Effects of Communities That Care on Males’ and Females’ Drug Use and Delinquency 9 Years After Baseline in a Community-Randomized Trial
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This study tested sustained effects of the Communities That Care (CTC) prevention system on health-risking behaviors 9 years after baseline in a community-randomized trial involving 24 towns in seven states. Earlier analyses found sustained effects on abstinence from drug use and delinquency through Grade 12 in a panel of fifth graders. At age 19, 91 % (n = 3986) of the living panel completed the survey. Data were analyzed using generalized linear mixed models. The prevalence of lifetime and current substance use and delinquency were the primary outcomes. Secondary outcomes included substance use disorders, major depression, suicidality, educational attainment, and sexual risk behaviors. CTC had a significant overall effect across lifetime measures of the primary outcomes for males, but not for females or the full sample, although lifetime abstinence from delinquency in the full sample was significantly higher in CTC communities (ARR = 1.16). Males in CTC communities also continued to show greater lifetime abstinence from cigarette smoking (ARR = 1.22). CTC did not have a sustained effect on current substance use and delinquency nor did it improve the secondary outcomes at age 19 for either gender. Communities using CTC may need to extend their prevention planning to include the high school years to sustain effects on drug use and delinquency beyond high school for both genders.
ClinicalTrials.gov identifier: NCT01088542.
KeywordsPrevention Sustained effects Delinquency Drug use Gender differences
This work was supported by a research grant from the National Institute on Drug Abuse (R01 DA015183), with co-funding from the National Cancer Institute, the National Institute of Child Health and Human Development, the National Institute of Mental Health, the Center for Substance Abuse Prevention, and the National Institute on Alcohol Abuse and Alcoholism.
- Breslow, N., & Clayton, D. G. (1993). Approximate inference in generalized linear mixed models. Journal of the American Statistical Association, 88, 9–25.Google Scholar
- Cummings, P. (2009). Methods for estimating adjusted risk ratios. The Stata Journal, 9, 175–196.Google Scholar
- Eckenrode, J., Campa, M., Luckey, D. W., Henderson, C. R., Jr, Cole, R., Kitzman, H., et al. (2010). Long-term effects of prenatal and infancy nurse home visitation on the life course of youths: 19-year follow-up of a randomized trial. Archives of Pediatrics and Adolescent Medicine, 164, 9–15.CrossRefPubMedGoogle Scholar
- Fagan, A. A., Arthur, M. W., Hanson, K., Briney, J. S., & Hawkins, J. D. (2011). Effects of Communities That Care on the adoption and implementation fidelity of evidence-based prevention programs in communities: Results from a randomized controlled trial. Prevention Science, 12, 223–234.PubMedCentralCrossRefPubMedGoogle Scholar
- Farrington, D. P., & Welsh, B. C. (2013). Randomized experiments in criminology: What has been learned from long-term follow-ups. In B. C. Welsh, A. A. Braga, & G. J. N. Bruinsma (Eds.), Experimental criminology. Prospects for advancing science and public policy (pp. 111–140). New York: Cambridge University Press.Google Scholar
- Gabrhelik, R., Duncan, A., Lee, M. H., Stastna, L., Furr-Holden, C. D., & Miovsky, M. (2012). Sex specific trajectories in cigarette smoking behaviors among students participating in the unplugged school-based randomized control trial for substance use prevention. Addictive Behaviors, 37, 1145–1150.CrossRefPubMedGoogle Scholar
- Hawkins, J. D., & Catalano, R. F. (1992). Communities That Care: Action for drug abuse prevention. San Francisco, CA: Jossey-Bass.Google Scholar
