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

描述(由申请人提供)：这项拟议的研究审查了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。社区经常实施重复和非系统的方案编制，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EBP。对于对预防酒精、烟草和其他毒品(ATOD)采取有重点、系统的公共卫生方法感兴趣的社区，关爱社区(CTC)为社区联盟提供基于证据的程序，以协调EBPs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，拟议的研究审查了CTC联盟运作、EBP执行支持和青年结果之间的关系。第一个目标侧重于纵向审查联盟运作的广泛或具体方面是否影响EBP的实施支持。联盟运作和EBP实施支持之间的关系将使用捕获互惠因果关系的交叉滞后面板模型在3年内进行审查。这些模型可以加强因果推断，因为它们同时模拟了联盟功能的变化如何影响EBP实施支持，反之亦然。第二个目的是考察联盟的EBP执行支持对青年结果的影响。以前对宾夕法尼亚州CTC的评估表明，实施EBPS的CTC社区的青年在青春期的违约率和风险低于非CTC社区的青年。第二个目标将以这一评价为基础，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。拟议的研究使用多报告者方法，确保每个数据源的独立性。作为宾夕法尼亚州反恐联盟进程评价的一部分，每年对联盟的运作和环境保护计划的执行支助进行衡量；每年约有900名董事会成员报告其反恐联盟的运作情况。还从支持每个联盟的技术援助提供者的角度收集了联盟运作的措施。使用CTC青年调查来衡量青年成果，该调查每两年向宾夕法尼亚州160个学区的约90 000名6年级、8年级、10年级和12年级学生进行匿名问卷调查。这项调查评估了与药物使用和犯罪有关的风险和保护因素，以及药物使用率和反社会行为。

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.