Shapiro Valerie B, Hawkins J David, Oesterle Sabrina, Monahan Kathryn C, Brown Eric C, Arthur Michael W
Berkeley Social Welfare, University of California, 120 Haviland Hall, Berkeley, CA 94720-7400; fax 510-643-4507.
J Soc Social Work Res. 2013 Aug 20;4(3). doi: 10.5243/jsswr.2013.10.
Tested and effective approaches are available to prevent mental, emotional, and behavioral problems in youth, but such approaches are underused. Communities That Care (CTC) is a coalition-based strategy that aims to increase the use of tested and effective programs by combining the use of scientific evidence and stakeholder consensus to support the community adoption of a scientific approach to preventing mental, emotional, and behavioral problems in youth. A community-randomized trial of CTC was conducted with a sample of 24 communities matched in pairs and assigned randomly to a control or an intervention condition. The findings demonstrate that CTC significantly increases the community-wide adoption of a science-based approach to prevention. Using a meta-analysis technique, this study shows that despite uniformly high-fidelity implementation of CTC in intervention communities, the effect of CTC on the adoption of a scientific approach to prevention varies significantly across the 12 community pairs. Understanding the extent of variation in the effect of CTC on adopting a science-based approach to prevention lays a foundation for identifying aspects of coalition structure, functioning, or capacity that not only may help explain variation in adoption, but may in turn be targeted to strengthen the effect of CTC on the adoption of a science-based approach to prevention within communities.
现有经过检验且有效的方法可用于预防青少年的心理、情绪和行为问题，但这些方法未得到充分利用。关爱社区（CTC）是一种基于联盟的策略，旨在通过结合科学证据的运用和利益相关者的共识，来支持社区采用科学方法预防青少年心理、情绪和行为问题，从而增加对经过检验且有效的项目的使用。对24个社区进行了一项社区随机试验，这些社区两两匹配，并随机分配到对照或干预组。研究结果表明，关爱社区显著提高了社区范围内对基于科学的预防方法的采用率。本研究使用荟萃分析技术表明，尽管干预社区中关爱社区的实施保真度普遍较高，但关爱社区对采用科学预防方法的影响在12对社区中差异显著。了解关爱社区对采用基于科学的预防方法的影响程度差异，为识别联盟结构、运作或能力的各个方面奠定了基础，这些方面不仅可能有助于解释采用率的差异，而且反过来可能成为加强关爱社区对社区内采用基于科学的预防方法的影响的目标。
