Mitchell R E, Stevenson J F, Florin P
Center for Alcohol and Addiction Studies, Brown University, Box G-BH, 02912, Providence, Rhode Island.
J Prim Prev. 1996 Jun;16(4):413-36. doi: 10.1007/BF02411744.
Use of community coalitions as a strategy for the primary prevention of tobacco, alcohol, and other drug abuse is justified in part on the prospect that these coalitions will mount comprehensive, multi-level, multi-target intervention packages. To judge the success of such coalitions, reliable and valid means for assessing the content and pattern of their overall prevention efforts are required. This article proposes a typology of prevention activities, discusses the logic on which it is based, and provides examples of useful applications in examining community coalition prevention plans. Evidence for reliability and validity is provided through assessments of inter-rater agreement, and the relation of measures of "scope of prevention activities" to independent ratings of comprehensiveness. The typology can be used in research validating the logic model on which prevention coalitions are based, and it is also demonstrably useful for improving the local planning process.
将社区联盟作为预防烟草、酒精及其他药物滥用的主要策略,其合理性部分基于这样一种前景,即这些联盟将推出全面、多层次、多目标的干预方案。为了评判此类联盟的成效,需要有可靠且有效的方法来评估其整体预防工作的内容和模式。本文提出了一种预防活动的类型学,讨论了其依据的逻辑,并提供了在审查社区联盟预防计划时有用应用的示例。通过评估评分者间的一致性以及“预防活动范围”的衡量指标与全面性独立评级之间的关系,提供了可靠性和有效性的证据。该类型学可用于验证预防联盟所基于的逻辑模型的研究,并且显然有助于改进地方规划过程。