Kim B K Elizabeth, Oesterle Sabrina, Hawkins J David, Shapiro Valerie B
Center for Prevention Research in Social Welfare at the University of California, Berkeley.
School of Social Work, University of Washington.
J Soc Social Work Res. 2015 Winter;6(4):565-589. doi: 10.1086/684163. Epub 2015 Oct 6.
The Communities That Care (CTC) prevention system seeks to build community capacity for a science-based approach to the promotion of healthy youth development. Prior research shows the positive effects of CTC on youth protective factors during CTC implementation. This research tests sustained effects of CTC on youth protective factors 1 year after external support to communities for CTC implementation ended.
Data come from a community-randomized trial of CTC in 24 communities across 7 states. A panel of 4,407 youth in CTC and control communities was surveyed annually from Grade 5 through Grade 10. Youth reported their exposure to protective factors identified in the social development model. Global test statistics are calculated to examine effects of CTC across 15 protective factors in 5 domains (community, school, family, peer, and individual) assessed in Grade 10, 1 year after study support for CTC implementation ended. Analyses also examine variation in sustained effects by gender and baseline risk levels.
Global effects of CTC on protective factors across all domains are not sustained in Grade 10. However, sustained domain-specific effects are observed in the individual domain for males, in the peer domain for females, and in the individual domain for youth with low-to-medium risk at baseline.
Greater emphasis on strengthening protective factors during high school might be needed to sustain broad effects of CTC on protective factors observed during middle school.
“关爱社区”(CTC)预防系统旨在建设社区能力,以采用基于科学的方法促进青少年健康发展。先前的研究表明,在实施 CTC 期间,它对青少年保护因素具有积极影响。本研究检验了在向社区提供的 CTC 实施外部支持结束 1 年后,CTC 对青少年保护因素的持续影响。
数据来自一项在 7 个州的 24 个社区进行的 CTC 社区随机试验。从 5 年级到 10 年级,每年对 CTC 社区和对照社区的 4407 名青少年组成的样本进行调查。青少年报告了他们接触社会发展模型中确定的保护因素的情况。计算总体检验统计量,以检验在研究支持 CTC 实施结束 1 年后的 10 年级评估的 5 个领域(社区、学校、家庭、同伴和个人)中的 15 个保护因素上 CTC 的影响。分析还考察了持续影响在性别和基线风险水平方面的差异。
在 10 年级时,CTC 对所有领域保护因素的总体影响未持续存在。然而,在个人领域对男性、在同伴领域对女性以及在基线风险为中低水平的青少年的个人领域中观察到了特定领域的持续影响。
可能需要更加强调在高中阶段加强保护因素,以维持 CTC 在初中阶段观察到的对保护因素的广泛影响。