Prevention Science

, Volume 15, Issue 2, pp 138–145 | Cite as

Variation in the Sustained Effects of the Communities That Care Prevention System on Adolescent Smoking, Delinquency, and Violence

  • Sabrina Oesterle
  • J. David Hawkins
  • Abigail A. Fagan
  • Robert D. Abbott
  • Richard F. Catalano
Article

Abstract

Communities That Care (CTC) is a universal, science-based community prevention system designed to reduce risk, enhance protection, and prevent adolescent health and behavior problems community wide. CTC has been found to have sustained effects on cigarette use and delinquent and violent behaviors in grade 10 in a panel of 4,407 students followed from fifth grade in a community randomized trial. It is important to test variation in the effects of this prevention system designed to be universal to understand for whom it is most effective and whether it fails to produce change or leads to iatrogenic effects for certain categories of individuals. The present study examined variation in the sustained effects of CTC on tenth-grade cigarette use and delinquent and violent behaviors. Interaction analyses suggest that the effect of CTC did not differ between those who had high levels of community-targeted risk factors at baseline or had already engaged in substance use, delinquency, or violence at baseline versus those who had not. Although CTC reduced the prevalence of both girls’ and boys’ problem behaviors, the effect on delinquency was marginally (p = 0.08) larger for boys than for girls.

Keywords

Universal community intervention Risk moderation Gender Adolescents Substance use Delinquency 

