Toward a PROSPER State Partnership Network: Building Infrastructure and Capacity

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良好集成的基础设施的问题，以支持持续、高质量的循证干预措施（ebi）的实施。公共教育系统为扩大EBI的实施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与基础设施和能力有关的重大障碍。我们提出的解决方案是在选定的国家建立必要的能力和伙伴关系基础设施。关于青少年（特别是农村地区）普遍使用药物和其他危害健康的问题行为的流行病学数据表明，有必要开展拟议的工作。拟议项目的目标是为经验验证的PROSPER州伙伴模式（以下简称PROSPER模式）的大规模实施做准备，以有效地提供和维持减少青少年药物使用和相关问题行为的ebi。PROSPER模式将合作推广系统（CES）、公立学校系统和各州预防规划的其他资源联系起来。经过20年的美国国立卫生研究院资助的随机对照预防试验，它已经发展起来，并展示了一系列积极的、长期的社区水平的结果。由于通过公共教育系统提供的预防活动往往不能维持ebi的高质量实施，因此有必要将我们的模式推广到更多的州和社区。具体而言，我们建议应用基于网络的调查数据，调查对象是来自所有50个州的代表CES的关键举报人，以便选择10个州，在这些州发展基础设施和能力建设，以实施PROSPER模型。这将包括深入的能力和资源评估——在州（社会服务中心、教育部、卫生部、少年司法部）和社区两级——以及能力建设，包括认识建设、组织网络、领导网络、资源生成和模式入门培训（目标1）。然后，我们建议从10个州中选择5个州来进一步发展和试点对关键个人的高级培训，为实际的模型实施做好准备（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，拟议的项目将在基础设施发展和能力建设方面迈出至关重要的下一步，促进以国家为基础的伙伴关系的扩散，并组织一个参与国网络。建立这一网络将大大加快转化科学的发展，允许对各州能力建设战略进行测试，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结果进行预防试验。因此，这一模式将建立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展，如果没有这次GO机会，这是不可能的。

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.