Enhancing Prevention Capacity With Developmental Assets and Getting to Outcomes

NCT00780338 | Completed Phase 2 Results

• 2 other identifiers: NIDA-023277R01DA023277
• Study Type: interventional
• Target: 376
• Locations: 1 country
• Sites: 1

Brief Summary

Alcohol and other drug use among youth is costly for communities. More research is needed about how to best support community based prevention programs and how community prevention expertise can inform the research process. The National Institute on Drug Abuse has funded a 5 year collaboration of the RAND Corporation, Search Institute and its training division, Vision Training Associates, Communities for Children and Youth, and the University of Southern Maine to implement and assess the impact on prevention coalitions, the combination of two complimentary, community-based interventions: Developmental Assets, which supports community mobilization and collaboration to promote positive youth development, and Getting To Outcomes (GTO), which enhances community capacity to complete critical prevention tasks (e.g., evaluation). The purpose of the project is to investigate: 1) How well is the Assets-GTO intervention delivered, how much is it used, and what coalitions think about it; 2) The extent to which the Assets-GTO approach enhances the prevention capacity (knowledge, attitudes, and skills) of individual coalition members and the quality of prevention performance; and 3) Whether enhanced prevention capacity improves alcohol and drug outcomes among youth. Twelve community-based prevention coalitions in Maine (part of Communities for Children and Youth) will participate. Six coalitions-determined at random-will receive manuals, training, and on-site technical assistance consisting of bi-Weekly meetings between A-GTO 4 ME! and key coalition staff. The other six coalitions will continue practice as usual, but will receive an abbreviated version of the Assets-GTO intervention near the end of the project. A Community Research Workgroup made of coalition representatives will review all aspects of the study and interim findings and facilitate dissemination on A-GTO 4 ME! The project will demonstrate and evaluate strategies to strengthen the prevention capacity of community organizations that can be used broadly across many types of programs.

Conditions

Substance Abuse

Outcome Measures

Primary Outcomes (5)

• Prevention Capacity-GTO Efficacy (Intent to Treat)

  Assessed in the Coalition Survey, prevention capacity was defined as efficacy and behaviors of practitioners. GTO efficacy scale is the sum of 10 items using a three-point scale (1="would need a great deal of help to carry out this task", 2="could carry out this task, but would need some help", 3="could carry out this task without any help") asking about activities associated with doing the AGTO 10 steps. The sum was then transformed to be on a 1-100% scale. A percentage point change is equivalent to a .02 change on the original 1-3 scale. A 50-percentage point change would be equivalent to a one-point change on the original 1-3 scale.

  Baseline, mid-point (1 year), posttest (2 years)

• Prevention Capacity - GTO Behaviors (Intent to Treat)

  This scale is the sum of 11 items with seven-point scales (1="never" to 7="very often") assessing the frequency with which respondents engaged in AGTO activities during the previous 12 months. The sum was then transformed to be on a 1-100% scale. A percentage point change is equivalent to a .06 change on the original 1-7 scale. A 17-percentage point change would be equivalent to a one-point change on the original 1-7 scale.

  Baseline, Mid (1 year), Post (2 years)

• Prevention Capacity - ASSETS GTO Behaviors (Intent to Treat)

  This scale is the sum of 11 items with seven-point scales (1="never" to 7="very often") assessing the frequency with which respondents engaged in AGTO activities during the previous 12 months. The sum was then transformed to be on a 1-100% scale. A percentage point change is equivalent to a .06 change on the original 1-7 scale. A 17-percentage point change would be equivalent to a one-point change on the original 1-7 scale.

  Baseline, Mid (1 year), Post (2 years)

• Prevention Capacity - ASSETS Behaviors (Intent to Treat)

  This scale is the sum of 11 items with seven-point scales (1="never" to 7="very often") assessing the frequency with which respondents engaged in assets activities during the previous 12 months. The sum was then transformed to be on a 1-100% scale. A percentage point change is equivalent to a .06 change on the original 1-7 scale. A 17-percentage point change would be equivalent to a one-point change on the original 1-7 scale.

  Baseline, Mid (1 year), Post (2 years)

• Prevention Capacity-Assets Efficacy (Intent to Treat)

  Assessed in the Coalition Survey, prevention capacity was defined as efficacy and behaviors of practitioners. Assets efficacy scale is the sum of 10 items using a three-point scale (1="would need a great deal of help to carry out this task", 2="could carry out this task, but would need some help", 3="could carry out this task without any help") asking about activities associated with doing the Developmental Assets model. The sum was then transformed to be on a 1-100% scale. A percentage point change is equivalent to a .02 change on the original 1-3 scale. A 50-percentage point change would be equivalent to a one-point change on the original 1-3 scale.

