The Closing Digital Divide: Delivery Modality and Family Attendance in the Pathways for African American Success (PAAS) Program

• Published in: Prevention science 2018-07, Vol.19 (5), p.642-651
• Main Authors: Murry, Velma McBride, Berkel, Cady, Liu, Na
• Format: Article
• Language: English
• Subjects: Access to Information; Adolescent; Adolescent Behavior; African Americans; At risk youth; Attendance; Caregivers; Child; Child and School Psychology; Digital Divide; Educational materials; Families & family life; Family Relations; Health behavior; Health care policy; Health disparities; Health Promotion; Health Psychology; Health status; Humans; Internet access; Medicine; Medicine & Public Health; Parenting; Parents & parenting; Prevention programs; Preventive Medicine; Public Health; Risk behavior; Risk-Taking; Rural areas; Rural communities; Rural Population; Socioeconomic status; Southeastern United States; Technology; Youth
• ISSN: 1389-4986; 1573-6695
• DOI: 10.1007/s11121-018-0863-z

Although family-focused, evidence-based programs (EBPs) have the potential to reduce disparities in health and behavioral outcomes for youth, access to such programs is severely limited in the most affected areas, including African American communities in the rural South. As expanding the reach of EBPs is the primary goal of translational research, interest is growing in the potential of technology as a viable platform to disseminate services to areas with limited resources. To test whether African American families in the rural South would be willing to engage in a technology-based family-focused EBP to prevent adolescent risk behavior, we examined attendance using data from two arms of a three-arm community-based trial of the Pathways for African American Success (PAAS) program. In the overall study, sixth graders ( N  = 412) and their primary caregivers were randomly assigned to the following conditions: (a) in-person, small group sessions led by facilitators; (b) self-directed, technology-based sessions; or (c) a literature control with home-mailed educational materials. Results indicated that attendance was higher in the technology condition than in the small group condition. Parental age, education, and socioeconomic status did not limit attendance in the technology condition. We conclude from these results that the use of technology can be an acceptable strategy for disseminating parenting EBPs to African American families in the rural South.