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

• 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
• 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

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）：拟议的研究将研究护理模型（CTC）对青年风险和青年风险和保护因素，ATOD使用，青年心理健康，欺凌和赌博行为的纵向有效性。 CTC模型与社区联盟参与了青年风险评估，预防计划的选择和实施基于循证的实践的协调过程，这些实践应对其社区的特定需求。尽管已经建立了CTC模型的短期疗效，但在很长一段时间内，CTC对青年风险行为的长期有效性在很大程度上尚不清楚。我们的研究团队积累了一个现有的数据集，其中包含风险和保护因素调查，并且ATOD使用了从2001年至2009年收集的宾夕法尼亚州470,044名青年的数据。我们能够将这些全州青年监视数据与这些年轻人实施的现有数据集链接到现有的CTC实施的现有数据集。使用倾向加权技术，我们的团队将进行分析以实现2个主要目标。首先，我们将测试CTC模型对与药物滥用有关的青年风险和实践因素的长期变化的长期有效性。将在6、8、10和12年级的学生中，将CTC与非CTC社区与非CTC社区进行ATOD使用，个人，学校和同伴风险因素进行比较。调查结果将扩大我们对现实实施条件下CTC模型长期有效性的了解，并最终塑造有关CTC模型实施的政策决策。