Ehancing Prevention Capacity with Developmental Assets and Getting to Outcomes

利用发展资产提高预防能力并取得成果

• 批准号: 8038433
• 负责人: MATTHEW CHINMAN
• 金额: $ 61.14万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-06-01 至 2013-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8038433
• 关键词: Accidents; Accountability; Address; Adoption; Alcohols; Attitude; Case Study; Collaborations; Communities; Community based prevention; Complex; Crime; Development; Drug abuse; Drug usage; Effectiveness; Elements; Ensure; Evaluation; Evidence based program; Face; Fostering; Health; Individual; Information Dissemination; Intervention; Interview; Knowledge; Learning; Link; Maine; Measures; Methods; Modeling; Morbidity - disease rate; National Institute of Drug Abuse; National Institute on Alcohol Abuse and Alcoholism; Organizational Change; Outcome; Performance; Pharmaceutical Preparations; Phase; Prevention; Prevention Research; Prevention program; Prevention strategy; Preventive Intervention; Process; Public Health; Randomized; Randomized Controlled Trials; Research; Research Activity; Research Personnel; Resources; Risk; Schools; Science; Scientist; Services; Surveys; System; Target Populations; Testing; Time; Treatment Cost; United States Substance Abuse and Mental Health Services Administration; Violence; Work; Youth; alcohol and other drug; alcohol prevention; base; community based participatory research; community setting; design; effectiveness measure; efficacy trial; empowered; evidence base; experience; improved; innovation; member; mortality; positive youth development; prevent; programs; randomized trial; research study; skills; social; standardize measure; theories; tool

DESCRIPTION (provided by applicant): Alcohol and drug (AOD) use is problematic in many communities. Despite the spread of evidence-based prevention, communities still face difficulty in achieving outcomes demonstrated by prevention science. This "gap" is because resources are limited, prevention is complex, and communities often lack the capacity to adapt and implement "off the shelf" programs. Also, many evidence-based programs aim to improve deficits-- despite evidence showing the need to also promote positive youth development through community-wide efforts. Common ways to bridge this gap, such as information dissemination, fail to change practice or outcomes at the local level in part because it does not sufficiently address capacity or use community input. Therefore, building a community's prevention capacity, through greater collaboration between scientists and practitioners, with a focus on positive youth development, is a method that could improve the quality of prevention and outcomes. This project will assess the combination of two models that are specifically designed to foster such an approach: Getting To Outcomes (GTO) and Developmental Assets. They are complimentary: GTO enhances local capacity for discrete prevention tasks (e.g., evaluation); Developmental Assets supports community mobilization and collaboration to promote positive youth development. Combining the content, tools, and resources of these two SAMHSA (Best Practice) prevention planning processes has the potential to improve the quality of prevention programming and accountability more than either would do alone. Quasi - experimental and case studies of both Assets and GTO have demonstrated feasibility in community settings and yielded evidence suggesting these models can help communities mobilize and improve prevention practices and outcomes. As a next step, we propose a randomized controlled efficacy trial with elements of an effectiveness study (i.e., implementation in community-based setting) comparing 6 AOD prevention coalitions using Assets-GTO with 6 similar coalitions who are not. Such blended designs that emphasize generalizability and external validity are now recommended for community-based research. We will use a participatory research approach in which a Workgroup of coalition representatives will be actively involved in all phases of the research. Assets-GTO's impact on prevention capacity will be assessed at the program level (5 per coalition) with staff interviews and at the individual level with a Coalition Survey (each has about 54 members). A survey of schools in which the coalitions operate will assess the impact on AOD use and positive developmental outcomes among the programs' target populations. Organizational change theories will guide Assets-GTO implementation; standardized measures will track Assets-GTO adoption. Results will have implications for how to ensure that prevention programming found to be effective through research trials is successfully delivered in real world settings, a priority for NIDA and NIAAA. Project Narrative The demonstration and evaluation of the Assets-Getting To Outcomes system for the prevention of alcohol and drug (AOD) use outlined in this proposal has direct relevance to public health. This is because AOD use among youth is a significant health problem facing US communities. The Assets-Getting To Outcomes system is designed to help communities engaged in AOD prevention work to better plan, implement, and self-evaluate their prevention strategies in order to help them achieve positive results, thereby positively impacting the mortality and morbidity of youth at the local level. PUBLIC HEALTH RELEVANCE: The demonstration and evaluation of the Assets-Getting to Outcomes system for the prevention of alcohol and drug (AOD) use outlined in this proposal has direct relevance to public health. This is because AOD use among youth is a significant health problem facing US communities. The Assets-Getting To Outcomes system is designed to help communities engaged in AOD prevention work to better plan, implement, and self-evaluate their prevention strategies in order to help them achieve positive results, thereby positively impacting the mortality and morbidity of youth at the local level.

