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.

项目概要/摘要 暴力是多种不良童年经历 (ACE) 之一，可显着影响儿童的 未来的身体和行为健康。针对青少年的不同类型的暴力行为，例如虐待儿童和 忽视和社区青少年暴力往往具有相同的风险和保护因素。社区 劣势和组织混乱是与社区创伤和暴力相关的风险因素， 可以通过强调社区复原力的社区一级预防战略来解决 通过社区组织。本研究将评估预防研究所实施不良反应的情况 社区经验和复原力 (ACE|R) 社区级暴力预防框架， 响应目标 1：有效性研究以确定社区或社会层面 战略有效防止多种形式的暴力和其他影响儿童和儿童的 ACE 青年。更具体地说，它有三个目标：(1) 追溯衡量 ACE|R 的有效性 在密尔沃基实施的关于虐待和忽视儿童以及青少年暴力的框架 临床试验方法； （2）前瞻性测试ACE|R框架的比较有效性/ 密尔沃基和平蓝图，在四个优先社区进行社区组织； (3) 使用混合 类型 1 有效性实施设计，探索实施的障碍和促进因素 在大都市区（密尔沃基）的 ACE|R 框架内组织社区，为未来提供信息 通过确定战略来解决实施方面的障碍，以解决以下方面的实施工作：(a) 干预特征，(b) 形成实施障碍的外部和内部环境因素，以及 促进者，(c) 影响实施障碍的利益相关者的个体特征，以及 促进者，以及 (d) 促进在 ACE|R 内实施社区组织的战略 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。研究结果将扩大研究范围 促进社区复原力工作的证据，并就以下方面提供宝贵的见解 有效的、基于实践的暴力预防规划。