nach oben

Erschienen in:

01.08.2008 | Original Paper

Changing Community Readiness to Prevent the Abuse of Inhalants and Other Harmful Legal Products in Alaska

verfasst von: Kristen A. Ogilvie, Roland S. Moore, Diane C. Ogilvie, Knowlton W. Johnson, David A. Collins, Stephen R. Shamblen

Erschienen in: Journal of Community Health | Ausgabe 4/2008

Einloggen, um Zugang zu erhalten

Abstract

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.PubMed

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.PubMedCrossRef

Wandersman, A., & Florin, P. (2003). Community interventions and effective prevention. The American Psychologist, 58, 441–448.PubMedCrossRef

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.PubMedCrossRef

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.

10.

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.PubMed

11.

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.PubMedCrossRef

12.

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

13.

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

14.

Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York: Free Press.

15.

Armenakis, A. A., Harris, S. G., & Mossholder, K. W. (1993). Creating readiness for organizational change. Human Relations, 46, 681–703.CrossRef

16.

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.PubMed

17.

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.

18.

Oetting, E. R., Jumper-Thurman, P., Plested, B., & Edwards, R. W. (2001). Community readiness and health services. Substance Use & Misuse, 36, 825–843.CrossRef

19.

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.PubMedCrossRef

20.

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.

21.

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.

22.

Vernon, I. S., & Jumper-Thurman, P. (2002). Prevention of HIV/AIDS in Native American communities: Promising interventions. Public Health Reports, 117, S96–S103.PubMed

23.

Jumper-Thurman, P., & Plested, B. (2000). Community readiness: A model for healing in a rural Alaskan community. Family Psychology, Summer, 8–9.

24.

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.PubMedCrossRef

25.

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

26.

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.PubMedCrossRef

27.

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.

28.

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

29.

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

30.

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.PubMedCrossRef

31.

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.PubMed

32.

Holder, H. D., & Treno, A. J. (1997). Media advocacy in community prevention: News as a means to advance policy change. Addiction, 92, S189–S199.PubMedCrossRef

33.

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.

34.

Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Thousand Oaks: Sage Publications.

35.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.) Hillsdale, NJ: Lawrence Earlbaum Associates.

36.

Treno, A. J., & Holder, H. D. (1997). Community mobilization, organizing, and media advocacy. Evaluation Review, 21, 166–190.PubMedCrossRef

37.

Kenkel, M. B. (1986). Stress-coping-support in rural communities: A model for primary prevention. American Journal of Community Psychology, 14, 457–478.PubMedCrossRef

38.

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

39.

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

40.

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.PubMedCrossRef

41.

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: kogilvie@pire.org for a copy of submitted manuscript.

42.

Butterfoss, F. D., Goodman, R. M., & Wandersman, A. (1993). Community coalitions for prevention and health promotion. Health Education Research, 8, 315–330.PubMedCrossRef

43.

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.

44.

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.PubMedCrossRef

45.

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.PubMedCrossRef

46.

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.PubMedCrossRef

Titel: Changing Community Readiness to Prevent the Abuse of Inhalants and Other Harmful Legal Products in Alaska
verfasst von: Kristen A. Ogilvie
Roland S. Moore
Diane C. Ogilvie
Knowlton W. Johnson
David A. Collins
Stephen R. Shamblen
Publikationsdatum: 01.08.2008
Verlag: Springer US
Erschienen in: Journal of Community Health / Ausgabe 4/2008
Print ISSN: 0094-5145
Elektronische ISSN: 1573-3610
DOI: https://doi.org/10.1007/s10900-008-9087-7

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2008

The Medical Exclusion of an Immigrant to the United States of America in the Early Twentieth Century. The Case of Cristina Imparato

Content and Context of a Research Registry for Community-Based Research

Factors Influencing HIV Vaccine Community Engagement in the Urban South

David Webster, The Shimmering Heat. Memories of a Bush Doctor in East Africa

Public Health Model for Prevention of Liver Cancer Among Asian Americans

Independent and Joint Effects of Socioeconomic, Behavioral, and Neighborhood Characteristics on Physical Inactivity and Activity Levels Among US Children and Adolescents