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: 8804926
• 负责人: Richard Spoth
• 金额: $ 45.07万
• 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 2016-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8804926
• 关键词: Acquired Immunodeficiency Syndrome; Adolescence; Adolescent; Adult; Age; Behavior; Child Rearing; Communities; Community Participation; Data; Data Set; Diffusion; Documentation; Drug Prescriptions; Economics; Effectiveness; Epidemiology; Evaluation; Evidence based intervention; Family; Gender; General Population; Goals; Grant; Health; Intervention; Lead; Lifestyle-related condition; Link; Long-Term Effects; Longitudinal Studies; Mediating; Mediation; Mediator of activation protein; Middle School Student; Modeling; Outcome; Outcomes Research; Participant; Penetration; Prevention; Preventive Intervention; Problem behavior; Progress Reports; Public Health; Publishing; Randomized; Randomized Controlled Trials; Recruitment Activity; Relative (related person); Reporting; Research; Research Infrastructure; Review Literature; Risk; Rural; Rural Community; Rural Population; Sampling; Schools; Sexual Health; Site; Specific qualifier value; Staging; Students; System; Universities; Work; Youth; antisocial behavior; base; behavioral outcome; career; cohort; conduct problem; cost efficient; design; emerging adult; emerging adulthood; evidence base; follow-up; health economics; high risk; high school; innovation; intervention effect; junior high school; misuse of prescription only drugs; peer; programs; resilience; seventh grade; sex risk; sixth grade; skills; social capital; success; therapy design; twelfth grade

DESCRIPTION (provided by applicant): The proposed research will examine long-term effects of an innovative partnership-based intervention delivery model called PROSPER (PROmoting School/community-university Partnerships to Enhance Resilience). Primary effects examined will be reductions in emerging adult substance misuse, antisocial behaviors, and sexual risk behaviors for AIDS and other STIs, along with improvements in healthy adult functioning, among project participants who received evidence-based interventions during middle school. This proposed work extends a randomized control study of the PROSPER model, involving two sequential cohorts of youth and families from an understudied rural population. A total of 28 rural school districts in IA and PA, ranging in size from approximately 1,300 to 5,200 students, were selected and randomly assigned to either the PROSPER partnership condition or to a usual programming control condition. Local teams in the PROSPER partnership sites selected and implemented family-focused and school-based evidence-based interventions (EBIs) for middle school students. The evaluation of intervention outcomes began with approximately 12,000 students (90% of those eligible) in the two cohorts who participated in a 6th grade pretest assessment; follow-up assessments with the students in these cohorts were conducted each spring, through the 12th grade. Following 12th grade, 2,000 randomly selected students from that sample were recruited for continued follow-up assessments. The proposed study will extend those follow-ups to ages 22 and 24. Aims of the proposed study are to: (1) evaluate long-term substance misuse behaviors, anti-social behaviors and sexual risk behavior outcomes of the PROSPER partnership-supported middle-school EBIs; and (2) evaluate mediators and moderators of long-term EBI effects, informed by an extension of the outcome model specified in the original study. Positive results from the first two grant periods have established PROSPER effectiveness, with evidence of: effective functioning of community teams; strong participation in EBIs; long-term, high quality EBI implementation; sustainability of teams and EBIs; and economic analyses indicating PROSPER efficiency. Most importantly, results show strong EBI outcomes through middle and high school, with positive effects on: young adolescent competencies (e.g., peer refusal skills); parenting effectiveness and family functioning; reduced adolescent conduct problems; and reduced misuse of a wide range of substances through the end of high school. These results suggest a unique opportunity for demonstrating early preventive intervention impacts on healthy adult functioning; the prospect of establishing such impacts would constitute a compelling case for national diffusion of the PROSPER model. Literature reviews failed to reveal another study with a comparably large rural sample that allows assessment of intervention effects on general health, reduced problem behaviors, reduced sexual risk behaviors for AIDS/STIs, and other benefits for participants as they transition into adulthood.

描述(由申请者提供)：这项拟议的研究将考察一种名为PROSPER(促进学校/社区-大学伙伴关系以增强复原力)的创新伙伴关系干预交付模式的长期影响。研究的主要影响将是在中学期间接受循证干预的项目参与者中，艾滋病和其他性传播感染的新出现的成人药物滥用、反社会行为和性危险行为的减少，以及健康成人功能的改善。 这项拟议的工作扩展了对Prosper模型的随机对照研究，涉及来自研究不足的农村人口的两个连续队列的青年和家庭。在亚利桑那州和宾夕法尼亚州，总共选择了28个农村学区，学生人数从大约1 300人到5 200人不等，随机分配到繁荣伙伴关系条件或通常的规划控制条件。Prosper伙伴关系网站的当地团队为中学生选择并实施了以家庭为重点和以学校为基础的循证干预(EBI)。干预结果的评估始于两个队列中的大约12,000名学生(符合条件的学生中的90%)，他们参加了6年级的预试评估；每年春季对这些队列中的学生进行后续评估，直到12年级。在12年级之后，从该样本中随机挑选了2000名学生进行持续的后续评估。这项拟议的研究将把这些随访扩展到22岁和24岁。 这项研究的目的是：(1)评估繁荣伙伴关系支持的中学EBI的长期物质滥用行为、反社会行为和性危险行为的结果；(2)评估长期EBI影响的中介和调节因素，以扩展原始研究中指定的结果模型。前两个赠款期间的积极成果证明了繁荣的效果，证据表明：社区团队有效运作；大力参与预算外资金倡议；长期、高质量的预算外资金倡议的实施；团队和预算外资金倡议的可持续性；以及经济分析表明效率很高。最重要的是，结果显示，在初中和高中期间，EBI取得了很好的成果，对以下方面产生了积极影响：青少年的能力(例如，拒绝同伴的技能)；育儿效率和家庭功能；减少青少年的行为问题；以及在高中结束前减少对各种物质的滥用。这些结果表明，这是一个展示早期预防性干预对成人健康功能的影响的独特机会；确定这种影响的前景将构成在全国推广繁荣模式的令人信服的理由。文献综述未能揭示另一项研究，该研究采用了相当大的农村样本，允许评估干预对一般健康的影响，减少问题行为，减少艾滋病/性传播感染的性危险行为，以及参与者过渡到成年后的其他好处。