School of Public Health in El Paso, The University of Texas Health Science Center at Houston, 5130 Gateway East Blvd., Rm 316, El Paso, TX, 79905, USA.
Edna Bennett Pierce Prevention Research Center, The Pennsylvania State University, State College, USA.
Implement Sci. 2021 Jun 25;16(1):64. doi: 10.1186/s13012-021-01133-z.
Over 5000 community anti-drug coalitions operating in the USA serve as a cornerstone of federal drug prevention. These coalitions, however, have demonstrated effectiveness in preventing substance use only when they use technical assistance (TA) and implement evidence-based programs (EBPs). The absence of TA and EBP implementation by coalitions is a key research-to-practice gap. The Coalition Check-Up TA system is designed to fill this gap by supporting community coalition implementation of EBPs. Existing TA models for evidence-based coalition approaches are resource intensive and coalition model specific. The Coalition Check-Up is a lower cost strategy that works with a variety of types of coalitions to support sustainable implementation of EBPs. This study protocol describes a hybrid type 3 effectiveness-implementation trial applying Wandersman's Interactive Systems Framework to test the effects of the Coalition Check-Up on coalition EBP implementation capacity and outcomes. The Interactive Systems Framework outlines how the prevention support system-especially TA-bolsters EBP dissemination and implementation.
Using a cluster randomized controlled design, this trial will test the overall effectiveness of the Coalition Check-Up, including how it contributes to EBP implementation and prevention of youth substance use. The first aim is to estimate the impact of the Coalition Check-Up on coalitions' capacity to do their work. We will recruit 68 anti-drug coalitions for random assignment to the Coalition Check-Up or "TA as usual" condition. We will evaluate whether the Coalition Check-Up improves coalition capacity using measures of coalition member responses about team processes, coalition network composition, and collaborative structure. Our second aim is to estimate the impact of the Coalition Check-Up on implementation of EBPs, and our third aim is to estimate the impact of the Coalition Check-Up on youth substance use.
This project will clarify how the Coalition Check-Up, a scalable approach to TA due to its low cost, affects coalition capacity to support EBP implementation. Analyses also provide insight into causal pathways from the prevention support system to the prevention delivery system outlined by the Interactive Systems Framework. Results will build the evidence-base for how to support community coalitions' sustainable implementation of evidence-based prevention programs and policies.
Clinicaltrials.gov registration number NCT04592120 . Registered on October 19, 2020.
在美国，有超过 5000 个社区禁毒联盟，它们是联邦毒品预防工作的基石。然而，这些联盟只有在使用技术援助（TA）和实施基于证据的项目（EBP）时，才能证明在预防药物使用方面的有效性。联盟缺乏 TA 和 EBP 的实施是一个关键的研究到实践的差距。联盟检查 TA 系统旨在通过支持社区联盟实施 EBP 来填补这一空白。现有的基于证据的联盟方法的 TA 模型资源密集且针对联盟模式。联盟检查是一种低成本策略，可与各种类型的联盟合作，支持 EBP 的可持续实施。本研究方案描述了一项混合类型 3 有效性实施试验，应用 Wandersman 的互动系统框架来测试联盟检查对联盟 EBP 实施能力和结果的影响。互动系统框架概述了预防支持系统——特别是 TA——如何增强 EBP 的传播和实施。
本试验采用集群随机对照设计，测试联盟检查对联盟 EBP 实施能力和预防青少年药物使用的总体效果。第一个目标是估计联盟检查对联盟开展工作的能力的影响。我们将招募 68 个禁毒联盟进行随机分组，分别接受联盟检查或“TA 照常”条件。我们将评估联盟检查是否通过衡量联盟成员对团队流程、联盟网络组成和合作结构的回应，提高了联盟的能力。我们的第二个目标是估计联盟检查对 EBP 实施的影响，第三个目标是估计联盟检查对青少年药物使用的影响。
本项目将阐明一种可扩展的 TA 方法——联盟检查，由于其低成本，如何影响联盟支持 EBP 实施的能力。分析还提供了对预防支持系统到互动系统框架概述的预防交付系统的因果途径的深入了解。结果将为如何支持社区联盟可持续实施基于证据的预防计划和政策提供证据基础。
Clinicaltrials.gov 注册号 NCT04592120。于 2020 年 10 月 19 日注册。
Zotero 插件