描述（由申请人提供）：在许多社区中，酒精和药物（AOD）的使用是有问题的。尽管基于证据的预防传播，但社区仍然面临着预防科学表现出的结果的困难。这种“差距”是因为资源有限，预防是复杂的，并且社区通常缺乏适应和实施“搁置”计划的能力。此外，尽管有证据表明有必要通过社区范围的努力来促进青年发展，但许多基于证据的计划旨在改善赤字。弥合这一差距的常见方法，例如信息传播，无法在本地一级改变练习或结果，部分原因是它不能充分解决能力或使用社区投入。因此，通过科学家和从业人员之间的更大合作，以积极的青年发展为重点，建立社区的预防能力是一种可以提高预防和结果质量的方法。该项目将评估两种专门设计用于促进这种方法的模型的组合：获得结果（GTO）和发展资产。它们是免费的：GTO增强了当地进行离散预防任务的能力（例如评估）；发展资产支持社区动员和合作，以促进青年的积极发展。将这两个SAMHSA（最佳实践）预防计划过程的内容，工具和资源结合在一起，有可能提高预防编程和问责制的质量，而不是任何人。准资产和GTO的实验和案例研究都证明了在社区环境中的可行性，并提供了证据，表明这些模型可以帮助社区动员和改善预防实践和结果。下一步，我们提出了一项随机对照疗效试验，其中具有有效性研究的要素（即基于社区的设置中的实施），比较了6种使用资产GOTO的6个AOD预防联盟与6个类似的联盟。现在建议使用强调可推广性和外部有效性的混合设计进行基于社区的研究。我们将使用一种参与性研究方法，其中一组联盟代表将积极参与研究的各个阶段。资产-GTO对预防能力的影响将在计划级别（每个联盟5）进行评估，并通过员工访谈以及联盟调查的个人级别进行评估（每个人都有大约54名成员）。对联盟开展的学校的调查将评估该计划目标人群中对AOD使用的影响和积极的发展成果。组织变革理论将指导资产-GTO实施；标准化的措施将跟踪资产-GTO采用。结果将对如何确保通过研究试验发现有效的预防计划在现实世界中成功提供，这是NIDA和NIAAA的优先事项。项目叙述本提案中概述的预防酒精和药物（AOD）使用资产的证明和评估与公共卫生直接相关。这是因为在青年中使用AOD是美国社区面临的重大健康问题。对成果系统进行资产的旨在帮助从事预防AOD的社区，以更好地计划，实施和自我评估其预防策略，以帮助他们取得积极的成果，从而积极影响年轻人在当地一级的死亡率和发病率。公共卫生相关性：该提案中概述的预防酒精和药物（AOD）使用资产的证明和评估与公共卫生直接相关。这是因为在青年中使用AOD是美国社区面临的重大健康问题。对成果系统进行资产的旨在帮助从事预防AOD的社区，以更好地计划，实施和自我评估其预防策略，以帮助他们取得积极的成果，从而积极影响年轻人在当地一级的死亡率和发病率。