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: 8723789
• 负责人: Richard Spoth
• 金额: $ 42.9万
• 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 2018-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8723789
• 关键词: Acquired Immunodeficiency Syndrome; Adolescence; Adolescent; Adult; Age; Behavior; 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; Parenting behavior; 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; Social Behavior; Specific qualifier value; Staging; Students; System; Universities; Work; Youth; anti social; base; 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（由申请人提供）：拟议的研究将研究名为 PROSPER（促进学校/社区大学合作伙伴关系以增强复原力）的创新型基于伙伴关系的干预实施模式的长期影响。研究的主要效果是在中学期间接受循证干预的项目参与者中，新出现的成人药物滥用、反社会行为以及艾滋病和其他性传播感染的性危险行为的减少，以及健康成人功能的改善。 这项拟议的工作扩展了 PROSPER 模型的随机对照研究，涉及来自未充分研究的农村人口的两个连续队列的青少年和家庭。爱荷华州和宾夕法尼亚州总共 28 个农村学区，学生规模约为 1,300 至 5,200 名，被随机分配到 PROSPER 合作条件或通常的编程控制条件。 PROSPER 合作伙伴地点的当地团队为中学生选择并实施了以家庭为中心、以学校为基础的循证干预措施 (EBI)。干预结果的评估从参加六年级预测试评估的两个队列中的大约 12,000 名学生（符合资格的学生的 90%）开始；每年春季，对这些群体中的学生进行后续评估，直至 12 年级。 12 年级后，从该样本中随机抽取 2,000 名学生进行持续的后续评估。拟议的研究将把这些随访期延长至 22 岁和 24 岁。 拟议研究的目的是：（1）评估 PROSPER 合作伙伴支持的中学 EBI 的长期药物滥用行为、反社会行为和性危险行为结果； (2) 根据原始研究中指定的结果模型的扩展，评估长期 EBI 效应的调节因素和调节因素。前两个资助期的积极成果确立了 PROSPER 的有效性，证据包括： 社区团队的有效运作；大力参与 EBI；长期、高质量的 EBI 实施；团队和 EBI 的可持续性；以及表明 PROSPER 效率的经济分析。最重要的是，结果显示，在初中和高中期间，EBI 取得了强劲的成果，对以下方面产生积极影响： 青少年的能力（例如，同伴拒绝技能）；养育有效性和家庭功能；减少青少年行为问题；并减少了高中毕业前各种物质的滥用。这些结果表明了一个独特的机会来展示早期预防干预对健康成人功能的影响；确定此类影响的前景将为 PROSPER 模型在全国范围内传播提供令人信服的理由。文献综述未能揭示另一项具有相对较大农村样本的研究，该研究可以评估干预措施对一般健康、减少问题行为、减少艾滋病/性传播感染的性风险行为以及参与者过渡到成年后的其他好处的影响。