%0 Journal Article %J Am J Community Psychol %D 2012 %T Sustaining the utilization and high quality implementation of tested and effective prevention programs using the Communities That Care prevention system. %A Fagan, Abigail A %A Hanson, Koren %A Briney, John S %A Hawkins, J D %K Community Networks %K Health Care Surveys %K Humans %K Interviews as Topic %K Models, Organizational %K Preventive Medicine %K Quality of Health Care %K United States %X

This paper describes the extent to which communities implementing the Communities That Care (CTC) prevention system adopt, replicate with fidelity, and sustain programs shown to be effective in reducing adolescent drug use, delinquency, and other problem behaviors. Data were collected from directors of community-based agencies and coalitions, school principals, service providers, and teachers, all of whom participated in a randomized, controlled evaluation of CTC in 24 communities. The results indicated significantly increased use and sustainability of tested, effective prevention programs in the 12 CTC intervention communities compared to the 12 control communities, during the active phase of the research project when training, technical assistance, and funding were provided to intervention sites, and 2 years following provision of such resources. At both time points, intervention communities also delivered prevention services to a significantly greater number of children and parents. The quality of implementation was high in both conditions, with only one significant difference: CTC sites were significantly more likely than control sites to monitor the quality of implementation during the sustainability phase of the project.

%B Am J Community Psychol %V 49 %P 365-77 %8 2012 Jun %G eng %N 3-4 %R 10.1007/s10464-011-9463-9 %0 Journal Article %J Prev Sci %D 2011 %T Effects of Communities That Care on the adoption and implementation fidelity of evidence-based prevention programs in communities: Results from a randomized controlled trial. %A Fagan, Abigail A %A Arthur, Michael W %A Hanson, Koren %A Briney, John S %A Hawkins, J D %K Community Health Services %K Diffusion of Innovation %K Evidence-Based Practice %K Internet %K Preventive Health Services %X

This paper describes findings from the Community Youth Development Study (CYDS), a randomized controlled trial of the Communities That Care (CTC) prevention system, on the adoption and implementation fidelity of science-based prevention programming in 24 communities. Data were collected using the Community Resource Documentation (CRD), which entailed a multi-tiered sampling process and phone and web-based surveys with directors of community-based agencies and coalitions, school principals, service providers, and teachers. Four years after the initiation of the CTC prevention system, the results indicated increased use of tested, effective prevention programs in the 12 CTC intervention communities compared to the 12 control communities, and significant differences favoring the intervention communities in the numbers of children and families participating in these programs. Few significant differences were found regarding implementation quality; respondents from both intervention and control communities reported high rates of implementation fidelity across the services provided.

%B Prev Sci %V 12 %P 223-34 %8 2011 Sep %G eng %N 3 %R 10.1007/s11121-011-0226-5