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1.
Prev Sci ; 16(1): 158-67, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24706195

RESUMO

This study is a longitudinal investigation of the Promoting School-community-university Partnerships to Enhance Resilience (PROSPER) partnership model designed to evaluate the level of sustainability funding by community prevention teams, including which factors impact teams' generation of sustainable funding. Community teams were responsible for choosing, implementing with quality, and sustaining evidence-based programs (EBPs) intended to reduce substance misuse and promote positive youth and family development. Fourteen US rural communities and small towns were studied. Data were collected from PROSPER community team members (N = 164) and prevention coordinators (N = 10) over a 5-year period. Global and specific aspects of team functioning were assessed over six waves. Outcome measures were the total funds (cash and in-kind) raised to implement prevention programs. All 14 community teams were sustained for the first 5 years. However, there was substantial variability in the amount of funds raised, and these differences were predicted by earlier and concurrent team functioning and by team sustainability planning. Given the sufficient infrastructure and ongoing technical assistance provided by the PROSPER partnership model, local sustainability of EBPs is achievable.


Assuntos
Redes Comunitárias/economia , Relações Comunidade-Instituição/economia , Saúde da Família , Promoção da Saúde/organização & administração , Avaliação de Programas e Projetos de Saúde/economia , Saúde Pública , Adulto , Criança , Prática Clínica Baseada em Evidências , Feminino , Humanos , Iowa , Estudos Longitudinais , Masculino , Pennsylvania
2.
J Early Adolesc ; 33(2): 201-226, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24027352

RESUMO

This community-based study examined differences in parenting quality and parent symptoms for youth in four categories: anxious (elevated anxiety symptoms), depressed (elevated depressive symptoms), comorbid (elevated anxiety and depressive symptoms), and nonelevated (elevations of neither type). Respondents were 976 young adolescents (mean age = 11.3) and their parents (912 mothers, 647 fathers) randomly selected from 28 rural/small town communities. Results indicated that depressed and comorbid groups were associated with significantly lower parenting quality and higher parent psychopathology compared to the nonelevated and anxious groups. This pattern was generally consistent across reporters (youth, mother, and father) and four domains of or related to parenting (support/warmth, conflict/anger, general child management (GCM), and parent psychopathology). Results highlight the importance of accounting for comorbidity when examining relationships between psychopathology symptoms and related variables such as parenting. Implications include the need to address relationships with parents when intervening with youth at risk for or experiencing elevated depressive symptoms.

3.
Eval Program Plann ; 34(3): 283-91, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21168213

RESUMO

Because they often set out with a guarantee of only short-term funding, many community partnerships will face a threat to their sustainability almost as soon as the first money runs out. Research into the factors that enable some coalitions and partnerships to meet the challenge when others fail is limited. This study begins to fill this gap in our understanding by examining influences on the process of sustainability planning in the context of a collaborative partnership focused on youth development. We report on a longitudinal examination of the quality of planning and attitudes underpinning the sustainability of PROSPER community prevention teams whose members implement evidence-based programs designed to support positive youth development and reduce early substance use and other problem behaviors. The current research concentrates on a particular dimension of partnership effectiveness to establish whether perceptions about team functioning in play at 6 and 18 months predict the quality of sustainability planning at 36 and 48 months. How well teams functioned in the early stages was found to be strongly related to the quality of their later preparations for sustainability. Recruitment and integration of new team members, and the encouragement they subsequently received were also found to be key factors. The results strengthen the argument for providing technical assistance to meet the needs of those who promote prevention partnerships, and they provide longitudinal empirical data to support the hypotheses of other researchers who have similarly found a correlation between effective sustainability and early planning and support.


Assuntos
Serviços de Saúde Comunitária/organização & administração , Comportamento Cooperativo , Equipe de Assistência ao Paciente/organização & administração , Prevenção Primária/métodos , Avaliação de Programas e Projetos de Saúde , Características de Residência , Adulto , Feminino , Humanos , Liderança , Masculino , Pessoa de Meia-Idade , Modelos Organizacionais , Cultura Organizacional , Desenvolvimento de Programas , Estatística como Assunto , Universidades , Adulto Jovem
4.
J Consult Clin Psychol ; 76(4): 677-85, 2008 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-18665695

RESUMO

This study tested the importance of coping self-efficacy (CSE) perceptions and change in perceptions of CSE for recovery from motor vehicle accident (MVA) trauma. Data were collected 7 days following the accident (Time 1; n = 163), 1 month after the accident (Time 2; n = 91), and 3 months after the accident (Time 3; n = 70). Early changes in CSE (i.e., from Time 1 to Time 2) predicted posttraumatic distress at 3 months after MVA trauma, even after controlling for Time 1 or Time 2 posttraumatic distress and other trauma-related variables (i.e., accident responsibility, litigation involvement, and peritraumatic dissociation). Early changes in CSE perceptions, however, neither moderated nor mediated the effects of early posttraumatic distress (Time 1) on 3-month posttraumatic distress. Time 2 CSE levels, however, did mediate the relationship between acute posttraumatic distress (Time 1) and 3-month posttraumatic distress (Time 3). These findings highlight the importance of early interventions aimed at strengthening self-efficacy after MVA trauma.


Assuntos
Acidentes de Trânsito/psicologia , Adaptação Psicológica , Autoimagem , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Adolescente , Adulto , Idoso , Nível de Alerta , Cultura , Feminino , Seguimentos , Culpa , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria , Meio Social , Transtornos de Estresse Pós-Traumáticos/psicologia , Inquéritos e Questionários , Ferimentos e Lesões/psicologia , Adulto Jovem
5.
J Trauma Stress ; 16(6): 567-71, 2003 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-14690354

RESUMO

This study investigated the impact of trauma-focused research on domestic violence survivors. At the end of a survey assessing psychological distress, abuse severity, coping self-efficacy (CSE), and cognitions, questionnaire items were utilized to assess participants' levels of gain, unexpected upset, and regret of participation. Participants were 55 women who had recently experienced abuse by a partner. Forty-five percent reported positive gain from participation, 25% reported they were more upset than anticipated, and a minority of women (6%) expressed regret for participation. Results indicated that women who were more upset than expected scored significantly higher on depression, PTSD, and number of lifetime traumas, and significantly lower on CSE. Implications for enhancement of consent form documents and debriefing procedures are addressed.


Assuntos
Violência Doméstica/psicologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Adulto , Colorado , Feminino , Humanos , Pessoa de Meia-Idade , Inquéritos e Questionários
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