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Background <p>Black adolescents face disproportionate behavioral health and substance use risks amplified by structural racism and discrimination, yet access to culturally grounded, family-centered preventive interventions remains exceedingly rare. Telehealth may advance prevention equity by eliminating geographic and logistical access barriers.</p> Methods <p>A randomized controlled trial enrolled 170 families with Black adolescents (ages 11–12) assigned to T-SAAF—a telehealth adaptation of the evidence-based Strong African American Families program—or a no-treatment control. At 2&#xa0;year follow-up, 145 families (85%) completed assessments. Youth-reported conduct problems and substance use onset were analyzed using ANCOVA and binary logistic regression, adjusting for baseline scores, age, sex, time between assessments, and caregiver educational attainment.</p> Results <p>T-SAAF participants reported significantly fewer conduct problems at 2&#xa0;year follow-up (<i>M</i>&#xa0;=&#xa0;1.51, 95% CI [1.35, 1.67]) than controls (<i>M</i>&#xa0;=&#xa0;1.77, 95% CI [1.59, 1.94]; F[1,137]&#xa0;=&#xa0;4.49, <i>p</i>&#xa0;=&#xa0;0.036, η<sup>2</sup>&#xa0;=&#xa0;0.032). T-SAAF did not significantly reduce odds of substance use onset (OR&#xa0;=&#xa0;1.22, 95% CI [0.48, 3.09], <i>p</i>&#xa0;=&#xa0;0.68).</p> Discussion <p>A brief, culturally grounded telehealth family intervention reduced conduct problems among Black adolescents at a 2&#xa0;year follow-up, relative to a no-treatment control. Substance use onset did not differ between conditions. These findings position digitally delivered, family-centered prevention as a promising, equity-focused strategy for extending evidence-based programming to underserved Black families.</p> <p><i>Trial Registration</i> ClinicalTrials.gov NCT05253235; registered February 22, 2022.</p>

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Behavioral Effects of a Telehealth Family Prevention Program for Black Adolescents: 2 Year Results of a Randomized Trial

  • 期刊论文

  • 发表日期：

    2026年8月1日

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  • Steven M. Kogan,
  • Tracy Anderson,
  • Tianyi Yu,
  • Sycarah Fisher,
  • Sun Joo Grace Ahn,
  • Steven R. H. Beach

摘要

Background

Black adolescents face disproportionate behavioral health and substance use risks amplified by structural racism and discrimination, yet access to culturally grounded, family-centered preventive interventions remains exceedingly rare. Telehealth may advance prevention equity by eliminating geographic and logistical access barriers.

Methods

A randomized controlled trial enrolled 170 families with Black adolescents (ages 11–12) assigned to T-SAAF—a telehealth adaptation of the evidence-based Strong African American Families program—or a no-treatment control. At 2 year follow-up, 145 families (85%) completed assessments. Youth-reported conduct problems and substance use onset were analyzed using ANCOVA and binary logistic regression, adjusting for baseline scores, age, sex, time between assessments, and caregiver educational attainment.

Results

T-SAAF participants reported significantly fewer conduct problems at 2 year follow-up (M = 1.51, 95% CI [1.35, 1.67]) than controls (M = 1.77, 95% CI [1.59, 1.94]; F[1,137] = 4.49, p = 0.036, η2 = 0.032). T-SAAF did not significantly reduce odds of substance use onset (OR = 1.22, 95% CI [0.48, 3.09], p = 0.68).

Discussion

A brief, culturally grounded telehealth family intervention reduced conduct problems among Black adolescents at a 2 year follow-up, relative to a no-treatment control. Substance use onset did not differ between conditions. These findings position digitally delivered, family-centered prevention as a promising, equity-focused strategy for extending evidence-based programming to underserved Black families.

Trial Registration ClinicalTrials.gov NCT05253235; registered February 22, 2022.