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Examining the Highs and Lows of the Collaborative Relationship Between Technical Assistance Providers and Prevention Implementers

机译:检查技术援助提供者与预防实施者之间的协作关系的高度和低点

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The PROSPER model uses a three-tiered community partnership, university researcher, and Cooperative Extension-based technical assistance system to support the delivery of evidence-based interventions in communities. This study examines the trajectory and predictors of the collaborative relationship between technical assistance providers and community teams across the three phases of organization, implementation, and sustainability. Members of 14 PROmoting School-university-community Partnerships to Enhance Resilience (PROSPER) community teams and directors of local agencies rated communities' levels of readiness and adolescent substance use norms. Technical assistance providers rated their collaborative relationship with their teams at 14 occasions across 4.5 years. Results from mixed models show that levels of collaboration were stable until the sustainability phase, when they increased significantly. Team differences in change were significant during the implementation phase. Community readiness predicted levels of the collaborative relationship over time: high community readiness was associated with a high level of collaboration during organization, but a decline in collaboration during implementation. These results provide a more nuanced understanding of the relationship between technical assistance provision and community prevention teams and lead to recommendations to improve dissemination models to achieve a greater public health impact.
机译:繁荣模式采用三层社区伙伴关系,大学研究人员和基于合作的延长的技术援助系统,以支持在社区的循证干预措施。本研究审查了技术援助提供者和社区团队在组织,实施和可持续性三个阶段的协同关系的轨迹和预测。 14促进学校 - 大学社区伙伴关系的成员,以加强弹性(Prosper)社区团队和当地机构评级社区的准备水平和青少年物质使用规范。技术援助提供者将其与其团队的合作关系评为4.5年的14次。混合模型的结果表明,当它们显着增加时,合作水平稳定,直至可持续性阶段显着增加。在实施阶段,变革的团队差异是重要的。社区准备情况预测随着时间的推移,高社区准备与组织期间的高度合作相关,但在实施期间合作下降。这些结果对技术援助条款和社区预防队伍之间的关系提供了更细致的了解,并导致建议改善传播模型以实现更大的公共卫生影响。

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