Can evidence-based prevention programs be sustained in community practice settings? The Early Risers' Advanced-Stage Effectiveness Trial.
Prev Sci
; 7(2): 151-65, 2006 Jun.
Article
em En
| MEDLINE
| ID: mdl-16555143
ABSTRACT
This study evaluated institutional sustainability of the Early Risers "Skills for Success" conduct problems prevention program. In a previous early-stage effectiveness trial Early Risers had been successfully implemented by a nonprofit community agency with guidance, supervision, technical assistance and fiscal support/oversight provided by program developers. The current advanced-stage effectiveness trial applied a randomized, control group design to determine whether this community agency could replicate earlier positive findings with a new cohort of participants, but with less direct involvement of program developers. An intent-to-intervene strategy was used to compare children randomly assigned to Early Risers or a no-intervention comparison group. Compared to results obtained in an early-stage effectiveness trial, program attendance rates were much lower and only one positive outcome was replicated. Failure to replicate program effects was not attributed to poor program implementation, because data collected pertaining to exposure, adherence and quality of delivery were acceptable, and a participation analysis showed that families who attended at higher levels did benefit. It was difficulties that the community agency experienced in engaging families in program components at recommended levels that primarily accounted for the results. Possible organizational barriers that impeded sustainability included unreliable transportation, poor collaboration between the agency and the local public school system, high staff turnover, agency downsizing, and fiduciary responsibility and accountability. It was concluded that both program developers and program providers need to be proactive in planning for sustainability.
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Bases de dados:
MEDLINE
Assunto principal:
Serviços Preventivos de Saúde
/
Medicina Baseada em Evidências
Tipo de estudo:
Clinical_trials
/
Evaluation_studies
Limite:
Child
/
Child, preschool
/
Humans
Idioma:
En
Revista:
Prev Sci
Assunto da revista:
CIENCIA
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Estados Unidos