Virginia Molgaard's research while affiliated with Iowa State University and other places

The present research addressed the following important question in pediatric medicine: Can participation in a new family-centered preventive intervention, the Strong African American Families-Teen (SAAF-T) program, deter conduct problems, substance use, substance use problems, and depressive symptoms among rural black adolescents across 22 months? Data were collected from 502 black families in rural Georgia, assigned randomly to SAAF-T or an attention control condition. The prevention condition consisted of 5 consecutive meetings at community facilities with separate, concurrent sessions for caregivers and adolescents followed by a caregiver-adolescent session in which families practiced skills they learned in the separate sessions. Adolescents self-reported conduct problem behaviors, substance use, substance use problems, and depressive symptoms at ages 16 years (pretest) and 17 years 10 months (long-term assessment). Adolescents who participated in SAAF-T evinced lower increases in conduct problem behavior, substance use, substance use problems, and depressive symptom frequencies than did adolescents in the attention control condition across the 22 months between pretest and long-term assessment. This is the first study to demonstrate efficacy in a prevention program designed to deter conduct problems, substance use, substance use problems, and depressive symptoms among rural black adolescents. Because SAAF-T is a manualized, structured program, it can be easily disseminated to public health agencies, schools, churches, boys' and girls' clubs, and other community organizations.

This study addresses two limitations in the literature on family-centered intervention programs for adolescents: ruling out nonspecific factors that may explain program effects and engaging parents into prevention programs. The Rural African American Families Health project is a randomized, attention-controlled trial evaluating the efficacy of the Strong African American Families-Teen (SAAF-T) program, a family-centered risk-reduction intervention for rural African American adolescents. Rural African American families (n = 502) with a 10th-grade student were assigned randomly to receive SAAF-T or a similarly structured, family-centered program that focused on health and nutrition. Families participated in audio computer-assisted self-interviews at baseline and 6-month follow-up. Program implementation procedures yielded a design with equivalent doses, five sessions of family-centered intervention programming for families in each condition. Of eligible families screened for participation, 76% attended four or five sessions of the program. Consistent with our primary hypotheses, SAAF-T youth, compared to attention-control youth, demonstrated higher levels of protective family management skills, a finding that cannot be attributed to nonspecific factors such as aggregating families in a structured, interactive setting.

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.

In this study, the efficacy of the Strong African American Families Program (SAAF) was tested. The trial, which included 332 families, indicated that families who participated in SAAF experienced increases over time in regulated, communicative parenting; increases in targeted parenting behaviors, according to youths' reports; and low rates of high-risk behavior initiation among youths. Changes in regulated, communicative parenting mediated the intervention's impact on youths' recognition of changes in parenting, which in turn was linked to changes in youths' high-risk behavior.

A randomized prevention trial contrasted families who took part in the Strong African American Families Program (SAAF), a preventive intervention for rural African American mothers and their 11-year-olds, with control families. SAAF is based on a contextual model positing that regulated, communicative parenting causes changes in factors protecting youths from early alcohol use and sexual activity. Parenting variables included involvement-vigilance, racial socialization, communication about sex, and clear expectations for alcohol use. Youth protective factors included negative attitudes about early alcohol use and sexual activity, negative images of drinking youths, resistance efficacy, a goal-directed future orientation, and acceptance of parental influence. Intervention-induced changes in parenting mediated the effect of intervention group influences on changes in protective factors over a 7-month period.

The authors report the intervention implementation and outcome evaluation of the Strengthening Families Program: For Parents and Youth 10-14 (SFP 10-14),involving a sample of African American families with young adolescents. Implementation feasibility clearly was demonstrated. A sufficient number of families was recruited successfully, retention rates were strong, and observer ratings showed high adherence to the intervention protocol. Control group comparisons at posttest showed positive results for intervention-targeted child behaviors and for child participation in family meetings but not for other outcome measures. Findings of the investigation are discussed in terms of their relevance to ongoing intervention research with minority populations and considered in light of study limitations.

The Strengthening Families Program: For Parents and Youth 10–14 (SFP 10–14) is a video-based program designed to reduce substance abuse and other problem behavior in youth. Objectives include: (1) building skills in youth to reduce risk and build protective factors, (2) improving parenting practices known to reduce risk in youth, and (3) building stronger family units to support and guide youth. The SFP 10–14 is a universal program designed for ethnically-diverse general populations at all economic and educational levels. The 10 to 14-year-old youth, late elementary and middle school age, attend the program and practice skills together with their parents.

Project Family involves a community-university partnership directed toward “action-oriented research” (e.g., Small, 1995). As such, it aims to achieve two goals: To generate knowledge that will advance the science of family-focused competency building and to enhance the well-being of participating families and children. The project’s ultimate purpose is to strengthen the competencies of general population families and children on a broad scale—to ensure that a larger number of children develop into healthy and adaptive adults in the project’s targeted general populations.

The extension service associated with each state's land grant institution is an important resource for both programming and conducting research for the prevention of mental health disorders. This paper briefly outlines the history and structure of the extention service and gives examples of relevant programming across the country related to mental health. Although this programming is relevant to both rural and urban settings, this paper focuses on prevention programs and research in rural areas. Next is a description of extention's potential contributions to the prevention research process at each step of the Institute of Medicine's Preventive Intervention Research Cycle, followed by an illustration of an effective partnership between a research team and extension. Some of the ways in which extension can assist in the research process include doing local needs assessment and determining prevalence rates of a particular problem, reviewing literature on risk and protective factors, providing input on particular communities' needs and characteristics, and becoming a trusted link between local citizens and the research community. The article concludes with barriers to such an effective partnership and ways of reducing those hindrances.