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dc.contributor.advisorFawcett, Stephen B.
dc.contributor.authorKeene Woods, Nicole Candace
dc.date.accessioned2011-07-04T22:56:19Z
dc.date.available2011-07-04T22:56:19Z
dc.date.issued2009-04-29
dc.date.submitted2009
dc.identifier.otherhttp://dissertations.umi.com/ku:10359
dc.identifier.urihttp://hdl.handle.net/1808/7765
dc.description.abstractThis study analyzes the effects of a training and technical assistance intervention on the amount and kind of community changes facilitated by members of community coalitions to prevent adolescent alcohol use. As part of a NIDA funded project, the Youth Community Coalition (Columbia, MO) and the Dottes Community Coalition (Kansas City, KS) participated in a community change intervention. The intervention focused on building the skills of both coalitions to increase the rate of community changes facilitated in their communities to prevent adolescent alcohol use. The study provided a systematic investigation of the effects of training and technical assistance on environmental changes related to prevention efforts, followed by a case-study analysis of the Youth Community Coalition's efforts related to longer-term outcomes. Participating coalitions documented their efforts that resulted in changes in community conditions (i.e., new or modified programs, practices, or policies). The community changes were analyzed by rate and type of change (e.g., behavior change strategy used). Implementation of coalition-based processes was also measured to assess the effects of training and technical assistance on priority approaches selected by the coalitions. Assessments were administered via online surveys before, during and after the intervention. Community-level indicator data were also gathered to examine whether the effects on changes in community conditions generalize to longer-term population-level outcomes. Two community-level indicators were collected and used for the analysis; self-reported 30-day alcohol use data was collected through school-based surveys, and adolescent alcohol-related arrest rates were gathered from archival records. Results showed that both coalitions, when compared with baseline data, facilitated an average of at least three times as many community changes per month after the intervention. A multiple baseline, or interrupted time series design with staggered implementation across communities, showed that community changes increased following implementation of the intervention. Reported implementation of three prioritized coalition-based processes also increased after the intervention for each coalition. Although the effects did not generalize to longer-term outcomes, results suggest that the intervention was successful in preparing coalitions to facilitate community changes related to reducing risk for adolescent alcohol use.
dc.format.extent94 pages
dc.language.isoEN
dc.publisherUniversity of Kansas
dc.rightsThis item is protected by copyright and unless otherwise specified the copyright of this thesis/dissertation is held by the author.
dc.subjectBehavioral psychology
dc.subjectAlcohol
dc.subjectCommunity
dc.subjectParticipatory
dc.subjectPrevention
dc.subjectTechnical
dc.titleEffects of a Training and Technical Assistance Intervention on Rates of Community Change to Prevent Adolescent Alcohol Use in Two Midwestern Communities
dc.typeThesis
dc.contributor.cmtememberWhite, Glen W.
dc.contributor.cmtememberWatson-Thompson, Jomella
dc.thesis.degreeDisciplineApplied Behavioral Science
dc.thesis.degreeLevelM.A.
kusw.oastatusna
kusw.oapolicyThis item does not meet KU Open Access policy criteria.
kusw.bibid6857580
dc.rights.accessrightsopenAccess


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