Partnership Model for Diffusion of Proven Prevention

传播经过验证的预防措施的合作伙伴模型

• 批准号: 8527754
• 负责人: Richard Spoth
• 金额: $ 44.5万
• 依托单位: IOWA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-05-25 至 2018-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8527754
• 关键词: Acquired Immunodeficiency Syndrome; Adolescence; Adolescent; Adult; Age; Behavior; Communities; Community Participation; Data; Data Set; Diffusion; Documentation; Drug Prescriptions; Economics; Effectiveness; Epidemiology; Evaluation; Evidence based intervention; Family; Gender; General Population; Goals; Grant; Health; Intervention; Lead; Lifestyle-related condition; Link; Long-Term Effects; Longitudinal Studies; Mediating; Mediation; Mediator of activation protein; Modeling; Outcome; Outcomes Research; Parenting behavior; Participant; Penetration; Prevention; Preventive Intervention; Problem behavior; Progress Reports; Public Health; Publishing; Randomized; Randomized Controlled Trials; Recruitment Activity; Relative (related person); Reporting; Research; Research Infrastructure; Review Literature; Risk; Rural; Rural Community; Rural Population; Sampling; Schools; Sexual Health; Site; Social Behavior; Specific qualifier value; Staging; Students; System; Universities; Work; Youth; anti social; base; career; cohort; conduct problem; cost efficient; design; emerging adult; emerging adulthood; evidence base; follow-up; health economics; high risk; high school; innovation; intervention effect; middle school; misuse of prescription only drugs; peer; programs; resilience; seventh grade; sex risk; sixth grade; skills; social capital; success; therapy design; twelfth grade

DESCRIPTION (provided by applicant): The proposed research will examine long-term effects of an innovative partnership-based intervention delivery model called PROSPER (PROmoting School/community-university Partnerships to Enhance Resilience). Primary effects examined will be reductions in emerging adult substance misuse, antisocial behaviors, and sexual risk behaviors for AIDS and other STIs, along with improvements in healthy adult functioning, among project participants who received evidence-based interventions during middle school. This proposed work extends a randomized control study of the PROSPER model, involving two sequential cohorts of youth and families from an understudied rural population. A total of 28 rural school districts in IA and PA, ranging in size from approximately 1,300 to 5,200 students, were selected and randomly assigned to either the PROSPER partnership condition or to a usual programming control condition. Local teams in the PROSPER partnership sites selected and implemented family-focused and school-based evidence-based interventions (EBIs) for middle school students. The evaluation of intervention outcomes began with approximately 12,000 students (90% of those eligible) in the two cohorts who participated in a 6th grade pretest assessment; follow-up assessments with the students in these cohorts were conducted each spring, through the 12th grade. Following 12th grade, 2,000 randomly selected students from that sample were recruited for continued follow-up assessments. The proposed study will extend those follow-ups to ages 22 and 24. Aims of the proposed study are to: (1) evaluate long-term substance misuse behaviors, anti-social behaviors and sexual risk behavior outcomes of the PROSPER partnership-supported middle-school EBIs; and (2) evaluate mediators and moderators of long-term EBI effects, informed by an extension of the outcome model specified in the original study. Positive results from the first two grant periods have established PROSPER effectiveness, with evidence of: effective functioning of community teams; strong participation in EBIs; long-term, high quality EBI implementation; sustainability of teams and EBIs; and economic analyses indicating PROSPER efficiency. Most importantly, results show strong EBI outcomes through middle and high school, with positive effects on: young adolescent competencies (e.g., peer refusal skills); parenting effectiveness and family functioning; reduced adolescent conduct problems; and reduced misuse of a wide range of substances through the end of high school. These results suggest a unique opportunity for demonstrating early preventive intervention impacts on healthy adult functioning; the prospect of establishing such impacts would constitute a compelling case for national diffusion of the PROSPER model. Literature reviews failed to reveal another study with a comparably large rural sample that allows assessment of intervention effects on general health, reduced problem behaviors, reduced sexual risk behaviors for AIDS/STIs, and other benefits for participants as they transition into adulthood.

描述（由申请人提供）：拟议的研究将研究基于创新的伙伴关系交付模型的长期影响（促进学校/社区 - 大学伙伴关系以提高韧性）。研究的主要效果将减少新兴的成人药物滥用，反社会行为和艾滋病和其他性传播感染的性风险行为，以及在中学期间接受循证干预措施的项目参与者中，健康成人功能的改善。 这项拟议的工作扩展了对繁荣模型的随机控制研究，其中涉及来自研究不足的农村人口的两个顺序人群。在IA和PA的总共28个农村学区，大小从约1,300至5,200名学生不等，并随机分配给Prosper Partnership Condition条件或通常的编程控制条件。为中学生选择并实施了以家庭为中心的循证干预措施（EBIS）的繁荣合作伙伴网站的当地团队。对干预结果的评估始于参与六年级预测评估的两个队列中约12,000名学生（占合格资格的学生的90％）；每年春季至12年级，对这些队列中的学生进行了随访评估。在12年级之后，招募了2,000名随机选择该样本的学生进行后续评估。拟议的研究将将这些随访扩展到22岁和24岁。 拟议研究的目的是：（1）评估繁荣伙伴关系支持的中学EBIS的长期滥用行为，反社会行为和性风险行为结果； （2）评估长期EBI效应的介体和主持人，并通过对原始研究中指定的结果模型的扩展进行了告知。前两个赠款期的积极成果已经确立了繁荣的有效性，并有：社区团队的有效运作；强大的参与EBI；长期，高质量的EBI实施；团队和EBIS的可持续性；和经济分析表明繁荣效率。最重要的是，结果表明了通过中学和高中的EBI成果强大，对：年轻的青少年能力（例如同伴拒绝技能）具有积极影响；育儿效力和家庭功能；减少青少年行为问题；在高中结束时，滥用了广泛的物质。这些结果提出了一个独特的机会，可以证明早期预防干预对健康的成人功能的影响；建立这种影响的前景将构成繁荣模型的民族传播的令人信服的案例。文献综述未能揭示另一项针对较大的农村样本的研究，该研究允许评估干预对一般健康的影响，问题行为减少，艾滋病/性传播疾病的性风险行为减少以及参与者过渡到成年时的其他益处。