Moving evidence-based drug abuse prevention programs from basic science to practice: "bridging the efficacy-effectiveness interface".

Moving evidence-based drug abuse prevention programs from basic science to practice: "bridging the efficacy-effectiveness interface".
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DOI:
10.1081/ja-200033240
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发表时间:
2004-01-01
影响因子:
2
通讯作者:
Hektner, Joel M
Hektner, Joel M
中科院分区:
医学4区
文献类型:
--
作者:
August, Gerald J;Winters, Ken C;Hektner, Joel M

文献摘要

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本文探讨了青年药物滥用预防计划的开发人员所面临的挑战,在运输科学证明或以证据为基础的计划到自然的社区实践系统。介绍了关于预防技术转让的研究模式,特别强调功效和效力研究之间的关系。阻碍有效性研究中有效性方法成功整合的障碍(例如,客户因素,从业人员因素,干预结构特征,以及环境和组织因素)进行了讨论。我们提出了一个修改后的模型,程序开发和评估,其中包括一种新类型的研究设计,混合动力的效率-效果的研究,解决程序的可移植性。混合研究的效用说明在早期上升者的“成功的技能”预防计划的评估。
This article examines the challenges faced by developers of youth drug abuse prevention programs in transporting scientifically proven or evidence-based programs into natural community practice systems. Models for research on the transfer of prevention technology are described with specific emphasis given to the relationship between efficacy and effectiveness studies. Barriers that impede the successful integration of efficacy methods within effectiveness studies (e.g., client factors, practitioner factors, intervention structure characteristics, and environmental and organizational factors) are discussed. We present a modified model for program development and evaluation that includes a new type of research design, the hybrid efficacy-effectiveness study that addresses program transportability. The utility of the hybrid study is illustrated in the evaluation of the Early Risers "Skills for Success" prevention program.