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首页> 外文期刊>Substance Abuse Treatment, Prevention, and Policy >Environmental and capacity requirements are critical for implementing and sustaining a drug prevention program: a multiple case study of “Clubs against drugs”
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Environmental and capacity requirements are critical for implementing and sustaining a drug prevention program: a multiple case study of “Clubs against drugs”

机译：环境和能力要求对于实施和维持毒品预防计划至关重要：“毒品俱乐部”的多案例研究

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Background “Clubs against drugs” (CAD) is a comprehensive program with a systems approach to prevention with the intention of preventing drug use in nightclub environment. In 2001 CAD was developed and implemented in Stockholm and was disseminated to 20 other municipalities in Sweden up until 2010. This study investigates the factors related to the implementation and compares Stockholm to the rest of the municipalities. Methods A sequential exploratory method was used which consisted of three steps including a questionnaire and two rounds of interviews. Questionnaires included all communities and the interviews included twelve respondents from three example municipalities in the first phase and four respondents from Stockholm in the second phase. The interviews were analyzed using content analysis. Results In Stockholm the program was described as having been implemented and sustained over time. The implementation in the example municipalities was perceived as difficult with many obstacles and achieving sustainability was also described as difficult. Two of three municipalities were not active at the time of this study, illustrating that the program only lasted a few years. Factors identified as being related to implementation outcomes were need assessments, participation, support, collaboration and local enthusiasts. Conclusions The capacity to implement and sustain CAD differed substantially between Stockholm and the other municipalities. If the prerequisites and capacity are not sufficient the implementation is not likely to be successful, even when the activities are promoted on a national level like CAD. The needs of the interventions and the capacity to implement the program should be examined before adopting the program. This was not done, probably because the drive to spread the activity was not sufficiently questioned.
机译：背景信息“反毒品俱乐部”（CAD）是一项综合计划，采用系统预防方法，旨在防止在夜总会环境中使用毒品。 CAD在2001年在斯德哥尔摩开发和实施，并在2010年之前传播到瑞典的其他20个城市。本研究调查了与实施相关的因素，并将斯德哥尔摩与其他城市进行了比较。方法采用循序渐进的探索方法，包括问卷调查和两轮访谈三个步骤。问卷调查涵盖了所有社区，访谈包括第一阶段三个示例城市的十二名受访者和第二阶段来自斯德哥尔摩的四名受访者。使用内容分析对访谈进行了分析。结果在斯德哥尔摩，该计划被描述为随着时间的流逝而得以实施和持续。在示例城市中，实施被认为是困难重重，而实现可持续性也被描述为困难。在进行这项研究时，三个城市中有两个没有活动，这说明该计划仅持续了几年。与执行结果相关的因素包括需求评估，参与，支持，协作和当地爱好者。结论斯德哥尔摩和其他城市之间实施和维持CAD的能力存在很大差异。如果前提条件和能力不足，则即使在民航处等国家一级开展活动，也不太可能成功实施。在通过该计划之前，应检查干预措施的需求和实施该计划的能力。这样做没有完成，可能是因为没有充分质疑传播活动的动力。

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