Partnership Model for Diffusion of Proven Prevention

描述：这项拟议的研究旨在检查青少年药物使用的减少 以及其他因应用称为PROSPER(促进学校/社区-大学伙伴关系以增强复原力)的创新干预伙伴关系模式而产生的问题行为。青少年中药物使用和相关问题的流行病学数据以及艾滋病的有限传播表明了这项研究的必要性。 旨在预防此类问题的经验支持的干预措施。拟议的研究将借鉴爱荷华州立大学和宾夕法尼亚州立大学的几个联邦资助项目的结果，这些项目证明了(A)将赠地大学研究人员、合作推广系统、公立学校系统和社区利益攸关方联系起来的扩散伙伴关系模式的可行性，以及(B) 对伙伴关系进程的评价。 将采用随机队列序贯设计。将确定符合条件的学区(例如，符合学校午餐计划资格的家庭比例较高的学区)，学校总入学人数约为1300至5200名学生。将在IA和PA(N=28)中选择符合资格标准的14个学区，并在 大小，并随机分配到扩散伙伴关系条件或“通常编程”控制条件。在每个州(N=10,000)的两个连续队列中，每个队列中的大约2,500名六年级学生将完成一项基于学校的评估；在第二个队列中，大约1,200名随机选择的学生及其家长将完成家庭访谈，包括录制家庭互动的视频。当地的合作伙伴团队将挑选和 从一系列经验支持的、以家庭为重点的和以学校为基础的干预措施中实施干预措施。 拟议的研究将评估伙伴关系协助的干预结果--既有调解人(如有针对性的技能)，也有菜单上所有干预措施所共有的更远的结果(如青少年药物使用)，在后测试和后续评估中进行干预-对照比较，使用多方法、多信息者程序(目标1)。将对伙伴关系进程进行评估，以找出积极影响以下方面的因素：(A) 从伙伴和外部角度看伙伴关系：(B)干预执行的质量；(C)伙伴关系的制度化(目标2)。还将对伙伴关系和与干预有关的变化机制进行建模。结果将指导伙伴关系模式在亚利桑那州和宾夕法尼亚州的其他学区以及随后在其他州的应用。

DESCRIPTION: The proposed research is designed to examine reduction in youth substance use and other problem behavior resulting from the application of an innovative intervention partnership model called PROSPER (PROmoting School/community-university Partnerships to Enhance Resilience). The need for this research is indicated by epidemiological data on substance use and related problems among young adolescents, and by the limited diffusion of empirically-supported interventions designed to prevent such problems. The proposed study will draw upon results from several federally-funded projects at Iowa State University and Pennsylvania State University that have demonstrated (a) the feasibility of a diffusion partnership model linking land-grant university researchers, the Cooperative Extension System, the public school system, and community stakeholders, and (b) promising methods for the evaluation of partnership processes. A randomized, cohort sequential design will be applied. Eligible school districts (e.g., those with higher proportions of families eligible for the school lunch program) will be identified, with total school enrollments ranging between approximately 1,300 and 5,200 students. Fourteen school districts in IA and in PA (N = 28) meeting eligibility criteria will be selected, blocked on size, and randomly assigned to either the diffusion partnership condition or to a "usual programming" control condition. Approximately 2,500 6th graders in each of two consecutive cohorts in each state (N = 10,000) will complete a school-based assessment; approximately 1,200 randomly selected students and their parents in the second cohort will complete in-home interviews, including videotaped family interactions. Local partnership teams will select and implement interventions from a menu of empirically-supported family-focused and school-based interventions. The proposed study will evaluate partnership-assisted intervention outcomes-both mediators (e.g., targeted skills) and more distal outcomes (e.g., adolescent substance use) common to all interventions on the menu, conducting intervention-control comparisons at posttest and follow-up assessments, using multi-method, multi-informant procedures (Aim 1). Partnership processes will be assessed to identify factors that positively affect: (a) success of the partnerships from partner and outsider perspectives, (b) quality of intervention implementation, and (c) institutionalization of the partnership (Aim 2). Modeling of partnership and intervention-related change mechanisms also will be conducted. Results will guide application of the partnership model to other school districts in IA and PA and, subsequently, to other states.