Format

Send to

Choose Destination
See comment in PubMed Commons below
Arch Pediatr Adolesc Med. 2009 Sep;163(9):789-98. doi: 10.1001/archpediatrics.2009.141.

Results of a type 2 translational research trial to prevent adolescent drug use and delinquency: a test of Communities That Care.

Author information

1
Social Development Research Group, University of Washington, 9725 3rd Avenue NE, Seattle, WA 98115, USA. jdh@u.washington.edu

Abstract

OBJECTIVE:

To test whether the Communities That Care (CTC) prevention system reduces adolescent alcohol, tobacco, and other drug use and delinquent behavior communitywide.

DESIGN:

The Community Youth Development Study is the first randomized trial of CTC.

SETTING:

In 2003, 24 small towns in 7 states, matched within state, were randomly assigned to control or CTC conditions.

PARTICIPANTS:

A panel of 4407 fifth-grade students was surveyed annually through eighth grade. Intervention A coalition of community stakeholders received training and technical assistance to install the CTC prevention system. They used epidemiological data to identify elevated risk factors and depressed protective factors in the community, and chose and implemented tested programs to address their community's specific profile from a menu of effective programs for families, schools, and youths aged 10 to 14 years.

MAIN OUTCOME MEASURES:

Incidence and prevalence of alcohol, tobacco, and other drug use and delinquent behavior by spring of grade 8.

RESULTS:

The incidences of alcohol, cigarette and smokeless tobacco initiation, and delinquent behavior were significantly lower in CTC than in control communities for students in grades 5 through 8. In grade 8, the prevalences of alcohol and smokeless tobacco use in the last 30 days, binge drinking in the last 2 weeks, and the number of different delinquent behaviors committed in the last year were significantly lower for students in CTC communities.

CONCLUSION:

Using the CTC system to reduce health-risking behaviors in adolescents can significantly reduce these behaviors communitywide.

Comment in

PMID:
19736331
PMCID:
PMC2740999
DOI:
10.1001/archpediatrics.2009.141
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Silverchair Information Systems Icon for PubMed Central
    Loading ...
    Support Center