Partnership Model for Diffusion of Proven Prevention

描述：拟议的研究旨在研究减少青年物质使用 和其他问题行为所造成的应用创新干预伙伴关系模式称为繁荣（促进学校/社区-大学合作伙伴关系，以提高弹性）。关于青少年中药物使用和有关问题的流行病学数据以及 旨在预防此类问题的医疗支持干预措施。拟议的研究将借鉴爱荷华州州立大学和宾夕法尼亚州州立大学的几个联邦资助项目的结果，这些项目已经证明：（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相关者联系起来的扩散伙伴关系模式的可行性，以及（B）有前途的方法， 评价伙伴关系进程。 将采用随机化、队列序贯设计。符合条件的学区（例如，将确定符合学校午餐方案资格的家庭比例较高的学校，入学学生总数约为1 300至5 200人。将选择IA和PA（N = 28）中符合资格标准的14个学区， 大小，并随机分配给扩散伙伴关系条件或“通常的编程”控制条件。在每个州的两个连续队列中，每个队列约有2,500名六年级学生（N = 10,000）将完成以学校为基础的评估;第二队列中约有1,200名随机选择的学生及其父母将完成家庭访谈，包括家庭互动录像。当地伙伴关系团队将选择和 从一系列得到医疗支助的、以家庭为重点和以学校为基础的干预措施中采取干预措施。 拟议的研究将评估伙伴关系辅助干预的结果--两种媒介（例如，目标技能）和更远的结果（例如，青少年药物使用）菜单上的所有干预措施共同，进行干预控制比较后测试和后续评估，使用多方法，多信息程序（目标1）。将对伙伴关系进程进行评估，以确定对以下方面产生积极影响的因素： （a）从伙伴和局外人的角度建立伙伴关系;（B）干预措施的执行质量;（c）伙伴关系的制度化（目标2）。还将建立伙伴关系和干预相关变革机制的模型。结果将指导应用的伙伴关系模式，以其他学区在IA和PA，随后，其他国家。

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.