Velasco Veronica, Griffin Kenneth W, Antichi Mariella, Celata Corrado
Regional Observatory on Drug Addiction (OReD)-Éupolis Lombardia, via Taramelli 12, Milan 20124, Italy.
Weill Medical College of Cornell University, Department of Healthcare Policy and Research, 402 East 67th Street, New York, NY 10065, United States.
Eval Program Plann. 2015 Oct;52:27-38. doi: 10.1016/j.evalprogplan.2015.03.002. Epub 2015 Mar 20.
Across developed countries, experimentation with alcohol, tobacco, and other drugs often begins in the early adolescent years. Several evidence-based programs have been developed to prevent adolescent substance use. Many of the most rigorously tested and empirically supported prevention programs were initially developed and tested in the United States. Increasingly, these interventions are being adopted for use in Europe and throughout the world. This paper reports on a large-scale comprehensive initiative designed to select, adapt, implement, and sustain an evidence-based drug abuse prevention program in Italy. As part of a large-scale regionally funded collaboration in the Lombardy region of Italy, we report on processes through which a team of stakeholders selected, translated and culturally adapted, planned, implemented and evaluated the Life Skills Training (LST) school-based drug abuse prevention program, an evidence-based intervention developed in the United States. We discuss several challenges and lessons learned and implications for prevention practitioners and researchers attempting to undertake similar international dissemination projects. We review several published conceptual models designed to promote the replication and widespread dissemination of effective programs, and discuss their strengths and limitations in the context of planning and implementing a complex, large-scale real-world dissemination effort.
在发达国家，青少年对酒精、烟草和其他毒品的尝试往往始于青春期早期。已经制定了一些基于证据的项目来预防青少年使用毒品。许多经过最严格测试和实证支持的预防项目最初是在美国开发和测试的。这些干预措施越来越多地被欧洲和世界各地采用。本文报告了一项大规模的综合举措，旨在在意大利选择、调整、实施和维持一项基于证据的药物滥用预防项目。作为意大利伦巴第地区一项由地区资助的大规模合作的一部分，我们报告了一个利益相关者团队选择、翻译并进行文化调适、规划、实施和评估“生活技能培训”（LST）这一基于学校的药物滥用预防项目的过程，该项目是在美国开发的一项基于证据的干预措施。我们讨论了几个挑战、经验教训以及对试图开展类似国际传播项目的预防从业者和研究人员的启示。我们回顾了几个已发表的概念模型，这些模型旨在促进有效项目的复制和广泛传播，并在规划和实施一项复杂、大规模的现实世界传播工作的背景下讨论了它们的优势和局限性。
