OBJECTIVE This study examined the effects of the Protecting Strong African American Families (ProSAAF) prevention program on children's outcomes more than 2 years after enrollment, including direct effects of the intervention and indirect effects through couple functioning and parent-child relations. METHOD Three hundred forty-six African American couples with an early adolescent child participated; all families lived in rural, low-income communities in the southern United States. Families were randomly assigned to ProSAAF or control conditions and completed four waves of data collection. Couples reported couple functioning at baseline (Wave 1) and at 9-month follow-up (Wave 2), and parent-child relations at 17-month follow-up (Wave 3). Children reported their conduct problems, affiliation with deviant peers, substance use, sexual onset, depressive symptoms, and self-control at 25-month follow-up (Wave 4). RESULTS Path analyses indicated significant indirect effects of ProSAAF on children's outcomes through improvements in couple functioning and better parent-child relations. There were no significant direct effects of the intervention on children's outcomes or significant indirect effects through couple functioning alone. CONCLUSIONS This couple-focused prevention program has positive indirect effects on several child outcomes through the intervening processes of promoting improvements in couple functioning and better parent-child relations. These findings provide cautious optimism regarding the possible benefits of couple-focused programming on participants' children while suggesting ways in which future couple-focused interventions could yield stronger effects on these youth. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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以夫妻为中心的预防干预对儿童结果的直接和间接影响：一项针对非裔美国家庭的随机对照试验。

目标 本研究检验了保护强大的非裔美国人家庭 (ProSAAF) 预防计划对儿童入学 2 年多后的结果的影响，包括干预的直接影响和通过夫妻功能和亲子关系产生的间接影响。方法 346 对有青春期早期孩子的非裔美国夫妇参加了；所有家庭都生活在美国南部的农村低收入社区。家庭被随机分配到 ProSAAF 或控制条件，并完成四波数据收集。夫妻报告了基线（第 1 波）和 9 个月随访（第 2 波）时的夫妻功能，以及第 17 个月的随访（第 3 波）时的亲子关系。儿童报告了他们的行为问题、与不正常的同龄人的关系、物质使用、性发作、25 个月随访时的抑郁症状和自我控制（第 4 波）。结果 路径分析表明 ProSAAF 通过改善夫妻功能和改善亲子关系对儿童的结果产生显着的间接影响。干预对儿童的结果没有显着的直接影响，也没有通过夫妻单独运作产生显着的间接影响。结论 通过促进改善夫妻功能和改善亲子关系的干预过程，这一以夫妻为重点的预防计划对一些儿童结果产生了积极的间接影响。这些发现对以夫妻为中心的计划对参与者的潜在好处提供了谨慎的乐观态度。同时建议未来以夫妻为中心的干预措施可以对这些青年产生更大影响的方式。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。