Using Coalitions to Support Evidence-Based Programs and Prevent Drug Abuse

描述（由申请人提供）：拟议的研究审查社区联盟在支持高质量实施循证预防计划（EBP）和减少早期药物使用和滥用方面的作用。社区往往执行重复和非系统的方案拟订，缺乏经验支持，同时忽视了许多可复制并导致大量成本节约的经改善的做法。对于有兴趣采取有重点的、系统的公共卫生方法来预防酒精、烟草和其他毒品（ATOD）的社区，关怀社区（CTC）为社区联盟提供了一个基于证据的过程，以协调EBP的评估、规划和实施。为了更好地了解联盟成功预防药物滥用的必要条件，拟议的研究探讨了反恐委员会联盟运作，EBP实施支持和青年成果之间的关系。第一个目标的重点是纵向研究是否广泛或具体方面的联盟运作影响EBP实施支持。联盟运作和EBP实施支持之间的关系将在3年的时间内使用交叉滞后面板模型，捕捉相互因果关系进行检查。这些模型可以加强因果推理，因为它们同时模拟联盟功能的变化如何影响EBP实施支持，反之亦然，随着时间的推移。第二个目标审查联盟的EBP实施支持对青年成果的影响。以前对宾夕法尼亚州儿童中心的评价表明，在实施循证教育方案的儿童中心社区，青少年犯罪率和青少年犯罪风险低于非儿童中心社区的青少年。第二个目标将在这一评价的基础上，审查反恐委员会联盟提供的执行支助程度是否影响青年成果。该研究采用多报告者方法，确保每个数据源的独立性。联盟运作和EBP执行支持每年衡量一次，作为宾夕法尼亚州反恐委员会联盟进程评估的一部分;每年约有900名董事会成员报告其反恐委员会联盟的运作情况。还从支持每个联盟的技术援助提供者的角度来衡量联盟的运作情况。青年成果的衡量使用的CTC青年调查，这是管理每两年一次的匿名问卷调查约90,000 6日，8日，10日和12日在宾夕法尼亚州160个学区的年级学生。该调查评估了与药物使用和犯罪有关的风险和保护因素，以及药物使用和反社会行为的比率。

DESCRIPTION (provided by applicant): The proposed research examines the role of community coalitions in supporting the high-quality implementation of evidence-based prevention programs (EBPs) and reducing early substance use and abuse. Communities often implement duplicative and non-systematic programming that lacks empirical support while overlooking numerous EBPs that are replicable and lead to substantial cost-savings. For communities interested in a focused, systematic public health approach to the prevention of alcohol, tobacco and other drugs (ATOD), Communities That Care (CTC) provides community coalitions with an evidence-based process to coordinate the assessment, planning, and implementation of EBPs. To better understand the conditions necessary for coalitions to successfully prevent drug abuse, the proposed research examines the relations between CTC coalition functioning, EBP implementation support, and youth outcomes. The first aim focuses on longitudinally examining whether broad or specific aspects of coalition functioning influence EBP implementation support. The relations between coalition functioning and EBP implementation support will be examined across a 3-year period using cross lagged panel models that capture reciprocal causation. These models can strengthen causal inferences because they simultaneously model how changes in coalition functioning influence EBP implementation support and vice versa over time. The second aim examines the influence of coalitions' EBP implementation support on youth outcomes. Previous evaluations of CTC in Pennsylvania indicate that youth in CTC communities implementing EBPs have lower rates of delinquency and risk across adolescence than youth in non-CTC communities. The second aim will build on this evaluation by examining whether the degree of implementation support provided by the CTC coalition impacts youth outcomes. The proposed research uses a multi-reporter approach that ensures the independence of each data source. Coalition functioning and EBP implementation support are measured annually as part of a process evaluation of CTC coalitions in Pennsylvania; approximately 900 board members report on their CTC coalition functioning each year. Measures of coalition functioning are also captured from the perspective of technical assistance providers who support each coalition. Youth outcomes are measured using the CTC Youth Survey, which is administered biennially as an anonymous questionnaire to approximately 90,000 6th, 8th, 10th and 12th graders in 160 Pennsylvania school districts. The survey assesses risk and protective factors related to substance use and delinquency, as well as rates of drug use and antisocial behavior.