Community coalitions as a system: effects of network change on adoption of evidence-based substance abuse prevention.
OBJECTIVES: We examined the effect of community coalition network structure on the effectiveness of an intervention designed to accelerate the adoption of evidence-based substance abuse prevention programs. METHODS: At baseline, 24 cities were matched and randomly assigned to 3 conditions (control,...
| Publicado en: | American Journal of Public Health Vol. 97; no. 5; pp. 880 - 887 |
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| Autores principales: | , , |
| Formato: | clinical trial equations & formulas research tables/charts Journal Article |
| Publicado: |
American Public Health Association
May2007
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106123391&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106123391 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: May2007 vid: 97 iid: 5 pid: 44 pub: American Public Health Association place: Washington, District of Columbia artinfo: ui: 106123391 25047203 2009592798 10.2105/AJPH.2005.063644 NLM17329667 106123391 ppf: 880 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Community coalitions as a system: effects of network change on adoption of evidence-based substance abuse prevention. aug: au: Valente TW Chou CP Pentz MA affil: Institute for Prevention Research, Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Alhambra, CA 91803, USA. tvalente@usc.edu sug: subj: Community Networks Administration Medical Practice, Evidence-Based Organizations Administration Substance Use Disorders Prevention and Control Attitude to Health Benchmarking Clinical Trials Data Analysis Software Experimental Studies Factor Analysis Funding Source Multiple Linear Regression Path Analysis Professional Practice, Evidence-Based Regression Summated Rating Scaling Unpaired T-Tests Human ab: OBJECTIVES: We examined the effect of community coalition network structure on the effectiveness of an intervention designed to accelerate the adoption of evidence-based substance abuse prevention programs. METHODS: At baseline, 24 cities were matched and randomly assigned to 3 conditions (control, satellite TV training, and training plus technical assistance). We surveyed 415 community leaders at baseline and 406 at 18-month follow-up about their attitudes and practices toward substance abuse prevention programs. Network structure was measured by asking leaders whom in their coalition they turned to for advice about prevention programs. The outcome was a scale with 4 subscales: coalition function, planning, achievement of benchmarks, and progress in prevention activities. We used multiple linear regression and path analysis to test hypotheses. RESULTS: Intervention had a significant effect on decreasing the density of coalition networks. The change in density subsequently increased adoption of evidence-based practices. CONCLUSIONS: Optimal community network structures for the adoption of public health programs are unknown, but it should not be assumed that increasing network density or centralization are appropriate goals. Lower-density networks may be more efficient for organizing evidence-based prevention programs in communities. pubtype: Academic Journal doctype: clinical trial equations & formulas research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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