Prevention System Mediation of Communities That Care Effects on Youth Outcomes
Open accessAbstract
This study examined whether the significant intervention effects of the Communities That Care (CTC) prevention system on youth problem behaviors observed in a panel of eighth-grade students (Hawkins et al. Archives of Pediatrics and Adolescent Medicine 163:789-798 2009) were mediated by community-level prevention system constructs posited in the CTC theory of change. Potential prevention system constructs included the community's degree of (a) adoption of a science-based approach to prevention, (b) collaboration on prevention activities, (c) support for prevention, and (d) norms against adolescent drug use as reported by key community leaders in 24 communities. Higher levels of community adoption of a science-based approach to prevention and support for prevention in 2004 predicted significantly lower levels of youth problem behaviors in 2007, and higher levels of community norms against adolescent drug use predicted lower levels of youth drug use in 2007. Effects of the CTC intervention on youth problem behaviors by the end of eighth grade were mediated fully by community adoption of a science-based approach to prevention. No other significant mediated effects were found. Results support CTC's theory of change that encourages communities to adopt a science-based approach to prevention as a primary mechanism for improving youth outcomes.
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The Community Youth Development Study reported that the Communities that Care system increased adoption of evidence-based programs and reduced youth substance use and violence.
“This study found that the CTC decision support system led to greater adoption of evidence-based programs and prevented youth substance use and violence.”
From An Overview of Research and Evaluation Designs for Dissemination and Implementation (2017) · cites this paper as [19]
Similar scaling-out approaches are possible when implementing other types of interventions including evidence-based decision support systems such as Communities that Care.
“Similar scaling-out approaches are possible when implementing other types of interventions including evidence-based decision support systems, such as Communities that Care [68–72], which helps communities decide which among a menu of EBIs are most appropriate to implement, rather than a single intervention.”
From “Scaling-out” evidence-based interventions to new populations or new health care delivery systems (2017) · cites this paper as [72]
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- Authors
- Brown, E. C., Hawkins, J. D., Rhew, I. C., Shapiro, V. B., Abbott, R. D., Oesterle, S., Arthur, M. W., Briney, J. S., & Catalano, R. F.
- Affiliations
- University of Washington (US)
- University of California, Berkeley (US)
- Corresponding author
- Brown, Eric C.
- Venue
- Prevention Science
- Published
- 2013-07-05
- Volume
- 15
- Issue
- 5
- Pages
- 623-632
- ISSN
- 1389-4986 (ISSN-L)
- 1573-6695
- PMC
- PMC3884024
- OpenAlex
- W2079372972
- Cited by
- 64
- References
- 59
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 3 · 2023: 10 · 2022: 3 · 2021: 4 · 2020: 5 · 2019: 9 · 2018: 1 · 2017: 4 · 2016: 6 · 2015: 10 · 2014: 1 · 2013: 1
- FWCI
- 4.37
- 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)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by-nc-nd)
- Funders
- National Institute on Drug Abuse (R01DA015183)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R24HD042828)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Social Sciences › Sociology and Political Science › Crime Patterns and Interventions
- Keywords
- Communities That Care, adolescent behavior problems, adolescent drug use, mediation, theory of change, eighth grade students
- MeSH terms
- Adolescent, Adolescent Behavior, Child, Female, Humans, Juvenile Delinquency, Longitudinal Studies, Male, Residence Characteristics, Social Welfare, Social Work, United States, Negotiating, Substance-Related Disorders
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