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Communities Invested in Health Life Trajectories of African American Boys
- 1. Communities Invested in Healthy Life Trajectories of African American Boys NIH U54MD008620 Sonya S. Brady, PhD Project Lead Investigator Division of Epidemiology & Community Health UMN School of Public Health Capetra Jolly, BA St. Paul, MN Community Coalition Leader Tina Simpson, MD, MPH Project Co-Lead Investigator Department of Pediatrics UAB School of Medicine Janice Phillips, BS Birmingham, AL Community Coalition Leader C. Jason Branch, MA, LPC, NCC Birmingham, AL Community Coalition Leader
- 2. Communities Invested, Aim I Aim I (Years 1-5) Build coalitions to select, refine, implement, and evaluate school-linked prevention programming for African American boys aged 8-14 years and their caregivers. Goals 1. Promote connectedness; academic investment; and social and emotional well-being 2. Prevent or reduce externalizing symptoms and risk behavior NIH U54MD008620
- 3. Communities Invested, Aim II Aim II (Years 4-5) Conduct a pilot study to • Establish feasibility and acceptability of school-linked prevention programming • Inform a full-scale group randomized controlled trial Goals 1. Biannual surveys of 6th and 8th grade students 2. Longitudinal evaluation of African American families (n=30) • Baseline • Post-prevention programming • 6 month follow-up NIH U54MD008620
- 4. 5 Phases of Communities That Care NIH U54MD008620
- 5. CTC Organizational Structure Community Key Leaders Community Board 6 Workgroups Facilitator/Coordinator • Risk & Protective Factor Assessment • Community Outreach & Public Relations • Youth Involvement • Resource Assessment & Evaluation • Funding • Community Board Maintenance Executive Board NIH U54MD008620
- 6. Progress To Date CTC Phase I Accomplished • Phase 1: Get Started • CTC Champions • Focus groups conducted (BHM only) • Community readiness interviews • Key Leader Orientations • Dissemination of findings • Jolly, C., Winston III, W., Simpson, T. Y., & Brady, S. S. (2015, May). Community readiness to adopt the Communities That Care program within an urban setting. Poster presented at the annual meeting of the Society for Prevention Research, Washington, D.C. • Phillips JM, Dixon A, Branch CJ, Brady SS, Simpson T. Parents Speak: Issues Facing Young African American Males In Urban Communities. Journal of Adolescent Health 2015; 56(2):S102-103. • Phillips J, Branch CJ, Simpson T. Assessing Readiness for Community-Driven Youth Prevention Program. Journal of Adolescent Health 2016; 58(2):S89-S90. NIH U54MD008620
- 7. Progress To Date CTC Phase II Nearly Accomplished • Phase II: Organize, Introduce, and Involve • Obtain community leaders’ support • Formation of community boards • Youth, parents, teachers, service providers, and individuals from local faith and CBOs • Vision statement to guide prevention work • Workgroups to transform vision into action • CTC Youth Survey NIH U54MD008620
- 8. Progress To Date CTC Phase III Underway • Phase III: Develop a Community Profile • Based on CTC Youth Survey, other public data, and formative research, St. Paul, MN site selected factors for preventive action • 3 target risk factors: transitions and mobility, early behavioral concerns, poor academic achievement • 1 target outcome: emotional well-being and mental health • Birmingham, AL site selection of factors for preventive action is underway • Next steps at both sites • Survey local service providers NIH U54MD008620
- 9. Spring and Summer, 2016 CTC Phase IV • Phase IV: Create a Community Action Plan • Selection of evidence-based prevention program(s) • Development of communication campaign to reduce stigma of receiving services NIH U54MD008620
- 10. Fall, 2016 through Spring, 2018 CTC Phase V • Phase V: Implement and Evaluate Community Action Plan • Prevention Program Implementation • Longitudinal Pilot Study NIH U54MD008620
- 11. Challenges Both Sites • Adaptation of Communities that Care (CTC) to urban communities of color • Time required from community coalition members • Length of CTC Youth Survey St. Paul, MN • School district review of protocol • Requirement of active consent for CTC Youth Survey Birmingham, AL • Change in school administration • IRB review of CTC Youth Survey protocol • Concern about overlapping initiatives (e.g., My Brother’s Keeper) NIH U54MD008620
- 12. Opportunities “Tri-Relationships” Approach to Fostering Youth Assets and Resilience Caregivers Teachers Community Context Child NIH U54MD008620
Editor's Notes
- Reduce the words on each slide Make slides 7-11 more bulleted Reduce the overall number of slides
- Communities that Care (CTC) is a step-by-step coalition-based approach to preventing youth risk behaviors CTC provides… A structure for engaging community stakeholders A process for establishing a shared community vision CTC guides the coalition to… Create a strategic community prevention plan Select tested, effective programs Implement chosen programs with fidelity Monitor program implementation over time Periodically reevaluate community levels of risk, protection, and outcomes Periodically make adjustments in prevention programming (Hawkins et al., 2008; Hawkins, Catalano, & Kuklinski, 2011
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- Next steps at both sites Survey local service providers To what extent are high-quality, evidence-based prevention programs already available and utilized? Existing, potentially underutilized services may be incorporated into the community action plan
- Phase IV: Create a Community Action Plan Community board members will… Review, select, and refine a school-linked prevention program Refine assessment tools We’re planning to interview children, caregivers, and teachers just before the intervention, just afterwards, and at a 6-month follow-up Develop a communication campaign to promote family involvement and reduce perceived stigma of receiving services
- Phase V: Implement and Evaluate the Community Action Plan In the final two years of the project, the community coalition will offer prevention programming to families served by our partnering school All families can receive programming We will evaluate how well programming works for African American boys and their families Each site will enroll 30-35 African American boys’ ages 8-14 years old and their caregivers into a longitudinal study Assessments will be conducted pre- and post-intervention, as well as 6-months post intervention Measures will include: Boys’ externalizing symptoms, risk behavior, and history of school-based disciplinary action and juvenile justice system involvement Boys’ and caregivers’ stressor exposure, affective symptoms, academic engagement, coping, and resources for support
- Both Sites Adaptation of Communities that Care (CTC) to urban communities of color Time required from community coalition members Worked with Center for Communities that Care to reduce length of training workshops, while still maintaining fidelity Length of CTC Youth Survey St. Paul, MN School district review of protocol Requirement of active consent for CTC Youth Survey Birmingham, AL Change in school administration, necessitating a new school partner IRB review of CTC Youth Survey protocol Concern about overburdening community partners due to overlapping initiatives (e.g., My Brother’s Keeper)
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- Willie