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: 7676678
• 负责人: Richard Spoth
• 金额: $ 238.86万
• 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 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7676678
• 关键词: Address; Adolescent; Adoption; Alcohol or Other Drugs use; Classification; Communities; Complex; Data; Diffusion; Eligibility Determination; Enrollment; Environment; Epidemiology; Etiology; Evaluation; Evidence based intervention; Family; Funding; General Population; Generations; Geographic Locations; Goals; Grant; Growth; Home environment; Intervention; Interview; Investigation; Iowa; Level of Evidence; Link; Literature; Long-Term Effects; Measures; Modeling; Outcome; Parents; Penetration; Pennsylvania; Phase; Population; Prevention; Problem behavior; Process; Public Health; Randomized; Randomized Controlled Trials; Recruitment Activity; Relative (related person); Research; Research Infrastructure; Research Personnel; Resources; Sample Size; Sampling; Schools; Scientist; Structure; Students; Substance abuse problem; System; Testing; Universities; Work; Youth; adolescent substance use; base; cohort; community intervention; design; elementary school; follow up assessment; high risk; high school; innovation; meetings; middle school; population based; prevent; programs; resilience; success; therapy design; young adult

DESCRIPTION (provided by applicant): The proposed research is designed to examine long-term effects, particularly on reduction in youth substance use and other problem behaviors, resulting from the application of an innovative intervention partnership model called PROSPER (Promoting School/community-university Partnerships to Enhance Resilience). The need for this research is indicated by epidemiological data on substance use and related problems among adolescents, and by the limited diffusion of evidence-based interventions (EBIs) designed to prevent such problems. The proposed project builds upon results from several federally-funded projects at Iowa State University and Pennsylvania State University. A randomized, cohort sequential design was applied in the first grant period. Eligible school districts (e.g., those with higher proportions of school-lunch eligible families) were identified, with district enrollments ranging between approximately 1,300 and 5,200 students. Fourteen school districts in IA and in PA (N = 28) meeting eligibility criteria were selected, blocked on size and geographic location, and randomly assigned to either the PROSPER partnership condition or to a usual programming control condition with no PROSPER partnership. Approximately 11,000 6th graders in two consecutive cohorts in each state completed school- based assessments; 979 randomly selected students and their parents in the second cohort completed in- home interviews. Local partnership teams selected and implemented interventions from a menu of family- focused and school-based EBIs. Positive results from the first phase of the project include: (1) effective community team mobilization, team functioning, and generation of local funding for sustained EBI implementation; (2) effective team recruitment of general population families across multiple cohorts; (3) consistently high levels of EBI implementation quality; (4) positive proximal outcomes on family functioning and young adolescent competencies; and (5) positive effects on a number of substance use measures at 1 Vz years past baseline. The practical significance of key substance use outcomes was suggested by relative reductions in use, community-level effect sizes, and by projections of current effects on use trajectories. The proposed study will evaluate long-term partnership-based outcomes of the middle-school EBIs selected from a menu in two cohorts that participated in the first phase of the project, along with study of mechanisms and moderators of long-term effects, guided by the process-to-outcome model described in the original proposal (Aim 1). As an extension of the second aim of the original proposal, factors that influence the sustained, long-term functioning of community teams and their quality of EBI implementation will be examined (Aim 2). In addition, outcomes of the PROSPER model sustained by mature community teams also will be evaluated by testing for the effects of mature community team processes on communities' adoption and implementation of a new set of late-elementary EBIs (Aim 3). Results will guide application of the partnership model to other school districts in IA and PA and, subsequently, to other states.

描述（由申请人提供）：拟议的研究旨在研究长期影响，特别是在减少青少年物质使用和其他问题行为方面，这是一种名为PROSPER（促进学校/社区-大学伙伴关系以增强弹性）的创新干预伙伴关系模式的应用所产生的。青少年药物使用和相关问题的流行病学数据以及旨在预防此类问题的循证干预措施（EBIs）的有限传播表明，有必要进行这项研究。拟议的项目建立在爱荷华州立大学和宾夕法尼亚州立大学的几个联邦资助项目的结果之上。第一阶段采用随机、队列顺序设计。确定了符合条件的学区（例如，符合学校午餐条件的家庭比例较高的学区），学区入学人数约为1,300至5,200名学生。在IA和PA中选择了14个符合资格标准的学区（N = 28），在规模和地理位置上进行了封锁，并随机分配到PROSPER合作条件或没有PROSPER合作的常规规划控制条件。每个州连续两组的大约11000名六年级学生完成了基于学校的评估；在第二组中，随机抽取979名学生及其家长完成了家庭访谈。当地合作小组从以家庭为重点和以学校为基础的ebi菜单中选择并实施干预措施。项目第一阶段的积极成果包括：(1)有效的社区团队动员，团队运作，以及为持续实施EBI提供地方资金；(2)在多个队列中有效招募普通人群家庭；(3)持续高水平的EBI实施质量；(4)家庭功能和青少年能力的近端正向结果；(5)对超过基线1 Vz年的一些物质使用措施的积极影响。关键物质使用结果的实际意义是通过使用的相对减少、社区层面的效应大小以及对使用轨迹的当前影响的预测来表明的。拟议的研究将评估从参与项目第一阶段的两个队列的菜单中选择的中学ebi的基于长期伙伴关系的结果，以及长期影响的机制和调节因素的研究，指导原则是原始提案中描述的过程到结果模型（目标1）。作为原提案第二个目标的延伸，将审查影响社区团队持续、长期运作及其实施EBI质量的因素（目标2）。此外，成熟社区团队维持的PROSPER模型的结果也将通过测试成熟社区团队过程对社区采用和实施一套新的小学后期ebi的影响来评估（目标3）。结果将指导伙伴关系模式在印第安纳州和宾夕法尼亚州的其他学区的应用，并随后推广到其他州。