Scaling-up Prevention Services for Early Drug Abuse Risk in School Systems

描述（由申请人提供）：将循证实践转移到真实的世界环境中是公共卫生和教育的高度优先事项和挑战。在过去的三十年中，针对攻击性，破坏性行为和其他药物滥用，暴力和辍学的前因风险因素的一些预防性干预措施在随机田间试验中显示出短期和长期的影响。挑战是，很少有人知道如何将这些程序到一般的做法，同时保持高质量的保真度的实施。拟议的R21将为发展或形成性研究提供资金，为扩大一个充分发展和有效的基于课堂的行为管理策略，即良好行为游戏（GBG）奠定基础。具体而言，本R21中提出的工作将导致后续R 01的随机田间试验，旨在测试旨在支持高质量实施GBG的系统级干预的有效性。本文提出的预防服务工作两年计划的主要目的是发展地区伙伴关系，确定影响项目实施的社区水平因素，并确保后续完全随机试验的干预措施、措施和设计要求的可接受性、适用性和相关性。这份独立的R21申请旨在提前完成前期工作，以便在更短、更具成本效益的时间内完成工作，并最终提交R 01。拟议的工作建立在一套独特的密切的机构合作伙伴关系之间的空气的中心整合教育和预防研究在学校（空气），美国教师联合会（AFT），约翰霍普金斯大学，彭博公共卫生学院，预防科学方法组（PSMG）设在南佛罗里达大学，摩根州立大学（MSU），和以下学区：珀斯安博伊公立学校新泽西州，休斯顿独立学区得克萨斯州，和巴尔的摩市公立学校系统MD。公共卫生相关性：拟议的工作为下一阶段的预防服务研究奠定了基础，该研究涉及在学校传播以证据为基础的方案，以防止药物滥用和其他有害结果。在研究中的几个差距将得到解决，包括研究人员/社区机构的伙伴关系模型的需要，为理论驱动的系统级干预措施，旨在改善计划的传播，以及更好地衡量实施和影响计划实施的因素。

DESCRIPTION (provided by applicant): Moving evidence-based practices into real world settings is both a high priority and a challenge for public health and education. Over the past three decades a number of preventive interventions directed at aggressive, disruptive behavior and other antecedent risk factors for drug abuse, violence, and school drop-out have shown both short-term and long-term impact in randomized field trials. The challenge is that little is known about how to move these programs into general practice while maintaining high quality fidelity of implementation. The proposed R21 will provide funds for the developmental or formative research to lay the groundwork for scaling up a fully developed and effective classroom-based behavior management strategy, the Good Behavior Game (GBG). Specifically, the work proposed in this R21 will lead to a subsequent R01 for a randomized field trial aimed at testing the effectiveness of a systems level intervention designed to support high quality implementation of GBG. The major purpose of the two-year plan of prevention services work proposed here is to develop district partnerships, determine community level factors that influence program implementation, and ensure the acceptance, applicability and relevance of the intervention, measures, and design requirements for the subsequent fully randomized trial. This application for an independent R21 is deliberately designed to advance prior work so as to accomplish the work in a shorter, more cost efficient time period and lead to the submission of a R01. The proposed work builds on a unique set of close institutional partnerships between AIR's Center for Integrating Education and Prevention Research in Schools (AIR), the American Federation of Teachers (AFT), Johns Hopkins University, Bloomberg School of Public Health, the Prevention Science Methodology Group (PSMG) based at the University of South Florida, Morgan State University (MSU), and the following school districts: Perth Amboy Public Schools NJ, Houston Independent School District TX, and Baltimore City Public School System MD. PUBLIC HEALTH RELEVANCE: The proposed work builds a foundation for the next stage of prevention services research on dissemination of evidence-based programs in schools to prevent drug abuse and other deleterious outcomes. Several gaps in the research will be addressed including the need for models of researcher/community institution partnership, for theory driven systems-level interventions aimed at improving program dissemination, and for better measurement of implementation and the factors influencing program implementation.