Examining the Highs and Lows of the Collaborative Relationship Between Technical Assistance Providers and Prevention Implementers
Examining the Highs and Lows of the Collaborative Relationship Between Technical Assistance Providers and Prevention Implementers
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DOI：
10.1007/s11121-017-0812-2
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发表时间：
2018-02-01
影响因子：
3.5
通讯作者：
Feinberg, Mark E.
中科院分区：
文献类型：
--
作者：
Chilenski, Sarah M.;Welsh, Janet;Feinberg, Mark E.
PROSPER模式采用三级社区伙伴关系、大学研究人员和基于合作推广的技术援助系统，以支持在社区提供循证干预措施。本研究探讨了技术援助提供者和社区团队在组织、实施和可持续发展三个阶段之间合作关系的轨迹和预测因素。14个促进学校-大学-社区伙伴关系以增强复原力（PROSPER）社区小组的成员和地方机构的主任对社区的准备程度和青少年药物使用规范进行了评级。技术援助提供者在4.5年的时间里对他们与团队的合作关系进行了14次评价。混合模型的结果表明，合作水平一直稳定，直到可持续发展阶段，当他们显着增加。在实施阶段，团队在变革方面的差异很大。社区准备预测水平的协作关系随着时间的推移：高社区准备与组织期间的高水平的协作，但在实施过程中的协作下降。这些结果使人们对提供技术援助与社区预防小组之间的关系有了更细致的了解，并由此提出了改进传播模式的建议，以实现更大的公共卫生影响。
The PROSPER model uses a three-tiered community partnership, university researcher, and Cooperative Extension-based technical assistance system to support the delivery of evidence-based interventions in communities. This study examines the trajectory and predictors of the collaborative relationship between technical assistance providers and community teams across the three phases of organization, implementation, and sustainability. Members of 14 PROmoting School-university-community Partnerships to Enhance Resilience (PROSPER) community teams and directors of local agencies rated communities' levels of readiness and adolescent substance use norms. Technical assistance providers rated their collaborative relationship with their teams at 14 occasions across 4.5 years. Results from mixed models show that levels of collaboration were stable until the sustainability phase, when they increased significantly. Team differences in change were significant during the implementation phase. Community readiness predicted levels of the collaborative relationship over time: high community readiness was associated with a high level of collaboration during organization, but a decline in collaboration during implementation. These results provide a more nuanced understanding of the relationship between technical assistance provision and community prevention teams and lead to recommendations to improve dissemination models to achieve a greater public health impact.