References

  1. Arthur, M. W., Briney, J. S., Hawkins, J. D., Abbott, R. D., Brooke-Weiss, B. L., & Catalano, R. F. (2007). Measuring risk and protection in communities using the Communities That Care Youth Survey. Evaluation and Program Planning, 30, 197–211.CrossRefPubMedGoogle Scholar
  2. 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.CrossRefGoogle Scholar
  3. Arthur, M. W., Hawkins, J. D., Pollard, J. A., Catalano, R. F., & Baglioni, A. J., Jr. (2002). Measuring risk and protective factors for substance use, delinquency, and other adolescent problem behaviors: The Communities That Care Youth Survey. Evaluation Review, 26, 575–601.PubMedGoogle Scholar
  4. Breslow, N., & Clayton, D. G. (1993). Approximate inference in generalized linear mixed models. Journal of the American Statistical Association, 88, 9–25.Google Scholar
  5. Brookes, S. T., Whitley, E., Peters, T. J., Mulheran, P. A., Egger, M., & Davey Smith, G. (2001). Subgroup analyses in randomised controlled trials: Quantifying the risks of false-positives and false-negatives. Health Technology Assessment, 5, 1–56.CrossRefPubMedGoogle Scholar
  6. 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.PubMedCentralCrossRefPubMedGoogle Scholar
  7. Brown, E. C., Graham, J. W., Hawkins, J. D., Arthur, M. W., Baldwin, M. M., Oesterle, S., et al. (2009). Design and analysis of the Community Youth Development Study longitudinal cohort sample. Evaluation Review, 33, 311–334.PubMedCentralCrossRefPubMedGoogle Scholar
  8. Fagan, A. A., Hanson, K., Hawkins, J. D., & Arthur, M. W. (2008). Implementing effective community-based prevention programs in the Community Youth Development Study. Youth Violence and Juvenile Justice, 6, 256–278.CrossRefGoogle Scholar
  9. Fagan, A. A., Hanson, K., Hawkins, J. D., & Arthur, M. W. (2009). Translational research in action: Implementation of the Communities That Care prevention system in 12 communities. Journal of Community Psychology, 37, 809–829.PubMedCentralCrossRefPubMedGoogle Scholar
  10. Fagan, A. A., Van Horn, M. L., Hawkins, J. D., & Arthur, M. W. (2007). Gender similarities and differences in the association between risk and protective factors and self-reported serious delinquency. Prevention Science, 8, 115–124.CrossRefPubMedGoogle Scholar
  11. Flay, B. R., Biglan, A., Boruch, R. F., Castro, F. G., Gottfredson, D., Kellam, S., et al. (2005). Standards of evidence: Criteria for efficacy, effectiveness and dissemination. Prevention Science, 6, 151–175.CrossRefPubMedGoogle Scholar
  12. Glaser, R. R., Van Horn, M. L., Arthur, M. W., Hawkins, J. D., & Catalano, R. F. (2005). Measurement properties of the Communities That Care® Youth Survey across demographic groups. Journal of Quantitative Criminology, 21, 73–102.CrossRefGoogle Scholar
  13. Graham, J. W., Taylor, B. J., Olchowski, A. E., & Cumsille, P. E. (2006). Planned missing data designs in psychological research. Psychological Methods, 11, 323–343.CrossRefPubMedGoogle Scholar
  14. 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.CrossRefPubMedGoogle Scholar
  15. Hawkins, J. D., Catalano, R. F., & Arthur, M. W. (2002). Promoting science-based prevention in communities. Addictive Behaviors, 27, 951–976.CrossRefPubMedGoogle Scholar
  16. Hawkins, J. D., Catalano, R. F., Arthur, M. W., Egan, E., Brown, E. C., Abbott, R. D., et al. (2008). Testing Communities That Care: The rationale, design and behavioral baseline equivalence of the Community Youth Development Study. Prevention Science, 9, 178–190.PubMedCentralCrossRefPubMedGoogle Scholar
  17. 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
  18. 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 & Adolescent Medicine, 166, 141–148.CrossRefGoogle Scholar
  19. Hayward, R. A., Kent, D. M., Vijan, S., & Hofer, T. P. (2006). Multivariable risk prediction can greatly enhance the statistical power of clinical trial subgroup analysis. BMC Medical Research Methodology, 6. doi:10.1186/1471-2288-6-18.
  20. 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, 5–28.CrossRefGoogle Scholar
  21. 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.CrossRefPubMedGoogle Scholar
  22. Lanza, S. T., & Rhoades, B. L. (2011). Latent class analysis: An alternative perspective on subgroup analysis in prevention and treatment. Prevention Science Advance Online Publication. doi:10.1007/s11121-011-0201-1.
  23. Liang, K. Y., & Zeger, S. L. (1986). Longitudinal data analysis using generalized linear models. Biometrika, 73, 13–22.CrossRefGoogle Scholar
  24. Moffitt, T. E., Caspi, A., Rutter, M., & Silva, P. A. (2001). Sex differences in antisocial behaviour: Conduct disorder, delinquency, and violence in the Dunedin longitudinal study. New York: Cambridge University Press.CrossRefGoogle Scholar
  25. Murray, D. M. (Ed.). (1998). Monographs in epidemiology and biostatistics: Vol. 27. Design and analysis of group-randomized trials. New York: Oxford University Press.Google Scholar
  26. Oesterle, S., Hawkins, J. D., Fagan, A. A., Abbott, R. D., & Catalano, R. F. (2010). Testing the universality of the effects of the Communities That Care prevention system for preventing adolescent drug use and delinquency. Prevention Science, 11, 411–424.PubMedCentralCrossRefPubMedGoogle Scholar
  27. Quinby, R. K., Fagan, A. A., Hanson, K., Brooke-Weiss, B., Arthur, M. W., & Hawkins, J. D. (2008). Installing the Communities That Care prevention system: Implementation progress and fidelity in a randomized controlled trial. Journal of Community Psychology, 36, 313–332.CrossRefGoogle Scholar
  28. Raudenbush, S. W., Bryk, A. S., & Congdon, R. T., Jr. (2004). HLM 6 for Windows [Computer software]. Lincolnwood: Scientific Software International.Google Scholar
  29. Rowe, D. C., Vazsonyi, A. T., & Flannery, D. J. (1995). Sex differences in crime: Do means and within-sex variation have similar causes? Journal of Research in Crime and Delinquency, 32, 84–100.CrossRefGoogle Scholar
  30. 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
  31. Schafer, J. L., & Graham, J. W. (2002). Missing data: Our view of the state of the art. Psychological Methods, 7, 147–177.CrossRefPubMedGoogle Scholar
  32. Social Development Research Group. (2009). Community Youth Development Study. Youth Development Survey (Grades 510). Seattle: School of Social Work, University of Washington.Google Scholar
  33. Van Horn, M. L., Fagan, A. A., Jaki, T., Brown, E. C., Hawkins, J. D., Arthur, M. W., et al. (2008). Using multilevel mixtures to evaluate intervention effects in group randomized trials. Multivariate Behavioral Research, 43, 289–326.CrossRefGoogle Scholar

Copyright information

© Society for Prevention Research 2013

Authors and Affiliations

  • Sabrina Oesterle
    • 1
  • J. David Hawkins
    • 1
  • Abigail A. Fagan
    • 2
  • Robert D. Abbott
    • 3
  • Richard F. Catalano
    • 1
  1. 1.Social Development Research Group, School of Social WorkUniversity of WashingtonSeattleUSA
  2. 2.College of Criminology and Criminal JusticeFlorida State UniversityTallahasseeUSA
  3. 3.College of EducationUniversity of WashingtonSeattleUSA

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