scholarly journals THE INITIAL ASSESSMENT OF A COMMUNITY-BASED INTERVENTION WITH MEXICAN-HERITAGE PARENTS IN BOOSTING THE EFFECTS OF A SUBSTANCE USE PREVENTION INTERVENTION WITH YOUTH

2018 ◽  
Vol 47 (2) ◽  
pp. 195-209
Author(s):  
Flavio F. Marsiglia ◽  
Stephanie L. Ayers ◽  
Danielle Robbins ◽  
Julie Nagoshi ◽  
Adrienne Baldwin-White ◽  
...  
Keyword(s):  
Substance Use ◽  
Initial Assessment ◽  
Substance Use Prevention ◽  
Community Based ◽  
Prevention Intervention ◽  
Mexican Heritage

Recruitment and Retention in Randomized Controlled Trials with Urban American Indian/Alaska Native Adolescents: Challenges and Lessons Learned

2020 ◽  
Author(s):  
Daniel Dickerson ◽  
Jennifer Parker ◽  
Carrie Johnson ◽  
Ryan A. Brown ◽  
Elizabeth D'Amico
Keyword(s):  
Substance Use ◽  
Randomized Controlled Trials ◽  
Controlled Trials ◽  
Substance Use Prevention ◽  
Community Based ◽  
Prevention Intervention ◽  
Recruitment And Retention ◽  
Community Based Organizations ◽  
Randomized Controlled

Abstract Background: Although the majority of American Indians/Alaska Natives (AI/ANs) reside in urban areas, there are very few randomized controlled trials (RCTs) analyzing culturally centered substance use prevention interventions for this population. Methods: We describe methods employed to recruit and retain urban AI/AN adolescents into a RCT, which was focused on testing the potential benefits of a substance use prevention intervention for this population. We also report challenges encountered in recruitment and retention of participants and strategies employed addressing these challenges. Data collection occurred from August 2014 to October 2017. Results: We partnered with two community-based organizations in different cities in California. We utilized AI/AN recruiters from communities, placed flyers in community-based organizations, and asked organizations to post flyers on their web and social media sites. We also offered gift cards for participants. Our initial recruitment and retention model was moderately successful; however, we encountered five main challenges: 1) transportation, 2) increasing trust and interest, 3) adding research sites, 4) getting the word out about the project, and 5) getting youth to complete follow-up surveys. Strategies employed to overcome transportation challenges included shortening the number of sessions, offering sessions on both weekends and weekdays, and increasing bus tokens and transportation options. We hired more staff from AI/AN communities, added more research sites from our previously established relationships, and were more pro-active in getting the word out on the project in AI/AN communities. We also utilized more field tracking, and emailed and mailed survey invitations to reach more participants for their follow-up surveys. Because of our efforts, we were nearly able to reach our initial recruitment and retention goals. Conclusions: By identifying challenges and employing culturally appropriate strategies, we were able to collect valuable data on the potential effectiveness of a substance use prevention intervention for urban AI/AN adolescents. Findings from this study assist toward the development of potentially successful strategies to successfully recruit and retain urban AI/AN adolescents in RCTs.

scholarly journals Getting To Outcomes™: Improving Community-Based Substance-Use Prevention

2006 ◽  
Author(s):  
Matthew Chinman ◽  
Gordon Hannah ◽  
Abraham Wandersman ◽  
Patricia Ebener ◽  
Sarah Hunter ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Prevention ◽  
Community Based ◽  
Getting To Outcomes

Community-Based Substance Use Prevention

2021 ◽  
Keyword(s):  
Substance Use ◽  
Prevention Programs ◽  
Community Context ◽  
Community Level ◽  
Substance Use Prevention ◽  
Community Members ◽  
Community Based ◽  
Community Needs ◽  
Policies And Programs ◽  
Over Time

