Toward a PROSPER State Partnership Network: Building Infrastructure and Capacity

迈向繁荣的州伙伴关系网络：建设基础设施和能力

• 批准号: 7855669
• 负责人: Richard Spoth
• 金额: $ 132.97万
• 依托单位: IOWA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7855669
• 关键词: Address; Adolescent; Adoption; Alcohol or Other Drugs use; Awareness; Behavior; Behavior Disorders; Communities; Country; Data; Diffusion; Emotional; Epidemiology; Evaluation; Evidence based intervention; Exposure to; Faculty; Family; Funding; Generations; Goals; Grant; Health education; Human Resources; Individual; Institute of Medicine (U.S.); Iowa; Justice; Leadership; Lifestyle-related condition; Link; Long-Term Effects; Modeling; National Institute of Drug Abuse; Online Systems; Outcome; Parents; Pennsylvania; Population; Prevalence; Prevention; Prevention program; Problem behavior; Process; Psyche structure; Public Health; Public Health Schools; Randomized; Readiness; Reporting; Research; Research Infrastructure; Resources; Risk; Risk Behaviors; Schools; Science; Series; Services; Solutions; Staging; Surveys; System; Testing; Training; Translating; Translational Research; United States; Universities; Work; Youth; adolescent substance use; base; design; early adolescence; effectiveness trial; informant; infrastructure development; middle school; prevent; programs; public education; public health relevance; rural area; scale up

DESCRIPTION (provided by applicant): The purpose of the proposed project is to address the lack of well-integrated infrastructure across public education systems to support sustained, quality implementation of evidence-based interventions (EBIs). Public education systems offer immense potential for scaling up EBI delivery to achieve public health impact-they reach every community in the country-but there are major infrastructure- and capacity-related barriers to realizing the potential. Our proposed solution is to build the necessary capacity and partnership infrastructure in selected states. The need for the proposed work is indicated by epidemiological data on the prevalence of substance use and other health-risking problem behaviors among adolescents, particularly in rural areas. The goal of the proposed project is to prepare for larger-scale implementation of the empirically-validated PROSPER State Partnership Model (hereafter PROSPER Model), to effectively deliver and sustain EBIs that reduce youth substance use and related problem behaviors. The PROSPER Model links the Cooperative Extension System (CES), the public school system, and other resources in states for prevention programming. It has evolved through two decades of NIH-funded, randomized-controlled prevention trials, and has demonstrated a range of positive, long-term community level outcomes. Because prevention activities offered through public education systems often do not sustain quality implementation of EBIs, there is a need to reach more states and communities with our model. Specifically, we propose to apply data from a web-based survey of key informants representing the CES from all 50 states, in order to select 10 states in which to develop infrastructure and capacity-building for implementation of the PROSPER Model. This will include in-depth capacity and resource assessments-at state (CES, Departments of Education, Health, Juvenile Justice) and community levels-and capacity building, including awareness building, organizational networking, leadership networking, resource generation, and introductory training to the Model (Aim 1). We then propose to select 5 of the 10 states to further develop and pilot advanced training for key individuals-to build readiness for actual model implementation (Aim 2). We also will build capacity of the PROSPER Network Management team, including a web-based process and outcome evaluation system (Aim 3). Thereby, the proposed project will take the next critically important step of infrastructure development and capacity building for diffusion of state-based partnerships and organize a network of participating states. Creating this network will greatly accelerate translational science, allowing tests of state capacity-building strategies, permitting large-scale studies of factors influencing EBI implementation and sustainability, and prevention trials of PROSPER outcomes in multiple states. As such, this model will build the nation's capacity to reduce youth substance use and create rapid advances in the field of prevention science that would not be possible without this GO opportunity. PUBLIC HEALTH RELEVANCE: Public education delivery systems offer immense potential for scaling up evidence-based interventions that reduce youth substance-related behaviors-they reach every community in the country-but there are major infrastructure- and capacity-related barriers to realizing the potential. The empirically-validated PROSPER State Partnership Model is designed to address these barriers; randomized prevention trials over two decades have shown positive long-term effects of the model on a wide range of substance-related outcomes. Given these positive effects, the proposed project will facilitate infrastructure development and build capacity for diffusion of the PROSPER State Partnership Model, laying the groundwork for creating a network of participating states, in order to reduce youth substance-related problem behaviors in communities across the US.

描述（由申请人提供）：拟议项目的目的是解决公共教育系统缺乏一体化基础设施的问题，以支持持续、高质量地实施循证干预措施 (EBI)。公共教育系统为扩大 EBI 交付以实现公共卫生影响提供了巨大的潜力——它们覆盖了该国的每个社区——但在实现这一潜力方面存在着与基础设施和能力相关的重大障碍。我们提出的解决方案是在选定的州建立必要的能力和合作基础设施。关于青少年（尤其是农村地区）物质使用和其他危害健康问题行为的流行病学数据表明了拟议工作的必要性。 拟议项目的目标是为大规模实施经经验验证的 PROSPER 州合作伙伴模型（以下简称 PROSPER 模型）做好准备，以有效提供和维持 EBI，减少青少年物质使用和相关问题行为。 PROSPER 模型将合作推广系统 (CES)、公立学校系统和各州的其他资源联系起来进行预防规划。它经过二十年由美国国立卫生研究院 (NIH) 资助的随机对照预防试验的发展，并展示了一系列积极的、长期的社区水平结果。由于通过公共教育系统提供的预防活动通常无法维持 EBI 的高质量实施，因此需要将我们的模型推广到更多的州和社区。 具体来说，我们建议应用来自所有 50 个州代表 CES 的关键信息提供者的网络调查数据，以便选择 10 个州来开发基础设施和能力建设，以实施 PROSPER 模型。这将包括在州（CES、教育部、卫生部、少年司法部）和社区层面进行深入的能力和资源评估，以及能力建设，包括意识建设、组织网络、领导力网络、资源生成和模型的入门培训（目标 1）。然后，我们建议选择 10 个州中的 5 个州进一步开发和试点针对关键人员的高级培训，为实际模型实施做好准备（目标 2）。我们还将建设 PROSPER 网络管理团队的能力，包括基于网络的流程和结果评估系统（目标 3）。因此，拟议的项目将采取下一个至关重要的步骤，即基础设施发展和能力建设，以扩大基于国家的伙伴关系，并组织参与国网络。创建该网络将极大地加速转化科学，允许测试各州的能力建设战略，允许对影响 EBI 实施和可持续性的因素进行大规模研究，并在多个州对 PROSPER 结果进行预防性试验。因此，该模式将建设国家减少青少年药物使用的能力，并在预防科学领域取得快速进步，如果没有这个 GO 机会，这是不可能实现的。 公共卫生相关性：公共教育提供系统为扩大基于证据的干预措施提供了巨大潜力，以减少青少年与物质相关的行为——这些干预措施已覆盖到该国的每个社区——但在实现这一潜力方面存在着与基础设施和能力相关的重大障碍。经过实证验证的 PROSPER 州伙伴关系模型旨在解决这些障碍；二十多年来的随机预防试验表明，该模型对广泛的物质相关结果具有积极的长期影响。鉴于这些积极影响，拟议项目将促进基础设施发展并建设传播 PROSPER 州伙伴关系模式的能力，为创建参与州网络奠定基础，以减少美国各地社区中青少年与物质相关的问题行为。