The RCT being funded by the Laura and John Arnold Foundation seizes an opportunity to advance research on healthcare-connected community prevention service models for improved adolescent behavioral health in rural communities. It leverages 25 years of NIH-funded research resulting in a community prevention partnership model called PROSPER. It does so by expanding its local partners to include healthcare providers and, in addition, by integrating screening, brief intervention, and referral to treatment (SBIRT) services with delivery of universal evidence-based preventive interventions. The primary hypotheses are that students in the intervention group will exhibit lower prevalences of lifetime: (1) non-medical prescription opioid and other drug use, (2) marijuana use, and (3) illicit drug use, compared to students in the control group. The three secondary hypotheses are: (1) students in the intervention group will exhibit greater intentions to refuse substances than control group students; they also will (2) exhibit lower levels of positive substance use expectancies; and (3) exhibit lower rates of conduct problems.
The implementation evaluation funded by the Conrad N. Hilton Foundation will address: (1) student and family participation in the universal prevention curricula and SBIRT services; (2) levels of prevention curricula adoption by control schools; (3) implementation quality of the prevention curricula and SBIRT; and (4) sustainability of the prevention curricula and SBIRT services within the grant period. In addition, there will be evaluation activities related to the development, progress, and maintenance of the PROSPER-SBIRT Community Partnership Teams
Principal Investigator: Richard Spoth
Funder: Laura and John Arnold Foundation/Conrad N. Hilton Foundation