  Baseline, mid (1 year), post (2 years)

Secondary Outcomes (7)

• Prevention Performance - Total Score (Descriptive Means)

  baseline, baseline to mid (1 year), mid to posttest (2 years)

• Prevention Capacity - GTO Behavior - (User v Non-User Analysis)

  Baseline, Mid (1 year), Post (2 years)

• Prevention Capacity - GTO Efficacy (User vs Non-user Analyses)

  Baseline, Mid (1 year), Post (2 years)

• Prevention Capacity - ASSETS GTO BEHAVIORS (User vs Non-user Analyses)

  Baseline, Mid (1 year), Post (2 years)

• Prevention Capacity - Assets Behavior - (User v Non-User Analysis)

  Baseline, Mid (1 year), Post (2 years)

Study Arms (2)

1

EXPERIMENTAL

Cohort 1: receives the Assets Getting To Outcomes intervention first. The AGTO intervention includes three types of assistance which are adapted to fit the needs and priorities of the individuals involved, as well as the inner and outer setting: (1) a manual of text and tools; (2) face-to-face training, and (3) onsite technical assistance (TA). These three types of assistance aim to improve the implementation process for each program. Two full-time, Maine-based staff, one with a master's and one with a bachelor's degree, provided AGTO tools, training, and TA to the intervention coalitions and programs during the two year intervention period. The tools are in the Search Institute-published manual, Getting To Outcomes with Developmental Assets: Ten steps to measuring success in youth programs and communities, which all intervention participants received.

Other: Assets Getting To Outcomes

2

ACTIVE COMPARATOR

Cohort 2: receives the Assets Getting To Outcomes intervention second, after Cohort 1 is done receiving the intervention.

Other: Assets Getting To Outcomes

Interventions

Assets Getting To Outcomes OTHER

Face to Face Training Assets Getting To Outcomes Manuals Technical Assistance

1; 2

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

Sponsors & Collaborators

• RAND: lead
• National Institute on Drug Abuse (NIDA): collaborator
• Search Institute: collaborator
• Communities for Children and Youth: collaborator
• University of Southern Maine: collaborator
• Visions Training Associates: collaborator

Study Sites (1)

RAND Corporation

Pittsburgh, Pennsylvania, 15213, United States

Location

Related Publications (3)

• Chinman M, Acosta J, Ebener P, Q Burkhart, Clifford M, Corsello M, Duffey T, Hunter S, Jones M, Lahti M, Malone PS, Paddock S, Phillips A, Savell S, Scales PC, Tellett-Royce N. Establishing and evaluating the key functions of an interactive systems framework using an assets-getting to outcomes intervention. Am J Community Psychol. 2012 Dec;50(3-4):295-310. doi: 10.1007/s10464-012-9504-z.

  PMID: 22446975 RESULT

• Acosta J, Chinman M, Ebener P, Malone PS, Paddock S, Phillips A, Scales P, Slaughter ME. An intervention to improve program implementation: findings from a two-year cluster randomized trial of Assets-Getting To Outcomes. Implement Sci. 2013 Aug 7;8:87. doi: 10.1186/1748-5908-8-87.

  PMID: 23924279 RESULT

• Chinman M, Acosta J, Ebener P, Burkhart Q, Malone PS, Paddock SM, Clifford M, Corsello M, Duffey T, Hunter S, Jones M, Lahti M, Phillips A, Savell S, Scales PC, Tellett-Royce N. Intervening with practitioners to improve the quality of prevention: one-year findings from a randomized trial of assets-getting to outcomes. J Prim Prev. 2013 Jun;34(3):173-91. doi: 10.1007/s10935-013-0302-7.

  PMID: 23605473 RESULT

MeSH Terms

Conditions

Substance-Related Disorders

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders

Results Point of Contact

• Title: Matthew Chinman
• Organization: RAND

chinman@rand.org

412 683-2300

Study Officials

• Matthew Chinman, PhD

  RAND

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 24, 2008
• First Posted: October 27, 2008
• Study Start: June 1, 2008
• Primary Completion: January 1, 2013
• Study Completion: March 1, 2014
• Last Updated: June 1, 2015
• Results First Posted: May 7, 2015

Record last verified: 2015-05

Locations

US (1)