Piper Douglas, Stein-Seroussi Al, Flewelling Robert, Orwin Robert G, Buchanan Rebecca
Pacific Institute for Research and Evaluation, Chapel Hill Center, Chapel Hill, NC 27516, USA.
Eval Program Plann. 2012 Feb;35(1):66-77. doi: 10.1016/j.evalprogplan.2011.07.003. Epub 2011 Aug 4.
Although the organizational structures and operating procedures of state substance abuse prevention systems vary substantially across states, there is scant empirical research regarding approaches for rigorous assessment of system attributes and which attributes are most conducive to overall effectiveness. As one component of the national cross-site evaluation of the SPF State Incentive Grant Program (SPF SIG), an instrument was developed to assess state substance abuse prevention system infrastructure in order to measure infrastructure change and examine the role of state infrastructure in achieving prevention-related outcomes. In this paper we describe the development of this instrument and summarize findings from its baseline administration. As expected, states and territories were found to vary substantially with respect seven key characteristics, or domains, of state prevention infrastructure. Across the six domains that were assessed using numeric ratings, states scored highest on data systems and lowest on strategic planning. Positive intercorrelations were observed among these domains, indicating that states with high capacity on one domain generally have relatively high capacity on other domains as well. The findings also suggest that state prevention infrastructure development is linked to both funding from state government and the presence of a state interagency coordinating body with decision-making authority. The methodology and baseline findings presented will be used to inform the ongoing national cross-site evaluation of the SPF SIG and may provide useful information to guide further research on state substance abuse prevention infrastructure.
尽管各州药物滥用预防系统的组织结构和运作程序差异很大，但关于对系统属性进行严格评估的方法以及哪些属性最有利于整体有效性的实证研究却很少。作为药物滥用预防基金（SPF）州激励拨款计划（SPF SIG）全国跨站点评估的一个组成部分，开发了一种工具来评估州药物滥用预防系统的基础设施，以衡量基础设施的变化，并研究州基础设施在实现预防相关成果中的作用。在本文中，我们描述了该工具的开发过程，并总结了其基线管理的结果。正如预期的那样，发现各州和领地在州预防基础设施的七个关键特征或领域方面存在很大差异。在使用数字评级评估的六个领域中，各州在数据系统方面得分最高，在战略规划方面得分最低。这些领域之间存在正相关关系，表明在一个领域能力强的州在其他领域通常也有相对较高的能力。研究结果还表明，州预防基础设施的发展与州政府的资金以及拥有决策权力的州跨部门协调机构的存在都有关联。所介绍的方法和基线研究结果将用于为正在进行的SPF SIG全国跨站点评估提供信息，并可能为指导关于州药物滥用预防基础设施的进一步研究提供有用信息。
