• Share
  • Email
  • Embed
  • Like
  • Save
  • Private Content
PROSPER: A model of delivery for evidence-based programming
 

PROSPER: A model of delivery for evidence-based programming

on

  • 491 views

Wolk, S. & Crowley, M. (2008, November). PROSPER: A model for the diffusion and support of ...

Wolk, S. & Crowley, M. (2008, November). PROSPER: A model for the diffusion and support of
evidence-based prevention in rural communities. Panel presentation at the Pennsylvania Office of Rural Health’s conference on Reducing Drug use in Rural Pennsylvania. Harrisburg, PA.

Statistics

Views

Total Views
491
Views on SlideShare
490
Embed Views
1

Actions

Likes
0
Downloads
1
Comments
0

1 Embed 1

http://www.linkedin.com 1

Accessibility

Categories

Upload Details

Uploaded via as Adobe PDF

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

    PROSPER: A model of delivery for evidence-based programming PROSPER: A model of delivery for evidence-based programming Presentation Transcript

    • PROSPER: A model of delivery for evidence-based programming (Promoting School-community-university Partnerships to Enhance Resilience)
    • PROSPER: A model of delivery for evidence-based programming Reclaiming Our Communities: Reducing Drug Use in Rural Pennsylvania November 12, 2008 Salem Wolk and Max Crowley Mark Greenberg, Principal Investigator Richard Spoth, Principal Investigator
    • Overview The Role of Prevention The PROSPER Model PROSPER & Rural Communities Sample of PROSPER Outcomes
    • Two Windows of Opportunity for Intervention with General Populations Substance Increased No Use Initiation Use Intervene to Reduce Probability of Transition
    • The Promise of Prevention: Small Short-term Changes Lead to Larger Long-term Impacts Trajectory for ISFP Condition Trajectory for Control Condition 0.4 First Time Proportion 0.3 0.2 0.1 0 0 mo. 6 mo. 18 mo. 30 mo. 48 mo. 72 mo. (Pretest) (Posttest) Grade 7 Grade 8 Grade 10 Grade 12
    • The Current State of Prevention Science and Practice Considerable progress in understanding how youth problems develop over time. Development of a growing number of prevention programs Advances in methodology – our ability to measure what didn’t happen and why More well-designed studies to test the efficacy of these interventions Identification of evidence based prevention programs – creations of lists: SAMHSA, NREPP
    • The PROSPER Model for the delivery and support of evidence- based programming
    • PROSPER Partnership Structure Local Community Teams Extension Agent, Public School Staff, Substance Use & Mental Health Service Agency Representatives, Parent/Youth Representatives Prevention Coordinator Team– Extension & Prevention Coordinators University/State-Level Team University Researchers, Extension Program Directors
    • Local PROSPER Community Team Small and Strategic – (7 - 9 members) • Team Leader: Extension youth/ family educator • Co-Leader: Local public school representative • Local mental health agency person • Local substance abuse agency person • Middle or high school-aged students • Parent As the team grows, additional representatives may be added
    • PROSPER Programs  PROSPER offers teams a “menu” of evidence-based programs targeting families (e.g., Strengthening Families Program) and schools (e.g., Life Skills Training, Project Alert)  Teams choose one school-based and family-based  Evidence-based programs offer greater assurance that they will work  More efficient use of resources…
    • What do the local PROSPER teams do? • Choose programs to address community needs • Actively participate in meetings • Recruit family-based program participants • Assist in monitoring the quality implementation of the evidence- based programs • Promote PROSPER and evidence-based programs in the community • Participate in sustainability planning for PROSPER programs
    • PROSPER and Rural Settings
    • The PROSPER model to address Barriers to Rural Public Health Impact  Need for more widespread adoption of evidence-based programs in rural communities  Look to existing infrastructures on which to build programming and reduce risk to substance abuse  Need to improve quality and fidelity, and promote sustainability  Create and strengthen links between local practitioners and experts in community mobilization and prevention science
    • Linking Existing Systems to promote Evidence Based Programs • Cooperative Extension System  Largest science-to-practice transfer and informal education system in the world  Over 3,150 agents in nearly every county in the U.S. • Public School System  Universal system reaching nearly all children  States have networks for programming support  Increasing emphasis on accountability/empirical orientation
    • Linking local PROSPER teams to university-based prevention researchers • Teams receive technical assistance from Prevention Coordinators (PCs) • PCs are university staff with backgrounds in prevention or Extension programming The PROSPER model emphasizes technical assistance between the PCs, the local teams and the research teams.
    • Examples of Promising Outcomes
    • Implementation Quality Findings Average over 90% adherence to both school and family evidence-based programs Quality maintained across five years of program delivery! press). PROSPER study of evidence-based intervention implementation quality by community-university partnerships. Journal of Community Psychology.
    • Initial Financial Sustainability 100% of PROSPER teams obtained external funding within a year Funds obtained from a variety of sources – state, city, business, religious and service organizations, and private individuals Collectively, over $500,000 for sustained family EBI, over last two years
    • PROSPER Success— Positive Outcomes for Families • More consistent discipline • Less harsh discipline • Better family cohesion • Better mother-child relations • More frequent parent-child activities Studies have shown that these protective factors can decrease the use of substances and other risky behaviors.
    • PROSPER Success--Reducing Adolescent Substance Use • Slower Rates of Substance Initiation • Gateway Drugs • Illicit Drugs • Reduced Past-Year Substance Use • Marijuana • Inhalants
    • Adolescent Problem Solving: 7th, 8th, and 9th Grades INT Int CTRL Ctrl 3.65 3.62 3.60 3.59 3.55 3.54 3.50 3.47 3.45 3.45 3.44 3.40 3.35 7th Grade 8th Grade 9th Grade All sig at p<.01
    • New User Marijuana Rates: 7th, 8th, and 9th Grades INT Int CTRL Cntrl 24.60% 19.20% 13.20% 10.60% 6.00% 3.70% 7th Grade 8th Grade 9th Grade All sig at p<.05
    • PROSPER Take Home Message • PROSPER utilizes evidence-based programming to make a difference • Prevention programs that work are being delivered with quality and they are producing measurable benefits in many communities!
    • Please visit our websites at… www.prosper.ppsi.iastate.edu www.ppsi.iastate.edu www.prevention.psu.edu Thank you!