Strengthening prevention performance using technology: a formative evaluation of interactive Getting To Outcomes.
Strengthening prevention performance using technology: a formative evaluation of interactive Getting To Outcomes.
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DOI：
10.1037/a0016705
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发表时间：
2009-10
影响因子：
3.3
通讯作者：
Wandersman, Abraham
中科院分区：
文献类型：
--
作者：
Chinman, Matthew;Tremain, Beverly;Imm, Pamela;Wandersman, Abraham
Communities face challenges achieving positive outcomes using evidence-based prevention programs. The knowledge, attitudes, and skills needed to address these challenges constitutes community-level capacity for prevention. Policy makers are exploring how to build this type of capacity for thousands of organizations or communities implementing prevention across the United States. This article reports on a formative evaluation of an internet-based system designed to build capacity on a large scale called interactive Getting To Outcomes (iGTO). We assessed iGTO within the substance use prevention systems in two states. In Tennessee, there were 15 matched pairs of county coalitions that were randomly assigned to receive either the iGTO system or no intervention. In Missouri, we compared 18 coalitions receiving iGTO to a comparison group of 8 like coalitions. The primary outcome of the the study was iGTO's impact on the performance of prevention by the programs in participating coalitions, assessed through interviews using a structured rating scale at baseline and after a year of iGTO implementation. Analyses suggest that programs using iGTO demonstrated an increase in the quality of performance of key prevention practices over non-iGTO programs. We also assessed barriers and facilitators to the diffusion of iGTO with semi-structured interviews of iGTO users and state level stakeholders. Results show that iGTO was diffused into most iGTO-assigned coalitions, although it was mostly being used in an elementary fashion. iGTO users' experience with and perceptions of the iGTO system were mixed. The findings suggest that to achieve more comprehensive and long-term integration into regular operations likely requires that state leadership also use iGTO themselves and provide more support for its use at the local level.
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