Changing Community Readiness to Prevent the Abuse of Inhalants and Other Harmful Legal Products in Alaska
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
This paper presents results from an application of the Community Readiness Model (CRM) as part of a multi-stage community mobilization strategy to engage community leaders, retailers, parents, and school personnel in preventing youth use of inhalants and other harmful legal products in rural Alaska. The CRM is designed to assess readiness to address a single social problem, based on a limited set of key informant interviews. In this study, researchers conducted 32 baseline and 34 post-intervention community readiness assessment interviews in four rural Alaskan communities. These interviews with key informants from the communities were coded and analyzed using CRM methods to yield readiness scores for each community. The aggregate results were analyzed using hierarchical linear modeling (HLM), and the individual community scores were analyzed in the context of the overall study. Significant positive changes in community readiness were found across six readiness dimensions as well as for the overall readiness score. Variation in the degree of changes in readiness across the four communities is attributed to differences in the intervention’s implementation. The implications of these results include the potential for CRM assessments to serve as an integral component of a community mobilization strategy and also to offer meaningful feedback to communities participating in prevention research.
- Merzel, C., & D’Afflitti, J. (2003). Reconsidering community-based health promotion: Promise, performance, and potential. American Journal of Public Health, 93, 557–574.
- Holder, H. D. (2004/2005). Community prevention of young adult drinking and associated problems. Alcohol and Research Health, 28, 245–249.
- Aguirre-Molina, M., & Gorman, D. M. (1996). Community-based approaches for the prevention of alcohol, tobacco, and other drug use. Annual Review of Public Health, 17, 337–358. CrossRef
- Wandersman, A., & Florin, P. (2003). Community interventions and effective prevention. The American Psychologist, 58, 441–448. CrossRef
- Kumpfer, K. L., Whiteside, H. O., & Wandersman, A. H. (1997). Community readiness for drug abuse prevention: Issues, tips, and tools. Rockville, MD: National Institute on Drug Abuse.
- Beebe, T. J., Harrison, P. A., Sharma, A., & Hedger, S. (2001). The Community Readiness Survey: Development and initial validation. Evaluation Review, 25, 55–71. CrossRef
- Donnermeyer, J. F., Plested, B. A., Edwards, R. W., Oetting, G., & Littlethunder, L. (1997). Community readiness and prevention programs. Journal of the Community Development Society, 28, 65–83. CrossRef
- Edwards, R. W., Jumper-Thurman, P., Plested, B. A., Oetting, E. R., & Swanson, L. (2000). Community readiness: Research to practice. Journal of Community Psychology, 28, 291–307. CrossRef
- Plested, B. A., Edwards, R. W., & Jumper-Thurman, P. (2005). Community readiness: A handbook for successful change. Fort Collins, CO: Tri-Ethnic Center for Prevention Research.
- Oetting, E. R., Donnermeyer, J. F., Plested, B. A., Edwards, R. W., Kelly, K., & Beauvais, F. (1995). Assessing community readiness for prevention. The International Journal of the Addictions, 30, 659–683.
- Prochaska, J. O., & DiClemente, C. C. (1983). Stages and processes of self-change in smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51, 390–395. CrossRef
- Prochaska, J. O., & DiClemente, C. C. (1982). Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy: Theory, Research and Practice, 19, 276–288. CrossRef
- Holder, H. D. (2002). Prevention of alcohol and drug abuse problems at the community level: What research tells us. Substance Use & Misuse, 37, 901–921. CrossRef
- Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York: Free Press.
- Armenakis, A. A., Harris, S. G., & Mossholder, K. W. (1993). Creating readiness for organizational change. Human Relations, 46, 681–703. CrossRef
- Dunnagan, T., Haynes, G., Linkenbach, J., & Shatwell, P. (2003). Developing theoretical and environmental policy for underage drinking. American Journal of Health Behavior, 27, 508–523.
- Griffin, S. F., Reininger, B. M., Parra-Medina, D., Evans, A. E., Sanderson, M., & Vincent, M. L. (2005). Development of multidimensional scales to measure key leaders’ perceptions of community capacity and organizational capacity for teen pregnancy prevention. Family & Community Health, 28, 307–319.
- Oetting, E. R., Jumper-Thurman, P., Plested, B., & Edwards, R. W. (2001). Community readiness and health services. Substance Use & Misuse, 36, 825–843. CrossRef
- Brackley, M., Davila, Y., Thornton, J., et al. (2003). Community readiness to prevent intimate partner violence in Bexar County, Texas. Journal of Transcultural Nursing, 14, 227–238. CrossRef
- Plested, B. A., Smitham, D. M., Jumper-Thurman, P., Oetting, E. R., & Edwards, R. W. (1999). Readiness for drug use prevention in rural minority communities. Substance Use & Misuse, 34, 521–544.
- Thurman, P. J., Vernon, I. S., & Plested, B. A. (2007). Advancing HIV/AIDS prevention among American Indians through capacity building and the Community Readiness Model. Journal of Public Health Management and Practice, 13, S49–S54.
- Vernon, I. S., & Jumper-Thurman, P. (2002). Prevention of HIV/AIDS in Native American communities: Promising interventions. Public Health Reports, 117, S96–S103.
- Jumper-Thurman, P., & Plested, B. (2000). Community readiness: A model for healing in a rural Alaskan community. Family Psychology, Summer, 8–9.
