Effects of Communities That Care on the Adoption and Implementation Fidelity of Evidence-Based Prevention Programs in Communities: Results from a Randomized Controlled Trial
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This paper describes findings from the Community Youth Development Study (CYDS), a randomized controlled trial of the Communities That Care (CTC) prevention system, on the adoption and implementation fidelity of science-based prevention programming in 24 communities. Data were collected using the Community Resource Documentation (CRD), which entailed a multi-tiered sampling process and phone and web-based surveys with directors of community-based agencies and coalitions, school principals, service providers, and teachers. Four years after the initiation of the CTC prevention system, the results indicated increased use of tested, effective prevention programs in the 12 CTC intervention communities compared to the 12 control communities, and significant differences favoring the intervention communities in the numbers of children and families participating in these programs. Few significant differences were found regarding implementation quality; respondents from both intervention and control communities reported high rates of implementation fidelity across the services provided.
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When structural-level constructs are deemed to be important determinants of implementation outcomes, researchers conducting implementation trials may simply opt to control for these factors in their study designs by stratifying or matching organizations on these characteristics rather than measuring them.
“Alternatively, when structural-level constructs are deemed to be important determinants of implementation outcomes, researchers conducting implementation trials may simply opt to control for these factors in their study designs by stratifying or matching organizations on these characteristics [70] rather than measuring them.”
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- Authors
- Fagan, A. A., Arthur, M. W., Hanson, K., Briney, J. S., & Hawkins, J. D.
- Affiliations
- University of South Carolina (US)
- University of Washington (US)
- Corresponding author
- Fagan, Abigail A.
- Venue
- Prevention Science
- Published
- 2011-06-11
- Volume
- 12
- Issue
- 3
- Pages
- 223-234
- ISSN
- 1389-4986 (ISSN-L)
- 1573-6695
- PMC
- PMC3587334
- OpenAlex
- W2008322964
- Cited by
- 46
- References
- 36
- Citations by year
- 2025: 3 · 2024: 2 · 2023: 3 · 2021: 4 · 2020: 1 · 2019: 2 · 2018: 1 · 2016: 5 · 2015: 9 · 2014: 5 · 2013: 7 · 2012: 3
- FWCI
- 10.09
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Prevention Science (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (R01DA015183, R01 DA10768-01A1, R01DA010768)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Keywords
- Communities That Care, evidence-based prevention programs, program adoption, implementation fidelity, community-based prevention, community coalitions, youth development
- MeSH terms
- Community Health Services, Diffusion of Innovation, Humans, Preventive Health Services, Internet, Evidence-Based Practice
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