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，并已成为预防服务研究的优先事项（Backer, 2000; Biglan, 1995）。拟议的项目是社区护理（CTC）预防操作系统的随机对照试验。CTC提供了一个风险和保护性重点预防框架，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; Developmental Research and Programs, 1997, 2000）。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国家药物滥用预防机构以及这些州的24个社区共同努力的结果。这项为期5年的实验性研究旨在测试CTC操作系统对6至12年级青少年在风险、保护、吸毒、暴力和反社会行为方面的水平和趋势的影响，以及对社区预防服务的影响，包括合作水平、使用有关风险和保护的流行病学数据来指导预防规划，以及采用和实施经过检验的有效预防干预措施。在目前对这24个社区的预防服务进行的为期5年的研究的基础上，拟议的研究将从12对社区对中每个社区随机分配一个社区接受CTC干预，而另一个社区将作为对照。干预社区将获得培训、技术援助和安装CTC操作系统所需的材料、一名社区协调员，并在第2-5年获得资金，以实施经过检验的预防干预措施，填补预防服务空白。将在所有社区收集协调/合作措施、以风险和保护为重点的预防规划的实施以及基于证据的预防服务。CTC对青少年结果的影响将通过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，通过在拟议研究的第2、4和5年对6年级、8年级、10年级和12年级的学生进行调查，并通过在研究的第一年对每个社区的4年级学生的代表性小组进行年度调查。

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.