Rural Community Partnership Recruitment for an Evidence-Based Family-Focused Prevention Program: The PROSPER Project

Meek, Jim; Lillehoj, Catherine J.; Welsh, Janet A.; Spoth, Richard

doi:10.1037/e539362013-006

Cited by 9 publications

(16 citation statements)

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“…Community teams have achieved high recruitment rates for program participation (Spoth et al 2007; Meek et al 2004). Also critically important, all programs have been carried out with high levels of implementation quality, with greater than 90% adherence overall for both the family and school programs (Spoth et al 2007, in press).…”

Section: Prosper Findings and Lessons Mapping Onto The Five Communitymentioning

confidence: 99%

Impact Challenges in Community Science‐with‐Practice: Lessons from PROSPER on Transformative Practitioner‐Scientist Partnerships and Prevention Infrastructure Development

Spoth

Greenberg

2011

American J of Comm Psychol

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At present, evidence-based programs (EBPs) to reduce youth violence are failing to translate into widespread community practice, despite their potential for impact on this pervasive public health problem. In this paper we address two types of challenges in the achievement of such impact, drawing upon lessons from the implementation of a partnership model called PROSPER. First, we address five key challenges in the achievement of community-level impact through effective community planning and action: readiness and mobilization of community teams; maintaining EBP implementation quality; sustaining community teams and EBPs; demonstrating communitylevel impact; and continuous, proactive technical assistance. Second, we consider grand challenges in the large-scale translation of EBPs: (1) building, linking and expanding existing infrastructures to support effective EBP delivery systems, and (2) organizing networks of practitioner-scientist partnerships-networks designed to integrate diffusion of EBPs with research that examines effective strategies to do so. The PROSPER partnership model is an evidence-based delivery system for community-based prevention and has evolved through two decades of NIH-funded research, assisted by land grant universities' Cooperative Extension Systems. Findings and lessons of relevance to each of the challenges are summarized. In this context, we outline how practitioner-scientist partnerships can serve to transform EBP delivery systems, particularly in conjunction with supportive federal policy.

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Section: Prosper Findings and Lessons Mapping Onto The Five Communitymentioning

confidence: 99%

Impact Challenges in Community Science‐with‐Practice: Lessons from PROSPER on Transformative Practitioner‐Scientist Partnerships and Prevention Infrastructure Development

Spoth

Greenberg

2011

American J of Comm Psychol

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“…Recruitment of families into prevention programs is notoriously difficult, especially for multiple session programs held outside the home (Meek et al 2004). Generally, the penetration of such family-focused preventive interventions in a given target population is less than 1% (Jensen 2003), although occasionally higher [e.g., 5.9% (Saunders et al 2003) to 17% (Spoth et al 2007)].…”

Section: A Universal Approach: Rationale and Obstaclesmentioning

confidence: 99%

Enhancing Coparenting, Parenting, and Child Self-Regulation: Effects of Family Foundations 1 Year after Birth

2009

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This study investigated whether a psycho-educational program with modest dosage (eight sessions), delivered in a universal framework through childbirth education programs and targeting the coparenting relationship would have a positive impact on observed family interaction and child behavior at 6-month follow-up (child age 1 year). One hundred sixty-nine couples, randomized to intervention and control conditions, participated in videotaped family observation tasks at pretest (during pregnancy) and at child age 1 year (2003–2007). Coparenting, parenting, couple relationship, and child self-regulatory behaviors were coded by teams of raters. Intent-to-treat analyses of program effects controlled for age, education, and social desirability. Evidence of significant (p<0.05) program effects at follow-up emerged in all four domains. Effect sizes ranged from 0.28 to 1.01. Targeting the coparenting relationship at the transition to parenthood represents an effective, non-stigmatizing means of promoting parenting quality and child adjustment.

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“…Traditional parenting programs are delivered in clinic or community settings by trained instructors or therapists. Meek et al (2004) note that recruitment rates for universal communitybased prevention programs and follow-up evaluations range from 3 to 35%.Further, even when families participate in programs, the programs are not consistently effective for all. Sociodemographic factors, including ethnic/minority status, low family income, low parent education, and single-parent family composition have been linked to attrition and Prev Sci (…”

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confidence: 96%

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A Randomized Trial of Parents Who Care: Effects on Key Outcomes at 24-month Follow-up

et al. 2007

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This study was designed to test the efficacy of Parents Who Care (PWC), a seven-session universal prevention program which includes parenting, youth, and family components designed to prevent substance use and other problem behaviors. Using an intent-to-treat experimental design, this study tests the program efficacy across race within a balanced sample of European American (EA) and African American (AA) youth and their parents (n = 331 n AA = 163; n EA = 168). Families were recruited, randomly assigned to three conditions (group-administered [PA], self-administered with telephone support [SA], and no-treatment control) and the intervention was administered when the adolescents were in the eighth grade. Analyses on key teen outcomes of the Parent's Who Care program at 24-month follow-up are reported here and include perceptions of drug use harm; favorable attitudes about drug use; delinquent and violent behavior; and initiation into cigarette, alcohol, other drug use, or sexual activity. Repeated measures mixed model regressions found no effect of the intervention on rate of change in attitudes about drug use or frequency of delinquent or violent behavior. Regression analyses with multiple imputations for missing data detected group differences in means at 24-month follow-up. Both program formats reduced favorable attitudes toward drug use among youth (SA d = 0.39, PA d = 0.22); and AA youth in the self-administered intervention reported significantly less violent behavior than their control counterparts (d = 0.45). No effects were found for drug use harm or delinquency. Finally, logistic regression predicting a combined outcome measure of initiation of alcohol, tobacco, drug use, and/or sexual activity found AA youth in both the group- and self-administered intervention conditions significantly less likely to initiate substance use and/or sexual activity than those in the control condition. Odds ratios indicated the chances of initiating sex or substance use were reduced by almost 70% (OR = 0.31) for AA teens in the SA condition compared to controls, and 75% (OR = 0.25) for the AA teens in the PA compared to controls.

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Rural Community Partnership Recruitment for an Evidence-Based Family-Focused Prevention Program: The PROSPER Project

Cited by 9 publications

References 0 publications

Impact Challenges in Community Science‐with‐Practice: Lessons from PROSPER on Transformative Practitioner‐Scientist Partnerships and Prevention Infrastructure Development

Impact Challenges in Community Science‐with‐Practice: Lessons from PROSPER on Transformative Practitioner‐Scientist Partnerships and Prevention Infrastructure Development

Enhancing Coparenting, Parenting, and Child Self-Regulation: Effects of Family Foundations 1 Year after Birth

A Randomized Trial of Parents Who Care: Effects on Key Outcomes at 24-month Follow-up

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