Partnership Model for Diffusion of Proven Prevention

传播经过验证的预防措施的合作伙伴模型

• 批准号: 8131848
• 负责人: Richard Spoth
• 金额: $ 216.45万
• 依托单位: IOWA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-05-25 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8131848
• 关键词: Address; Adolescent; Adoption; Alcohol or Other Drugs use; Communities; Complex; Data; Diffusion; Eligibility Determination; Enrollment; Environment; Epidemiology; Etiology; Evaluation; Evidence based intervention; Family; Funding; General Population; Generations; Geographic Locations; Goals; Grant; Growth; Home environment; Intervention; Interview; Investigation; Iowa; Level of Evidence; Link; Literature; Long-Term Effects; Measures; Modeling; Outcome; Parents; Penetration; Pennsylvania; Phase; Population; Prevention; Problem behavior; Process; Public Health; Randomized; Randomized Controlled Trials; Recruitment Activity; Relative (related person); Research; Research Infrastructure; Research Personnel; Resources; Sample Size; Sampling; Schools; Scientist; Structure; Students; Substance abuse problem; System; Testing; Universities; Work; Youth; adolescent substance use; base; cohort; community intervention; design; elementary school; follow-up; high risk; high school; innovation; meetings; middle school; population based; prevent; programs; resilience; success; therapy design; young adult

DESCRIPTION (provided by applicant): The proposed research is designed to examine long-term effects, particularly on reduction in youth substance use and other problem behaviors, 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 adolescents, and by the limited diffusion of evidence-based interventions (EBIs) designed to prevent such problems. The proposed project builds upon results from several federally-funded projects at Iowa State University and Pennsylvania State University. A randomized, cohort sequential design was applied in the first grant period. Eligible school districts (e.g., those with higher proportions of school-lunch eligible families) were identified, with district enrollments ranging between approximately 1,300 and 5,200 students. Fourteen school districts in IA and in PA (N = 28) meeting eligibility criteria were selected, blocked on size and geographic location, and randomly assigned to either the PROSPER partnership condition or to a usual programming control condition with no PROSPER partnership. Approximately 11,000 6th graders in two consecutive cohorts in each state completed school- based assessments; 979 randomly selected students and their parents in the second cohort completed in- home interviews. Local partnership teams selected and implemented interventions from a menu of family- focused and school-based EBIs. Positive results from the first phase of the project include: (1) effective community team mobilization, team functioning, and generation of local funding for sustained EBI implementation; (2) effective team recruitment of general population families across multiple cohorts; (3) consistently high levels of EBI implementation quality; (4) positive proximal outcomes on family functioning and young adolescent competencies; and (5) positive effects on a number of substance use measures at 1 Vz years past baseline. The practical significance of key substance use outcomes was suggested by relative reductions in use, community-level effect sizes, and by projections of current effects on use trajectories. The proposed study will evaluate long-term partnership-based outcomes of the middle-school EBIs selected from a menu in two cohorts that participated in the first phase of the project, along with study of mechanisms and moderators of long-term effects, guided by the process-to-outcome model described in the original proposal (Aim 1). As an extension of the second aim of the original proposal, factors that influence the sustained, long-term functioning of community teams and their quality of EBI implementation will be examined (Aim 2). In addition, outcomes of the PROSPER model sustained by mature community teams also will be evaluated by testing for the effects of mature community team processes on communities' adoption and implementation of a new set of late-elementary EBIs (Aim 3). Results will guide application of the partnership model to other school districts in IA and PA and, subsequently, to other states.

描述（由申请人提供）：拟议的研究旨在检查长期影响，尤其是针对青年吸毒和其他问题行为的减少，这是由于应用创新的干预伙伴关系模型称为Prosper（促进学校/社区 - 大学合作伙伴关系来增强复原力）。这项研究的需求是通过有关青少年物质使用和相关问题的流行病学数据，以及旨在防止此类问题的基于证据的干预措施（EBIS）的有限扩散。拟议的项目基于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。在第一个赠款期间应用了随机的队列顺序设计。确定了合格的学区（例如，符合学校午餐的家庭比例较高的学区），地区入学率约为1,300至5,200名。选择了IA的14个学区和PA（n = 28）符合资格标准的14个学区，被封锁，地理位置和地理位置，并随机分配给Prosper合作伙伴关系条件或通常没有繁荣伙伴关系的通常的编程控制条件。每个州连续两次共同组成的六年级学生约有11,000名六年级学生完成了基于学校的评估； 979名随机选择的学生及其父母在第二个队列中完成了家庭访谈。当地合伙团队从以家庭为中心和学校的EBI菜单中选择并实施了干预措施。该项目的第一阶段的积极结果包括：（1）有效的社区团队动员，团队运作和生成本地资金来持续EBI实施； （2）有效的团队招募多个队列的一般人口家庭； （3）EBI实施质量始终如一； （4）对家庭功能和年轻青少年能力的积极近端结果； （5）对基线1 VZ的许多物质使用措施的积极影响。关键物质使用结果的实际意义是通过相对减少的使用，社区级效应大小以及当前对使用轨迹的影响的预测提出的。拟议的研究将评估从参与项目第一阶段的两个人群中从菜单中选择的中学EBI的长期伙伴关系结果，以及对原始建议中描述的过程对结果模型的指导的机制和长期效果的调节者的研究（AIM 1）。作为原始提案的第二个目标的扩展，将研究影响社区团队持续的长期运作及其EBI实施质量的因素（AIM 2）。此外，还将通过测试成熟的社区团队流程对社区采用和实施一组新的元素EBIS（AIM 3）的影响来评估成熟社区团队所维持的繁荣模型的成果（AIM 3）。结果将指导合伙模型的应用到IA和PA的其他学区，然后将其应用于其他州。