Community-based substance use prevention involves changing the community context to reduce the prevalence of substance use among community members. The specific actions taken to prevent substance use will vary depending on the initiative but should include activities that target community-level factors that influence substance use, as well as the implementation of specific, evidence-based policies and programs that reach as many individuals as possible in the community. Many community-based prevention efforts are led by coalitions of community members. Ideally, these coalitions will include representation from diverse groups and organizations and comprise all stakeholders concerned about substance use. The use of broad-based coalitions helps ensure that prevention efforts are community-specific, responsive to community needs, and culturally relevant. Participation by community stakeholders and organizations also increases the likelihood that prevention programs are implemented in multiple contexts, reach large numbers of individuals in order to achieve community-level reductions in substance use, and can be sustained over time. Coalitions can also work to change local policies, regulations, and/or ordinances to reduce all community members’ access to substances and opportunities to use them. Community-based prevention can be very challenging, especially in under-resourced communities. In any community, it can be difficult to recruit community members to volunteer to participate in such initiatives and to sustain their interest over time. In addition, maintaining active coalitions, enacting policy changes, and implementing prevention programs requires significant human and financial resources. Communities are also likely to need technical support and ongoing consultation from researchers to help them plan, implement, and evaluate the success of their efforts. Despite these difficulties, some community-based prevention efforts have been demonstrated as effective in reducing substance use/abuse. Although these interventions vary in their complexity and mechanisms for achieving change, common features of successful community-based approaches include the following: (1) clear definition of the specific problem(s) to be prevented; (2) involvement of community members, often through broad-based coalitions; (3) assessment of community-specific needs and resources; (4) implementation of prevention programs, practices, and policies to address these needs; and (5) monitoring of these activities over time to ensure their effectiveness and sustainability. By following these steps and using interventions that have prior evidence of effectiveness from well-conducted research studies, communities should be able to achieve significant reduction in community rates of substance use.

scholarly journals Gender–sexuality alliance membership and activities: associations with students’ comfort, confidence and awareness regarding substance use resources

2021 ◽  
Author(s):  
Gabriel R Murchison ◽  
Sarah B Rosenbach ◽  
V Paul Poteat ◽  
Hirokazu Yoshikawa ◽  
Jerel P Calzo
Keyword(s):  
Social Support ◽  
Substance Use ◽  
Gender And Sexuality ◽  
Substance Use Prevention ◽  
Spring Semester ◽  
Lgbtq Youth ◽  
Community Based ◽  
Fall Semester ◽  
School Based ◽  
Sources Of Support

Abstract Belonging to a school Gender and Sexuality Alliance (GSA) is associated with lower substance use among LGBTQ+ youth. However, it is unknown whether GSA participation facilitates access to resources for substance use concerns. Using longitudinal data from 38 Massachusetts high schools, we compared sources of support for substance use concerns listed by GSA members (n = 361) and nonmembers (n = 1539). Subsequently, we tested whether GSA membership was associated with comfort, confidence and awareness regarding substance use resources in school and the community. Finally, we assessed whether specific GSA activities and discussions (e.g. social support) were associated with these outcomes. Among students with recent substance use, GSA membership was associated with greater comfort, confidence and awareness regarding school-based substance use resources in the spring semester, adjusted for fall semester levels and non-GSA club involvement. Furthermore, students in GSAs where members reported more advocacy and social support activities reported higher levels of comfort, confidence and awareness regarding community-based substance use resources. These results indicate that among students using alcohol or nicotine products, GSA members may be more receptive to school-based substance use prevention efforts. Furthermore, GSA-based social support and activism experiences may promote access to community-based substance use resources.

Substance use prevention through school and community-based health promotion: a transdisciplinary approach from Iceland

2011 ◽  
Vol 18 (3) ◽  
pp. 23-26 ◽  
Author(s):  
Inga Dora Sigfusdottir ◽  
Alfgeir L. Kristjansson ◽  
Margret L. Gudmundsdottir ◽  
John P. Allegrante
Keyword(s):  
Health Promotion ◽  
Substance Use ◽  
Substance Use Prevention ◽  
Community Based ◽  
Transdisciplinary Approach ◽  
School And Community
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