Testing the Universality of the Effects of the Communities That Care Prevention System for Preventing Adolescent Drug Use and Delinquency
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Universal community-oriented interventions are an important component in the prevention of youth health and behavior problems. Testing the universality of the effects of an intervention that was designed to be universal is important because it provides information about how the program operates and for whom and under what conditions it is most effective. The present study examined whether the previously established significant effects of the universal, community-based Communities That Care (CTC) prevention program on the prevalence of substance use and the variety of delinquent behaviors held equally for boys and girls and in risk-related subgroups defined by early substance use, early delinquency, and high levels of community-targeted risk at baseline. Interaction analyses of data from a panel of 4,407 students followed from Grade 5 to Grade 8 in the first randomized trial of CTC in 12 matched community pairs suggests that CTC reduced students’ substance use and delinquency equally across risk-related subgroups and gender, with two exceptions: The effect of CTC on reducing substance use in 8th grade was stronger for boys than girls and the impact of CTC on reducing 8th-grade delinquency was stronger for students who were nondelinquent at baseline.
KeywordsUniversal community intervention Risk moderation Gender Adolescents Substance use Delinquency
- Arthur, M. W., Glaser, R. R., & Hawkins, J. D. (2005). Steps towards community-level resilience: Community adoption of science-based prevention programming. In R. D. Peters, B. Leadbeater, & R. J. McMahon (Eds.), Resilience in children, families, and communities: Linking context to practice and policy (pp. 177–194). New York: Kluwer Academic/Plenum Publishers.CrossRefGoogle Scholar
- Botvin, G., Mihalic, S., & Grotpeter, J. K. (Eds.). (1998). Life skills training, vol. 5. Boulder, CO: Center for the Study and Prevention of Violence, Institute of Behavioral Science, University of Colorado.Google Scholar
- Brown, C. H., Wang, W., Kellam, S. G., Muthen, B. O., Petras, H., Toyinbo, P., et al. (2008). Methods for testing theory and evaluating impact in randomized field trials: Intent-to-treat analyses for integrating the perspectives of person, place, and time. Drug and Alcohol Dependence, 95, S74–S104.CrossRefPubMedGoogle Scholar
- Chesney-Lind, M. (1997). The female offender: Girls, women and crime. Thousand Oaks, CA: Sage.Google Scholar
- Conduct Problems Prevention Research Group (2007). Fast track randomized controlled trial to prevent externalizing psychiatric disorders: Findings from grades 3 to 9. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 1250–1262.Google Scholar
- Hawkins, J. D., Brown, E. C., Oesterle, S., Arthur, M. W., Abbott, R. D., & Catalano, R. F. (2008). Early effects of Communities That Care on targeted risks and initiation of delinquent behavior and substance use. Journal of Adolescent Health, 43, 15–22.Google Scholar
- Hawkins, J. D., & Catalano, R. F. (2002). Investing in your community’s youth: An introduction to the Communities That Care system. South Deerfield, MA: Channing Bete.Google Scholar
- Hawkins, J. D., Catalano, R. F., & Arthur, M. W. (2002). Promoting science-based prevention in communities. Addictive Behaviors, 27, 951–976.Google Scholar
- Hawkins, J. D., Oesterle, S., Brown, E. C., Arthur, M. W., Abbott, R. D., Fagan, A. A., et al. (2009). Results of a type 2 translational research trial to prevent adolescent drug use and delinquency: A test of Communities That Care. Archives of Pediatrics & Adolescent Medicine, 163, 789–798.CrossRefGoogle Scholar
- Kellam, S. G., Brown, C. H., Poduska, J. M., Ialongo, N. S., Wang, W., Toyinbo, P., et al. (2008). Effects of a universal classroom behavior management program in first and second grades on young adult behavioral, psychiatric, and social outcomes. Drug and Alcohol Dependence, 95, S5–S28.Google Scholar
- Kellam, S. G., Ling, X., Merisca, R., Brown, C. H., & Ialongo, N. (1998). The effect of the level of aggression in the first grade classroom on the course and malleability of aggressive behavior into middle school. Development and Psychopathology, 10, 165–185.Google Scholar
- Komro, K. A., Perry, C. L., Veblen-Mortenson, S., Farbakhsh, K., Toomey, T. L., Stigler, M. H., et al. (2008). Outcomes from a randomized controlled trial of a multi-component alcohol use preventive intervention for urban youth: Project Northland Chicago. Addiction, 103, 606–618.CrossRefPubMedGoogle Scholar
- Longshore, D., Ellickson, P. L., McCaffrey, D. F., & St. Clair, P. A. (2007). School-based drug prevention among at-risk adolescents: Effects of ALERT plus. Health Education & Behavior, 34, 651–668.Google Scholar
- Mason, W. A., Kosterman, R., Haggerty, K. P., Hawkins, J. D., Redmond, C., Spoth, R. L., et al. (2009). Gender moderation and social developmental mediation of the effect of a family-focused substance use preventive intervention on young adult alcohol abuse. Addictive Behaviors, 34, 599–605.CrossRefPubMedGoogle Scholar
- Murray, D. M. (1998). Design and analysis of group-randomized trials. New York: Oxford University Press.Google Scholar
- Olds, D. L., Eckenrode, J., Henderson, C. R., Jr., Kitzman, H., Powers, J., Cole, R., et al. (1997). Long-term effects of home visitation on maternal life course and child abuse and neglect. Fifteen-year follow-up of a randomized trial. Journal of the American Medical Association, 278, 637–643.CrossRefPubMedGoogle Scholar
- Perry, C. L., Williams, C. L., Komro, K. A., Veblen-Mortenson, S., Stigler, M. H., Munson, K. A., et al. (2002). Project Northland: Long-term outcomes of community action to reduce adolescent alcohol use. Health Education Research, 17, 117–132.Google Scholar
- Perry, C. L., Williams, C. L., Veblen Mortenson, S., Toomey, T. L., Komro, K. A., Anstine, P. S., et al. (1996). Project Northland: Outcomes of a community-wide alcohol use prevention program during early adolescence. American Journal of Public Health, 86, 956–965.Google Scholar
- Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Newbury Park, CA: Sage.Google Scholar
- Raudenbush, S. W., Bryk, A. S., Cheong, Y. F., & Congdon, R. T., Jr. (2004). HLM 6: Hierarchical linear and nonlinear modeling. Lincolnwood, IL: Scientific Software International, Inc.Google Scholar
- Rogers, E. (1995). Diffusion of innovations (4th ed.). New York: Free Press.Google Scholar
- Schafer, J. L. (2000). NORM for Windows 95/98/NT (Version 2.03). University Park: Center for the Study and Prevention through Innovative Methodology at Pennsylvania State University.Google Scholar
- Snyder, H. N. (2008). Juvenile arrests 2006. Retrieved October 5, 2009, 2009, from http://www.ncjrs.gov/pdffiles1/ojjdp/221338.pdf.
- Social Development Research Group. (2005–2007). Community Youth Development Study, Youth Development Survey [Grades 5–7]. Seattle: Social Development Research Group, School of Social Work, University of Washington.Google Scholar
- Substance Abuse and Mental Health Services Administration. (2005). Communities That Care prevention strategies guide. Retrieved March 7, 2006, from http://ncadi.samhsa.gov/features/ctc/resources.aspx.
- Zahn, M. A., Hawkins, S. R., Chiancone, J., & Whitworth, A. (2008). Girls study group: Charting the way to delinquency prevention for girls. Retrieved October 5, 2009, 2009, from http://www.ncjrs.gov/pdffiles1/ojjdp/223434.pdf.