Assessing Community Coalition Capacity and its Association with Underage Drinking Prevention Effectiveness in the Context of the SPF SIG
Assessing Community Coalition Capacity and its Association with Underage Drinking Prevention Effectiveness in the Context of the SPF SIG
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DOI：
10.1007/s11121-016-0675-y
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发表时间：
2016-10-01
影响因子：
3.5
通讯作者：
Hanley, Sean M.
中科院分区：
文献类型：
--
作者：
Flewelling, Robert L.;Hanley, Sean M.
社区联盟是一个重要的组织结构，通过它开展以社区为基础的药物滥用预防工作。然而，关于联盟属性与成功实现社区层面减少药物滥用行为之间的关联，几乎没有经验证据。在这项研究中，我们评估了联盟能力之间的关系，根据联盟协调员对16个调查项目的反应，以及未成年人饮酒率的降低。这些联盟是通过联邦赞助的战略预防框架国家奖励赠款（SPF SIG）资助的。我们首先检查了联盟的能力是否在项目的生命周期中增加。检查的所有16个能力项目（N = 318个联盟）的平均能力评分增加，其中大多数具有统计学意义。对未成年人饮酒能力和减少之间的关联的分析仅限于针对未成年人饮酒的联盟，并基于过去30天饮酒（N = 129）或酗酒（N = 100）的学生调查数据提供可用的结果测量。每个结果的能力项目和患病率降低之间的双变量关联始终是积极的，尽管许多没有统计学意义。然后创建相关项目的复合测量以代表六种不同的能力结构，并包括在多变量模型中以预测目标结果的减少。显著预测一个或两个结果指标减少的结构包括内部组织和结构、社区联系和外展以及来自多个来源的资金。研究结果提供了支持的期望，高功能的社区联盟可以有效的代理人产生理想的社区层面的变化，有针对性的药物滥用行为。
Community coalitions are a prominent organizational structure through which community-based substance abuse prevention efforts are implemented. There is little empirical evidence, however, regarding the association between coalition attributes and success in achieving community-level reductions in substance abuse behaviors. In this study, we assessed the relationship between coalition capacity, based on coalition coordinator responses to 16 survey items, and reductions in underage drinking prevalence rates. The coalitions were funded through the federally sponsored Strategic Prevention Framework State Incentive Grant (SPF SIG). We first examined whether coalition capacity increased over the life of the projects. Mean capacity scores increased for all 16 capacity items examined (N = 318 coalitions), the majority of which were statistically significant. Analysis of the associations between capacity and reductions in underage drinking was limited to coalitions that targeted underage drinking and provided usable outcome measures based on student survey data for either past 30-day alcohol use (N = 129) or binge drinking (N = 100). Bivariate associations between the capacity items and prevalence reductions for each outcome were consistently positive, although many were not statistically significant. Composite measures of correlated items were then created to represent six different capacity constructs, and included in multivariate models to predict reductions in the targeted outcomes. Constructs that significantly predicted reductions in one or both outcome measures included internal organization and structure, community connections and outreach, and funding from multiple sources. The findings provide support for the expectation that high functioning community coalitions can be effective agents for producing desirable community-level changes in targeted substance abuse behaviors.