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: 7942925
• 负责人: Richard Spoth
• 金额: $ 141.56万
• 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 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7942925
• 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; young adult

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在公共教育系统之间缺乏整合的基础设施，以支持持续的，质量的基于证据的干预措施（EBIS）。公共教育系统提供了扩大EBI交付以实现公共卫生影响的巨大潜力 - 他们到达了该国的每个社区，但是具有主要基础设施和能力相关的主要障碍，可以实现潜力。我们提出的解决方案是在选定州建立必要的能力和伙伴关系基础设施。关于拟议工作的需求通过有关青少年（尤其是在农村地区）中的药物使用率和其他健康风险问题行为的流行病学数据表明。 拟议项目的目的是准备大规模实施经验验证的繁荣国家伙伴关系模型（以下称为繁荣模型），以有效地交付和维持EBI，以减少青年物质使用和相关的问题行为。繁荣模型将合作扩展系统（CES），公立学校系统和其他国家的其他资源联系起来，以进行预防编程。它已经演变为二十年的NIH资助，随机控制的预防试验，并表现出一系列积极的长期社区水平成果。由于通过公共教育系统提供的预防活动通常无法维持EBIS的质量实施，因此有必要通过我们的模型到达更多的州和社区。 具体而言，我们建议应用来自代表所有50个州的CE的基于网络的关键信息的数据，以选择10个州来开发基础架构和能力建设以实施繁荣模型。这将包括在州的深入能力和资源评估（CES，教育部门，健康，少年司法部）以及社区级别和能力建设，包括宣传建设，组织网络，领导力网络，资源生成和对模型的入门培训（AIM 1）。然后，我们建议选择10个州中的5个，以进一步开发和试点高级培训，以建立实际模型实施的关键个人准备就绪（AIM 2）。我们还将建立繁荣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（AIM 3）。因此，拟议的项目将采取基础设施发展和能力建设的下一个至关重要的步骤，以扩散基于国家的合作伙伴关系并组织参与国家的网络。建立这个网络将极大地加速转化科学，允许对国家能力建设策略进行测试，从而大规模研究影响EBI实施和可持续性的因素，并允许多个州的繁荣结果进行预防试验。因此，该模型将建立国家减少青年物质使用的能力，并在预防科学领域的快速进步，而没有这个机会，这是不可能的。 公共卫生相关性：公共教育交付系统提供了扩大基于证据的干预措施以减少与青年物质有关的行为的巨大潜力 - 他们到达了该国的每个社区，但存在着主要的基础设施和与能力有关的障碍，以实现潜力。经验验证的繁荣国家伙伴关系模型旨在解决这些障碍。在二十年中的随机预防试验显示，模型对广泛的物质相关结果的长期影响。鉴于这些积极的影响，拟议的项目将促进基础设施的发展，并建立繁荣国家合作伙伴关系模型的传播能力，为建立参与国家的网络奠定了基础，以减少美国整个社区中与青年物质相关的问题行为。