- Hawkins, J. D., Catalano, R. F., Arthur, M. W., Egan, E., Brown, E. C., Abbott, R. D., & Murray, D. M. (2008b). Testing Communities That Care: The rationale, design and behavioral baseline equivalence of the Community Youth Development Study. Prevention Science, 9, 178–190.PubMedCentralCrossRefPubMedGoogle Scholar
- Hawkins, J. D., Oesterle, S., Brown, E. C., Arthur, M. W., Abbott, R. D., Fagan, A. A., & Catalano, R. F. (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 and Adolescent Medicine, 163, 789–798.PubMedCentralCrossRefPubMedGoogle Scholar
- Hawkins, J. D., Oesterle, S., Brown, E. C., Monahan, K. C., Abbott, R. D., Arthur, M. W., et al. (2012). Sustained decreases in risk exposure and youth problem behaviors after installation of the Communities That Care prevention system in a randomized trial. Archives of Pediatrics and Adolescent Medicine, 166, 141–148.PubMedCentralCrossRefPubMedGoogle Scholar
- Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2013a). Monitoring the Future national survey results on drug use, 1975–2012: Secondary school students (Vol. 1). Ann Arbor: Institute for Social Research, The University of Michigan.Google Scholar
- Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2013b). Monitoring the Future national survey results on drug use, 1975–2012: College students and adults ages 19–50 (Vol. 2). Ann Arbor: Institute for Social Research, The University of Michigan.Google 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.PubMedCentralCrossRefPubMedGoogle Scholar
- Kuklinski, M. R., Fagan, A. A., Hawkins, J. D., Briney, J. S., & Catalano, R. F. (2015). Benefit-cost analysis of a randomized evaluation of Communities That Care: Monetizing intervention effects on the initiation of delinquency and substance use through grade 12. Journal of Experimental Criminology, 11, 165–192.CrossRefPubMedGoogle Scholar
- Masten, A. S. (2014). Ordinary magic: Resilience in development. New York: Guilford.Google Scholar
- Murray, D. M. (1998). Design and analysis of group-randomized trials. New York: Oxford University Press.Google Scholar
- National Center for Education Statistics. (2002–2003). Common core of data (CCD) “Public Elementary/Secondary School Universe Survey” 2003-04 v.1a. Retrieved from http://nces.ed.gov/ccd.
- O’Connell, M. E., Boat, T., & Warner, K. E. (Eds.). (2009). Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities. Washington, DC: National Academies Press.Google Scholar
- Perry, C. L., Komro, K. A., Veblen-Mortenson, S., Bosma, L. M., Farbakhsh, K., Munson, K. A., et al. (2003). A randomized controlled trial of the middle and junior high school D.A.R.E. and D.A.R.E. Plus programs. Archives of Pediatrics and Adolescent Medicine, 157, 178–184.CrossRefPubMedGoogle Scholar
- Puzzanchera, C., & Adams, B. (2011). Juvenile arrests 2009. Washington, DC: Office of Juvenile Justice and Delinquency Prevention.Google Scholar
- Raudenbush, S. W., Bryk, A. S., Cheong, Y. F., Congdon, R. T., Jr., & du Toit, M. (2011). HLM 7.1: Hierarchical linear and nonlinear modeling. Lincolnwood, IL: Scientific Software International.Google Scholar
- Schafer, J. L. (2000). NORM for Windows 95/98/NT version 2.03. University Park, PA: Center for the Study and Prevention through Innovative Methodology at Pennsylvania State University.Google Scholar
- Social Development Research Group. (2005–2012). Community Youth Development Study, Youth Development Survey [Grades 5–12]. Seattle, WA: Social Development Research Group, School of Social Work, University of Washington.Google Scholar
- Spoth, R., Redmond, C., Shin, C., Greenberg, M., Feinberg, M., & Schainker, L. (2013). PROSPER community-university partnership delivery system effects on substance misuse through 6 1/2 years past baseline from a cluster randomized controlled intervention trial. Preventive Medicine, 56, 190–196.PubMedCentralCrossRefPubMedGoogle Scholar
- Zahn, M. A., & Browne, A. (2009). Gender differences in neighborhood effects and delinquency. In M. A. Zahn (Ed.), The delinquent girl (pp. 164–181). Philadelphia, PA: Temple University Press.Google Scholar