Effectiveness of Adverse Community Experiences and Resilience (ACER) and Community Organizing for Preventing Youth Violence and ACEs.

不良社区经历和复原力 (ACER) 的有效性以及预防青少年暴力和 ACE 的社区组织。

• 批准号: 10254084
• 负责人: PHILLIP W GRAHAM
• 金额: $ 35万
• 依托单位: RESEARCH TRIANGLE INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-01 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10254084
• 关键词: Effectiveness; Adverse; Community; Experiences; Resilience

PROJECT SUMMARY/ABSTRACT Violence is one of several Adverse Childhood Experiences (ACEs) that can significantly impact children's future physical and behavioral health. Different types of violence against youth, such as child abuse and neglect and community youth violence, often share the same risk and protective factors. Community disadvantage and disorganization are risk factors associated with community trauma and violence, which can be addressed by community-level primary prevention strategies that emphasize community resilience through community organizing. This study will evaluate Prevention Institute's implementation of the Adverse Community Experiences and Resilience (ACE|R) community-level violence prevention framework, responding to Objective 1: Effectiveness research to determine which community- or societal-level strategies effectively prevent multiple forms of violence and other ACEs that impact children and youth. More specifically, it has three aims: (1) retroactively measure the effectiveness of the ACE|R framework implemented in Milwaukee on child abuse and neglect and youth violence using an idiographic clinical trial approach; (2) prospectively test the comparative effectiveness of the ACE|R framework/ Milwaukee Blueprint for Peace with community organizing in four Priority Communities; and (3) use a Hybrid Type 1 effectiveness-implementation design to explore the barriers and facilitators to implementing community organizing within the ACE|R framework in a large metropolitan area (Milwaukee) to inform future implementation efforts by determining strategies to address implementation barriers arising from (a) the intervention characteristics, (b) outer and inner setting factors that shape implementation barriers and facilitators, (c) individual characteristics among stakeholders that influence implementation barriers and facilitators, and (d) strategies that facilitate implementation of community organizing within the ACE|R framework. By addressing several factors associated with community trauma and violence, this framework has the potential to prevent child abuse, child neglect, and youth violence. Findings will expand research evidence for the facilitation of community resilience efforts and contribute valuable insight regarding efficacious, practice-based violence prevention programming.

项目摘要/摘要 暴力是几种不利的童年经历（ACE），可能会对儿童的影响产生重大影响 未来的身体和行为健康。针对青年的不同类型的暴力行为，例如虐待儿童和 忽视和社区青年暴力通常具有相同的风险和保护因素。社区 劣势和混乱是与社区创伤和暴力相关的危险因素，这是 可以通过社区级的初级预防策略来解决，强调社区弹性 通过社区组织。这项研究将评估预防研究所对不利的实施 社区经验和韧性（ACE | R）社区级预防暴力框架， 响应目标1：确定哪个社区或社会级别的有效性研究 策略有效地防止了多种形式的暴力和其他影响儿童的王牌 青年。更具体地说，它具有三个目标：（1）追溯测量ACE | R的有效性 密尔沃基针对虐待儿童和忽视以及青少年暴力的框架使用了 临床试验方法； （2）前瞻性测试ACE | R框架的比较有效性/ 密尔沃基的蓝图与社区在四个优先社区中组织的和平； （3）使用混合动力车 类型1的有效性实施设计，以探索实施的障碍和促进者 社区在大都市地区（密尔沃基）的ACE | R框架内组织以告知未来 通过确定解决（a）引起的实施障碍的策略来实施努力 干预特征，（b）塑造实施障碍的外部和内部设置因子 促进者，（c）影响实施障碍的利益相关者的个人特征和 促进者和（d）促进王牌内组织实施社区组织的策略 框架。通过解决与社区创伤和暴力相关的几个因素，该框架 有可能防止虐待儿童，忽视儿童和青少年暴力。调查结果将扩大研究 促进社区弹性努力的证据，并就有关有价值的见识 有效的，基于实践的暴力预防计划。