Advances in prevention science have identified risk and protective factors that predict health outcomes including substance abuse as well as efficacious preventive interventions. Yet, translating prevention science into community prevention service systems has been difficult and has emerged as a priority for prevention services research (Backer, 2000; Biglan, 1995). The proposed project is a randomized controlled trial of the Communities That Care (CTC) prevention operating system. CTC provides a framework for risk and protective focused prevention as well as training, technical assistance, and tools to guide community assessment, planning and action to implement and institutionalize science-based prevention services systems (Hawkins, Catalano & Associates, 1992; Developmental Research and Programs, 1997, 2000). The study is a joint effort of the Social Development Research Group of the University of Washington, the State Substance Abuse Prevention Agencies of Colorado, Illinois, Kansas, Maine, Oregon, Utah, and Washington, and 24 communities in these states. The five-year experimental study seeks to test the effects of the CTC operating system on levels and trends in risk, protection, drug use, violence and antisocial behavior among adolescents in grades 6 through 12 and on prevention services in communities including levels of collaboration, use of epidemiologic data on risk and protection to guide prevention planning, and adoption and implementation of tested effective preventive interventions. Building on a current five-year study of prevention services in these 24 communities, the proposed study will randomly assign one community from each of 12 community pairs to receive the CTC intervention, while the other will serve as a control. Intervention communities will receive training, technical assistance and materials needed to install the CTC operating system, a community coordinator, and funding in years 2-5 to implement tested preventive interventions needed to fill prevention service gaps. Measures of coordination/collaboration, implementation of risk and protection focused prevention planning, and evidence-based prevention services will be collected in all communities. The impact of CTC on youth outcomes will be assessed by extending existing trend data on risk and protective factors and adolescent problem behaviors in participating communities through surveys of 6th, 8th, 10th, and 12th grade students administered in years 2, 4, and 5 of the proposed study, and by annual surveys of a representative panel of 4th grade students in each community constituted in the first year of the study.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
5R01DA015183-04
Application #
7071701
Study Section
Special Emphasis Panel (ZRG1-SNEM-1 (01))
Program Officer
Kaftarian, Jackie Shakeh
Project Start
2003-07-23
Project End
2008-03-31
Budget Start
2006-04-01
Budget End
2007-03-31
Support Year
4
Fiscal Year
2006
Total Cost
$4,256,047
Indirect Cost
Name
University of Washington
Department
Type
Schools of Social Work
DUNS #
605799469
City
Seattle
State
WA
Country
United States
Zip Code
98195
Oesterle, Sabrina; Kuklinski, Margaret R; Hawkins, J David et al. (2018) Long-Term Effects of the Communities That Care Trial on Substance Use, Antisocial Behavior, and Violence Through Age 21 Years. Am J Public Health 108:659-665
Rhew, Isaac C; Oesterle, Sabrina; Coffman, Donna et al. (2018) Effects of Exposure to the Communities That Care Prevention System on Youth Problem Behaviors in a Community-Randomized Trial: Employing an Inverse Probability Weighting Approach. Eval Health Prof 41:270-289
Guttmannova, Katarina; Skinner, Martie L; Oesterle, Sabrina et al. (2018) The Interplay Between Marijuana-Specific Risk Factors and Marijuana Use Over the Course of Adolescence. Prev Sci :
Guttmannova, Katarina; Wheeler, Melissa J; Hill, Karl G et al. (2017) Assessment of Risk and Protection in Native American Youth: Steps Toward Conducting Culturally Relevant, Sustainable Prevention in Indian Country. J Community Psychol 45:346-362
Briney, John S; Brown, Eric C; Kuklinski, Margaret R et al. (2017) Testing the Question-Behavior Effect of Self-Administered Surveys Measuring Youth Drug Use. J Adolesc Health 61:743-746
Rhew, Isaac C; Monahan, Kathryn C; Oesterle, Sabrina et al. (2016) The Communities That Care Brief Depression Scale: Psychometric Properties and Criterion Validity. J Community Psychol 44:391-398
Gloppen, Kari M; Brown, Eric C; Wagenaar, Bradley H et al. (2016) Sustaining Adoption of Science-based Prevention Through Communities That Care. J Community Psychol 44:78-89
Monahan, Kathryn C; Booth-LaForce, Cathryn (2016) Deflected Pathways: Becoming Aggressive, Socially Withdrawn, or Prosocial with Peers During the Transition to Adolescence. J Res Adolesc 26:270-285
Rhew, Isaac C; Hawkins, J David; Murray, David M et al. (2016) Evaluation of Community-Level Effects of Communities That Care on Adolescent Drug Use and Delinquency Using a Repeated Cross-Sectional Design. Prev Sci 17:177-87
Kuklinski, Margaret R; Fagan, Abigail A; Hawkins, J David et al. (2015) Benefit-Cost Analysis of a Randomized Evaluation of Communities That Care: Monetizing Intervention Effects on the Initiation of Delinquency and Substance Use Through Grade 12. J Exp Criminol 11:165-192

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