- Slater, M. D., Edwards, R. W., Plested, B. A., et al. (2005). Using community readiness key informant assessments in a randomized group prevention trial: Impact of a participatory community-media intervention. Journal of Community Health, 30, 39–53. CrossRef
- Engstrom, M., Jason, L. A., Townsend, S. M., Pokorny, S. B., & Curie, C. J. (2002). Community readiness for prevention: Applying stage theory to multi-community interventions. Journal of Prevention & Intervention in the Community, 24, 29–46. CrossRef
- Kennedy, S. B., Johnson, K., Harris, A. O., Lincoln, A., Neace, W., & Collins, D. (2004). Evaluation of HIV/AIDS prevention resources in Liberia: Strategy and implications. AIDS Patient Care and STDs, 18, 169–180. CrossRef
- Mancini, J. A., Marek, L. I., Byrne, R. A. W., & Huebner, A. J. (2004). Community-based program research: Context, program readiness, and evaluation usefulness. Journal of Community Practitioner, 12, 7–22.
- Kelly, K. J., Edwards, R. W., Comello, M. L., Plested, B. A., Jumper-Thurman, P., & Slater, M. D. (2003). The community readiness model: A complementary approach to social marketing. Marketing Theory, 3, 411–426. CrossRef
- Wagenaar, A. C., Gehan, J. P., Jones-Webb, R., et al. (1999). Communities Mobilizing for Change on Alcohol: Lessons and results from a 15-community randomized trial. Journal of Community Psychology, 27, 315–326. CrossRef
- Lewis, R. K., Paine-Andrews, A., Fawcett, S. B., et al. (1996). Evaluating the effects of a community coalition’s efforts to reduce illegal sales of alcohol and tobacco products to minors. Journal of Community Health, 21, 429–436. CrossRef
- MacLean, D. R., Farquharson, J., Heath, S., Barkhouse, K., Latter, C., & Joffres, C. (2003). Building capacity for heart health promotion: Results of a 5-year experience in Nova Scotia, Canada. American Journal of Health Promotion, 17, 202–212.
- Holder, H. D., & Treno, A. J. (1997). Media advocacy in community prevention: News as a means to advance policy change. Addiction, 92, S189–S199. CrossRef
- State of Alaska, Department of Commerce, Community, and Economic Development (2007) Alaska by region. http://www.dced.state.ak.us/oed/student_info/learn/region.htm. Accessed January 20.
- Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Thousand Oaks: Sage Publications.
- Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.) Hillsdale, NJ: Lawrence Earlbaum Associates.
- Treno, A. J., & Holder, H. D. (1997). Community mobilization, organizing, and media advocacy. Evaluation Review, 21, 166–190. CrossRef
- Kenkel, M. B. (1986). Stress-coping-support in rural communities: A model for primary prevention. American Journal of Community Psychology, 14, 457–478. CrossRef
- Johnson, K., Hays, C., Center, H., & Daley, C. (2004). Building capacity and sustainable prevention innovations: A sustainability planning model. Evaluation and Program Planning, 27, 135–149. CrossRef
- Chaskin, R. J. (2001). Building community capacity: A definitional framework and case studies from a comprehensive community initiative. Urban Affairs Review, 36, 291–324. CrossRef
- Zakocs, R. C., & Guckenburg, S. (2007). What coalition factors foster community capacity? Lessons learned from the Fight Back Initiative. Health Education and Behavior, 34, 354–375. CrossRef
- Ogilvie, K. A., Johnson, K. W., Ogilvie, D. C., & Young, L. S. Challenges in conducting prevention research in frontier communities: A feasibility study to prevent youths’ use of harmful legal products in Alaska. Manuscript in Review. E-mail: email@example.com for a copy of submitted manuscript.
- Butterfoss, F. D., Goodman, R. M., & Wandersman, A. (1993). Community coalitions for prevention and health promotion. Health Education Research, 8, 315–330. CrossRef
- Wandersman, A., Goodman, R. M., & Butterfoss, F. D. (2005). Understanding coalitions and how they operate as organizations. In M. Minkler (Ed.), Community organizing and community building for health (2nd ed., pp. 292–313). New Brunswick, NJ: Rutgers Univ. Press.
- Johnson, K. W., Holder, H. D., Ogilvie, K. A., et al. (2007). A community prevention intervention to combat inhalants and other harmful legal products among pre-adolescents. Journal of Drug Education, 37, 227–247. CrossRef
- Butterfoss, F. D., Morrow, A. L., Rosenthal, J., et al. (1998). CINCH: An urban coalition for empowerment and action. Health Education and Behavior, 25, 212–225. CrossRef
- Wells, R., Ford, E. W., McClure, J. A., Holt, M. L., & Ward, A. (2007). Community-based coalitions’ capacity for sustainable action: The role of relationships. Health Education and Behavior, 34, 124–139. CrossRef
- Changing Community Readiness to Prevent the Abuse of Inhalants and Other Harmful Legal Products in Alaska
Journal of Community Health
Volume 33, Issue 4 , pp 248-258
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Community readiness
- Legal products
- Drug use
- Author Affiliations
- 1. Pacific Institute for Research and Evaluation, Alaska Office, 4111 Minnesota Drive, Anchorage, AK, 99503, USA
- 2. Prevention Research Center, 1995 University Avenue, Suite 450, Berkeley, CA, 94704, USA
- 3. Akeela, Inc., 4111 Minnesota Drive, Anchorage, AK, 99503, USA
- 4. Pacific Institute for Research and Evaluation, Louisville Center, 1300 South 4th Street, Suite 300, Louisville, KY, 40208, USA