Science-based Prevention: Testing Communities That Care

描述（由申请人提供）：预防科学的进步已经确定了预测健康结果的风险和保护因素，包括药物滥用以及有效的预防干预措施。然而，将预防科学转化为社区预防服务系统一直很困难，并且已成为预防服务研究的优先事项（Backer，2000；Biglan，1995）。拟议的项目是关怀社区 (CTC) 预防操作系统的随机对照试验。 CTC 提供了一个以风险和保护为重点的预防框架以及培训、技术援助和工具，以指导社区评估、规划和行动，以实施和制度化基于科学的预防服务系统（Hawkins、Catalano & Associates，1992 年；发展研究和计划，1997 年，2000 年）。这项研究是华盛顿大学社会发展研究小组、科罗拉多州、伊利诺伊州、堪萨斯州、缅因州、俄勒冈州、犹他州和华盛顿州的州药物滥用预防机构以及这些州的 24 个社区的共同努力。这项为期五年的实验研究旨在测试 CTC 操作系统对 6 至 12 年级青少年风险、保护、吸毒、暴力和反社会行为水平和趋势的影响，以及对社区预防服务的影响，包括合作水平、使用风险和保护流行病学数据来指导预防规划，以及采用和实施经过测试的有效预防干预措施。基于当前对这 24 个社区预防服务的五年研究，拟议的研究将从 12 个社区对中的每对中随机分配一个社区接受 CTC 干预，而另一个社区将作为对照。干预社区将在第 2-5 年获得安装 CTC 操作系统所需的培训、技术援助和材料、社区协调员以及资金，以实施填补预防服务空白所需的经过测试的预防干预措施。将在所有社区收集协调/协作措施、实施以风险和保护为重点的预防规划以及基于证据的预防服务。 CTC 对青少年成果的影响将通过对拟议研究的第 2、4 和 5 年进行的 6、8、10 和 12 年级学生的调查，以及对研究第一年组成的每个社区的四年级学生代表小组的年度调查，扩展参与社区的风险和保护因素以及青少年问题行为的现有趋势数据来评估。

DESCRIPTION (provided by applicant): Advances in prevention science have identified risk and protective factors that predict health outcomes including substance abuse as well as efficacious preventive interventions. Yet, translating prevention science into community prevention service systems has been difficult and has emerged as a priority for prevention services research (Backer, 2000; Biglan, 1995). The proposed project is a randomized controlled trial of the Communities That Care (CTC) prevention operating system. CTC provides a framework for risk and protective focused prevention as well as training, technical assistance, and tools to guide community assessment, planning and action to implement and institutionalize science-based prevention services systems (Hawkins, Catalano & Associates, 1992; Developmental Research and Programs, 1997, 2000). The study is a joint effort of the Social Development Research Group of the University of Washington, the State Substance Abuse Prevention Agencies of Colorado, Illinois, Kansas, Maine, Oregon, Utah, and Washington, and 24 communities in these states. The five-year experimental study seeks to test the effects of the CTC operating system on levels and trends in risk, protection, drug use, violence and antisocial behavior among adolescents in grades 6 through 12 and on prevention services in communities including levels of collaboration, use of epidemiologic data on risk and protection to guide prevention planning, and adoption and implementation of tested effective preventive interventions. Building on a current five-year study of prevention services in these 24 communities, the proposed study will randomly assign one community from each of 12 community pairs to receive the CTC intervention, while the other will serve as a control. Intervention communities will receive training, technical assistance and materials needed to install the CTC operating system, a community coordinator, and funding in years 2-5 to implement tested preventive interventions needed to fill prevention service gaps. Measures of coordination/collaboration, implementation of risk and protection focused prevention planning, and evidence-based prevention services will be collected in all communities. The impact of CTC on youth outcomes will be assessed by extending existing trend data on risk and protective factors and adolescent problem behaviors in participating communities through surveys of 6th, 8th, 10th, and 12th grade students administered in years 2, 4, and 5 of the proposed study, and by annual surveys of a representative panel of 4th grade students in each community constituted in the first year of the study.