Effects of the Communities That Care model in Pennsylvania on change in adolescent risk and problem behaviors.

Effects of the Communities That Care model in Pennsylvania on change in adolescent risk and problem behaviors.
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DOI:
10.1007/s11121-009-0161-x
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发表时间:
2010-06
期刊:
影响因子:
3.5
通讯作者:
Bontempo, Daniel
Bontempo, Daniel
中科院分区:
医学2区
文献类型:
--
作者:
Feinberg, Mark E.;Jones, Damon;Greenberg, Mark T.;Osgood, D. Wayne;Bontempo, Daniel

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尽管青少年物质使用,犯罪和其他问题行为的公共卫生负担,传播循证预防计划到社区的几个全面的模式已经证明了积极的青年成果在人口水平,能力,以保持计划的忠实性和可持续性。我们研究了社区关怀(CTC)模式是否对青少年的风险/保护因素以及学业和行为结果产生了积极的影响,在准实验有效性研究。我们进行了一项纵向研究,CTC在宾夕法尼亚州利用半年一次的监测数据收集通过匿名在校学生调查。我们利用多水平模型来研究CTC对风险/保护因素、等级、犯罪和物质使用随时间变化的影响。与非CTC社区的青年相比,CTC社区的青年在犯罪方面的增长较少,但在药物使用方面没有增长。风险因素的水平增加更慢,保护因素和学习成绩下降更慢,在CTC社区年级队列中,暴露于循证的,普遍的预防计划比比较年级队列。社区联盟可以影响青少年的风险和保护行为在人口水平时,以证据为基础的程序被利用。儿童中心是传播这类方案的一个有效模式。
Despite the public health burden of adolescent substance use, delinquency, and other problem behavior, few comprehensive models of disseminating evidence-based prevention programs to communities have demonstrated positive youth outcomes at a population level, capacity to maintain program fidelity, and sustainability. We examined whether the Communities That Care (CTC) model had a positive impact on risk/protective factors and academic and behavioral outcomes among adolescents in a quasi-experimental effectiveness study. We conducted a longitudinal study of CTC in Pennsylvania utilizing biannual surveillance data collected through anonymous in-school student surveys. We utilized multilevel models to examine CTC impact on change in risk/protective factors, grades, delinquency, and substance use over time. Youth in CTC communities demonstrated less growth in delinquency, but not substance use, than youth in non-CTC communities. Levels of risk factors increased more slowly, and protective factors and academic performance decreased more slowly, among CTC community grade-cohorts that were exposed to evidence-based, universal prevention programs than comparison grade cohorts. Community coalitions can affect adolescent risk and protective behaviors at a population level when evidence-based programs are utilized. CTC represents an effective model for disseminating such programs.
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