Longitudinal Effectiveness of Communities that Care on Reducing Youth Risk Factors

关心减少青少年风险因素的社区的纵向有效性

基本信息

批准号：
8823131
负责人：
Sarah Chilenski
金额：
$ 7.54万
依托单位：
PENNSYLVANIA STATE UNIVERSITY, THE
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-02-01 至 2017-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8823131
关键词：
ATOD Address Adolescent Risk Behavior Adopted Alcohol or Other Drugs use Anxiety Behavior Biological Models Caring Characteristics Communities Cost-Benefit Analysis Data Data Analyses Data Set Development Drops Economics Effectiveness Evaluation Evidence based intervention Evidence based practice Family Funding Future Gambling Health Health Promotion Individual Institute of Medicine (U.S.)Intervention Investigation Knowledge Life Link Mental Depression Mental Health Methods Modeling Modification National Research Council Nature Outcome Outcome Measure Pennsylvania Personal Satisfaction Policies Population Pregnancy in Adolescence Prevention Prevention Research Prevention program Problem behavior Process Property Psychometrics Public Health Relative (related person)Reporting Research Research Personnel Risk Risk Assessment Risk Factors Sampling Schools Shapes Societies Students Substance abuse problem Surveys System Techniques Testing Time United States Dept. of Health and Human Services Violence Weight Work Youth adolescent substance use bullying career cost effective evidence base experience improved operation peer prevent programs public health relevance surveillance data

项目摘要

DESCRIPTION (provided by applicant): The proposed research will examine the longitudinal effectiveness of the Communities That Care model (CTC) on youth risk and youth risk and protective factors, ATOD use, youth mental health, bullying and gambling behaviors. The CTC model engages community coalitions in a coordinated process of youth risk assessment, prevention program selection, and implementation of evidence-based practices responsive to their community's specific needs. Although the short-term efficacy of the CTC model has been established, the long-term effectiveness of CTC on youth risk behaviors over an extended period of time is largely unknown. Our research team has amassed a large extant data set containing risk and protective factor survey and ATOD use data from over 470,044 youth across the state of Pennsylvania collected from 2001 to 2009. We are able to link this statewide youth surveillance data to extant data sets regarding the nature and operation of CTC implementation in the community in which these youth live. Using propensity-weighting technique, our team will conduct analyses to achieve 2 main aims. First, we will test the long-term effectiveness of the CTC model on long- term change in youth risk and practice factors related to substance abuse. Multilevel regression models will be performed comparing CTC to non-CTC communities on ATOD use, individual, school, and peer risk factors among students in grades 6, 8, 10, and 12. Second, we will investigate the potential effectiveness of CTC on previously unexplored youth outcome variables, including youth mental health (depression), youth gambling, and bullying. Findings will expand our knowledge of the long-term effectiveness of the CTC model under real-world implementation conditions and ultimately shape policy decisions regarding implementation of the CTC model.

描述（由申请人提供）：拟议的研究将检验社区关爱模式（CTC）对青少年风险、青少年风险和保护因素、ATOD 使用、青少年心理健康、欺凌和赌博行为的纵向有效性。 CTC 模式让社区联盟参与青少年风险评估、预防方案选择和实施基于证据的实践的协调过程，以响应社区的具体需求。尽管 CTC 模型的短期疗效已经确立，但 CTC 在较长时间内对青少年危险行为的长期有效性在很大程度上尚不清楚。我们的研究团队已经积累了一个庞大的现有数据集，其中包含 2001 年至 2009 年收集的宾夕法尼亚州超过 470,044 名青少年的风险和保护因素调查以及 ATOD 使用数据。我们能够将这一全州范围的青少年监测数据与以下方面的现有数据集联系起来：这些青少年所居住的社区中 CTC 实施的性质和运作情况。我们的团队将使用倾向加权技术进行分析以实现两个主要目标。首先，我们将测试 CTC 模型对青少年风险和与药物滥用相关的实践因素的长期变化的长期有效性。将进行多级回归模型，比较 CTC 与非 CTC 社区在 6、8、10 和 12 年级学生中 ATOD 使用、个人、学校和同伴风险因素方面的情况。其次，我们将调查 CTC 对以前的潜在有效性未探索的青少年结果变量，包括青少年心理健康（抑郁）、青少年赌博和欺凌。研究结果将扩大我们对 CTC 模型在现实实施条件下的长期有效性的了解，并最终形成有关 CTC 模型实施的政策决策。