Intervening with Practitioners to Improve the Quality of Prevention: One-Year Findings from a Randomized Trial of Assets-Getting To Outcomes
Intervening with Practitioners to Improve the Quality of Prevention: One-Year Findings from a Randomized Trial of Assets-Getting To Outcomes
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DOI：
10.1007/s10935-013-0302-7
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发表时间：
2013-06-01
影响因子：
1.7
通讯作者：
Tellett-Royce, Nancy
中科院分区：
文献类型：
--
作者：
Chinman, Matthew;Acosta, Joie;Tellett-Royce, Nancy
在研究试验中取得的预防成果与在“现实世界”实践中取得的成果仍然存在差距。本文报告了一项随机对照试验的中期结果，该试验评估了资产-获得结果（AGTO），这是一项为期两年的干预措施，旨在培养预防从业人员在缅因州12个社区联盟中实施积极的青年发展导向实践的能力。一项联盟成员的调查被用来评估个体从业者在基线和一年后预防能力的变化。对32位项目主管（干预组16位，对照组16位）进行了结构化访谈，以评估同一时期项目预防实践的变化。随着时间的推移，干预组和对照组之间的预防能力变化没有显著差异。然而，在对那些被分配到AGTO干预组的二次分析中，用户在进行基于资产的编程的自我效能有了更大的提高，他们参与AGTO行为的频率也有所增加，而在非用户中，进行基于资产的编程的自我效能则有所下降。访谈评分显示干预项目在几个关键领域的表现有所改善。改善与收到的技术援助小时数有关。这些结果表明，经过一年的努力，AGTO开始提高使用它的社区从业人员的能力。
There continues to be a gap in prevention outcomes achieved in research trials versus those achieved in "real-world" practice. This article reports interim findings from a randomized controlled trial evaluating Assets-Getting To Outcomes (AGTO), a two-year intervention designed to build prevention practitioners' capacity to implement positive youth development-oriented practices in 12 community coalitions in Maine. A survey of coalition members was used to assess change on individual practitioners' prevention capacity between baseline and one year later. Structured interviews with 32 program directors (16 in the intervention group and 16 in the control group) were used to assess changes in programs' prevention practices during the same time period. Change in prevention capacity over time did not differ significantly between the intervention and control groups. However, in secondary analyses of only those assigned to the AGTO intervention, users showed greater improvement in their self-efficacy to conduct Assets-based programming and increases in the frequency with which they engaged in AGTO behaviors, whereas among non-users, self-efficacy to conduct Assets-based programming declined. Interview ratings showed improvement in several key areas of performance among intervention programs. Improvement was associated with the number of technical assistance hours received. These results suggest that, after one year, AGTO is beginning to improve the capacity of community practitioners who make use of it.