Partnerships in Prevention Science Institute, Iowa State University, ISU Research Park, Building 2, Suite 2400, 2625 North Loop Drive, Ames, IA 50010, USA.
Am J Community Psychol. 2011 Dec;48(3-4):412-25. doi: 10.1007/s10464-011-9430-5.
There is a knowledge gap concerning how well community-based teams fare in implementing evidence-based interventions (EBIs) over many years, a gap that is important to fill because sustained high quality EBI implementation is essential to public health impact. The current study addresses this gap by evaluating data from PROSPER, a community-university intervention partnership model, in the context of a randomized-control trial of 28 communities. Specifically, it examines community teams' sustainability of implementation quality on a range of measures, for both family-focused and school-based EBIs. Average adherence ratings approached 90% for family-focused and school-based EBIs, across as many as 6 implementation cohorts. Additional indicators of implementation quality similarly showed consistently positive results. Correlations of the implementation quality outcomes with a number of characteristics of community teams and intervention leaders were calculated to explore their potential relevance to sustained implementation quality. Though several relationships attained statistical significance at particular points in time, none were stable across cohorts. The role of PROSPER's continuous, proactive technical assistance in producing the positive results is discussed.
关于社区团队在多年来实施基于证据的干预措施（EBIs）的效果如何，存在知识差距，填补这一差距很重要，因为持续高质量的 EBI 实施对于公共卫生影响至关重要。本研究通过评估 PROSPER 的数据来解决这一差距，PROSPER 是一个社区-大学干预伙伴关系模式，该研究是在对 28 个社区进行的随机对照试验的背景下进行的。具体来说，它检查了社区团队在一系列措施上实施质量的可持续性，包括以家庭为中心和以学校为基础的 EBI。家庭为中心和以学校为基础的 EBI 的平均依从性评分都接近 90%，在多达 6 个实施队列中都是如此。实施质量的其他指标也同样显示出积极的结果。计算了实施质量结果与社区团队和干预领导者的许多特征之间的相关性，以探讨它们与持续实施质量的潜在相关性。虽然在特定时间点有几个关系达到了统计学意义，但没有一个在队列之间是稳定的。讨论了 PROSPER 持续、积极的技术援助在产生积极结果方面的作用。
