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.

拟议的研究旨在研究长期影响，特别是对减少青少年药物使用和其他问题行为的影响，这是由于应用了一种名为PROSPER（促进学校/社区-大学伙伴关系，以提高韧性）的创新干预伙伴关系模式。关于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（EBI）的传播有限，表明需要进行这项研究。拟议的项目建立在爱荷华州州立大学和宾夕法尼亚州州立大学的几个联邦资助项目的基础上。在第一个资助期采用随机、队列序贯设计。符合条件的学区（例如，确定了符合学校午餐资格的家庭比例较高的地区），地区入学人数约为1 300至5 200名学生。在IA和PA（N = 28）符合资格标准的14个学区被选中，封锁的大小和地理位置，并随机分配到任何一个PROSPER的合作伙伴关系条件或通常的编程控制条件没有PROSPER的合作伙伴关系。每个州连续两个队列中约有11,000名六年级学生完成了以学校为基础的评估;第二个队列中随机选择的979名学生及其家长完成了家庭访谈。地方伙伴关系小组从一系列以家庭为重点和以学校为基础的基础教育倡议中选择并实施了干预措施。该项目第一阶段的积极成果包括：（1）有效的社区团队动员、团队运作和为持续实施EBI创造当地资金;（2）在多个群组中有效招募普通人口家庭的团队;（3）EBI实施质量始终保持高水平;（4）在家庭功能和青少年能力方面取得积极的近期成果;以及（5）在超过基线1 Vz年时对一些物质使用措施产生积极影响。使用的相对减少、社区一级的效应大小以及对使用轨迹的当前影响的预测表明了关键物质使用结果的实际意义。拟议的研究将评估从两个队列中选择的中学EBI的长期合作伙伴关系为基础的结果，参与了该项目的第一阶段，沿着的机制和长期影响的主持人的研究，由过程到结果模型在原始提案（目标1）中描述的指导。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EBI实施质量的因素（目标2）。此外，还将通过测试成熟社区团队流程对社区采用和实施一套新的初级EBI（目标3）的影响，评估成熟社区团队支持的PROSPER模型的结果。结果将指导应用的伙伴关系模式，以其他学区在IA和PA，随后，其他国家。