The effects of parental monitoring, school bonding, and sports participation. Prevention Science, 13, 605–615. doi: 10.1007/s11121-012-0288-z.CrossRefPubMedPubMedCentralGoogle Scholar
- Epstein, K., Kline Pruett, M., Cowan, P., Cowan, C., Pradhan, L., … & Pruett, K. (2015). More than one way to get there: Pathways of change in coparenting conflict after a preventive intervention. Family Process, 54, 610–618. doi: 10.1111/famp.12138
- Gibbons, F. X., Gerrard, M., Cleveland, M. J., Wills, T. A., & Brody, G. H. (2004). Perceived discrimination and substance use in African American parents and their children: A panel study. Journal of Personality and Social Psychology, 86, 517–529. doi: 10.1037/0022-35126.96.36.1997.CrossRefPubMedGoogle Scholar
- Hurt, T. R., Beach, S. R. H., Stokes, L. A., Bush, P. L., Sheats, K. J., & Robinson, S. G. (2012). Engaging Black men in empirically based marriage enrichment programs: Lessons from two focus groups on the ProSAAM project. Cultural Diversity and Ethnic Minority Psychology, 18, 312–315. doi: 10.1037/a0028697.CrossRefPubMedGoogle Scholar
- Lerner, R., Lerner, J., & Benson, J. B. (2011). Positive youth development (Vol. 41). Waltham: Academic Press.Google Scholar
- Lippold, M. A., Greenberg, M. T., Graham, J. W., & Feinberg, M. E. (2014). Unpacking the effect of parental monitoring on early adolescent problem behavior mediation by parental knowledge and moderation by parent-youth warmth. Journal of Family Issues, 35, 1800–1823. doi: 10.1177/0192513x13484120.CrossRefPubMedPubMedCentralGoogle Scholar
- Markman, H. J., Stanley, S. M., Blumberg, S. L., Jenkins, N. H., & Whiteley, C. (2004). 12 hours to a great marriage: A step-by-step guide for making love last. San Francisco: Jossey-Bass.Google Scholar
- Muthén, L. K., & Muthén, B. O. (2010). Mplus version 6: Base program and combination add-on. Los Angeles: Muthén & Muthén.Google Scholar
- Neblett, E. W., Jr., White, R. W., Ford, K. R., Philip, C. L., Nguyen, H. X., & Sellers, R. M. (2008). Patterns of racial socialization and psychological adjustment: Can parental communications about race reduce the impact of racial discrimination? Journal of Research on Adolescence, 18, 477–515. doi: 10.1111/j.1532-7795.2008.00568.x.CrossRefGoogle Scholar
- Nelson, J. A., O’Brien, M., Blankson, A. N., Calkins, S. D., & Keane, S. P. (2009). Family stress and parental responses to children’s negative emotions: Tests of the spillover, crossover, and compensatory hypotheses. Journal of Family Psychology, 23, 671–679. doi: 10.1037/a0015977.CrossRefPubMedPubMedCentralGoogle Scholar
- Proctor, B. D., & Dalaker, J. (2003). Poverty in the United States: 2002. Washington: US Census Bureau.Google Scholar
- Sellers, R. M., Rowley, S. A., Chavous, T. M., Shelton, J. N., & Smith, M. A. (1997). Multidimensional inventory of black identity: A preliminary investigation of reliability and constuct validity. Journal of Personality and Social Psychology, 73, 805. doi: 10.1037//0022-35188.8.131.525.CrossRefGoogle Scholar
- Swendsen, J., Burstein, M., Case, B., Conway, K. P., Dierker, L., He, J., & Merikangas, K. R. (2012). Use and abuse of alcohol and illicit drugs in US adolescents: Results of the National Comorbidity Survey—Adolescent Supplement. Archives of General Psychiatry, 69, 390–398. doi: 10.1001/archgenpsychiatry.2011.1503.CrossRefPubMedPubMedCentralGoogle Scholar