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）：拟议的研究将研究一种创新的基于伙伴关系的干预提供模式的长期影响，称为繁荣（促进学校/社区-大学伙伴关系，以提高韧性）。主要效果将是减少新出现的成人物质滥用，反社会行为，艾滋病和其他性传播感染的性风险行为，沿着健康成人功能的改善，在项目参与者中接受基于证据的干预措施在中学期间。 这项拟议的工作扩展了随机对照研究的PROSPER模型，涉及两个连续队列的青年和家庭从一个研究不足的农村人口。在IA和PA的28个农村学区，从大约1，300到5，200名学生的规模不等，被选中并随机分配到PROSPER伙伴关系条件或通常的编程控制条件。PROSPER伙伴关系地点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措施。干预结果的评估开始于两个队列中约12，000名学生（合格学生的90%），他们参加了6年级的预测试评估;这些队列中的学生的后续评估每年春季进行，直到12年级。在12年级之后，从该样本中随机选择2，000名学生进行持续的后续评估。这项拟议中的研究将把这些随访延长到22岁和24岁。 拟议研究的目的是：（1）评估长期物质滥用行为，反社会行为和性风险行为的PROSPER合作伙伴支持的中学EBI的结果;（2）评估中介和调解人的长期EBI的影响，通知在原来的研究中指定的结果模型的扩展。前两个赠款期的积极成果确立了PROSPER的有效性，证据表明：社区团队的有效运作;对EBI的强烈参与;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，通过初中和高中的EBI成果强劲，具有积极的影响：年轻的青少年能力（例如，同伴拒绝技巧）;父母的有效性和家庭功能;减少青少年行为问题;减少高中结束时对各种物质的滥用。这些结果表明，一个独特的机会，证明早期预防干预对健康成人功能的影响;建立这种影响的前景将构成一个令人信服的情况下，全国推广的PROSPER模型。文献综述未能揭示另一项具有相当大的农村样本的研究，该研究可以评估干预对一般健康的影响，减少问题行为，减少艾滋病/性传播感染的性风险行为，以及参与者过渡到成年时的其他益处。