Prevention Science最新文献

{"title":"Model Building with Youth: Applying a System Science Approach to Examine the Dynamic Social Context of Adolescent and Young Adult Marijuana Use.","authors":"Pamela A Matson, Sarah Flessa, Ivana Stankov, J Dennis Fortenberry, Maria Trent, Leah Frerichs, Kristen Hassmiller Lich","doi":"10.1007/s11121-025-01774-2","DOIUrl":"10.1007/s11121-025-01774-2","url":null,"abstract":"<p><p>Marijuana use in adolescence is associated with significant adverse outcomes. Romantic relationships are an important context for marijuana use. Prior research suggests a bi-directional relationship between marijuana use and relationship functioning; however, the complex interplay between adolescent relationship dynamics and marijuana use remains unclear. We engaged youth to participate in group model building, a system science approach, to understand from their perspective how social complexities influence the uptake, continuation, and escalation of marijuana use. Two independent groups of clinic and community-recruited youth aged 15-20 participated in a series of four 2-h workshops. Through structured activities, participants generated a causal loop diagram (CLD) representing critical features of the complex and dynamic social system impacting marijuana use for youth in their community. The CLD that emerged represents the mental models of youth and features fourteen feedback loops, including balancing and reinforcing loops, across three domains. These interrelated domains span within-relationship behaviors, factors proximal to marijuana use, and influences on the partner pool, which impact the quality of adolescent romantic relationships and contribute to a high prevalence of marijuana use among youth. Applying a system perspective offers new insights on how stress, and behaviors within relationships in response to stress, feed back to magnify relationship dysfunction and fuel marijuana use. This model provides a new foundation for future research and data collection to better understand and test the identified relationships and feedback loops. Our findings further underscore the importance of educational programs that teach youth about healthy relationship dynamics and stress-coping approaches that do not involve substance use. Understanding how factors function as a system provides important information toward illuminating relationship dynamics and designing more impactful and synergistic interventions.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"122-137"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Harmful Marketing: An Overlooked Social Determinant of Health.","authors":"Erika Westling, James Gordon, Paul M Meng, Cassandra A O'Hara, Brandon Purdum, Andrew C Bonner, Anthony Biglan","doi":"10.1007/s11121-024-01763-x","DOIUrl":"10.1007/s11121-024-01763-x","url":null,"abstract":"<p><p>This paper reviews evidence about the impact of marketing on ill health. We summarize evidence that marketing practices in six industries (tobacco, alcohol, pharmaceutical, processed food, firearm, and fossil fuel) are causal influences on the occurrence of injury, disease, and premature death. For each industry, we provide a brief overview on the extent of harmful marketing, efforts from each industry to obscure or otherwise conceal the impact of their marketing strategies, and efforts to counter the impact of harmful marketing in these industries. However, considering the ubiquitous belief that regulation is harmful to society, little headway has been made in reducing harmful marketing. We propose the substitution of a public health framework for the currently dominant free market ideology. Doing so would situate harmful marketing as a social determinant of health and consolidate the disparate efforts to regulate marketing of harmful products. Implications for future policy and research efforts are discussed.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"138-148"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting Positive Leadership: Examining the Long-Term Dynamics of Anti-Bullying Programs.","authors":"Zhe Dong, Gijs Huitsing, René Veenstra","doi":"10.1007/s11121-024-01762-y","DOIUrl":"10.1007/s11121-024-01762-y","url":null,"abstract":"<p><p>Anti-bullying programs can create more positive classroom environments by fostering the development of positive leaders who establish constructive norms. The social identity theory of leadership addresses stability and change within different leader profiles and identifies leader group prototypicality: the extent to which leaders are perceived to embody the group identity, including standards, values, and norms. This study focuses on two key areas: (1) examining stability and change within positive and negative leader profiles, and (2) comparing transition probabilities between the KiVa anti-bullying intervention condition and a control condition. A sample of 6,629 children (2057 in the control condition and 4572 in the intervention condition) were followed from age 9 to age 11 in three waves of data collection. At each wave, latent profile analysis was used to identify two distinct leader profiles and three non-leader profiles based on peer nominations that included leadership, popularity, and both positive (defending) and negative (bullying) behavior. These profiles included (a) positive leaders, (b) negative leaders, (c) defenders, (d) bullies, and (e) modal children. Latent transition analysis for the full sample revealed more changing roles for negative leaders compared with positive leaders. In the intervention condition, negative leaders were more likely to make the transition to positive leaders than to bullies. This study shows that, in late childhood, positive leaders are perceived as more representative of the group leader prototypicality than negative leaders. These findings enhance understanding of leader profile evolution and may inform tailored leadership interventions.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"43-55"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated with Nonspecialist Quality of Delivery within a Family Strengthening Intervention in Rwanda: a Parallel Latent Growth Model.","authors":"Laura Bond, Matias Placencio-Castro, William Byansi, Eve Puffer, Theresa S Betancourt","doi":"10.1007/s11121-025-01768-0","DOIUrl":"10.1007/s11121-025-01768-0","url":null,"abstract":"<p><p>In task-shared, mental health, and psychosocial support interventions, monitoring the quality of delivery (fidelity and competence) of nonspecialist providers is critical. Quality of delivery is frequently reported in brief, summary statistics, and while both fidelity and competence scores tend to be high, rarely have factors associated with quality of delivery in low-resource, mental health, and psychosocial support interventions been examined using inferential statistics. Understanding both modifiable and non-modifiable predictors of quality of delivery is important for adapting training and supervision approaches throughout intervention delivery. In this study, we use a parallel process latent growth model to examine the association of non-modifiable, demographic characteristics of nonspecialists and changes in both fidelity and competence over time. We find that nonspecialist age is significantly associated with higher initial fidelity and competence scores and smaller improvements in fidelity and competence over time, although this finding is interpreted in the presence of ceiling effects. In addition, nonspecialists in a certain district were more likely to have higher initial fidelity and competence scores but also see smaller changes over time. Fidelity and competence were found to significantly co-vary. This study provides conceptual and measurement guidance regarding quality of delivery, suggesting that fidelity and competence are theoretically distinct and must be measured separately, but linked together under the umbrella of quality of delivery. This study also has implications for recruiting, training, and supporting nonspecialists delivering behavioral interventions, suggesting that future implementation teams can further contribute to research on how to better support high-quality training, supervision, and personal and professional growth among the growing nonspecialist workforce globally.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"107-121"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptability and Feasibility of a Blended School-Based Intervention to Prevent Suicidal Ideation Among Adolescents in Chile: Results from a Randomized Control Pilot Study.","authors":"Jorge Gaete, Daniela Meza, Javiera Andaur, Samuel McKay, Jo Robinson, Daniel Nuñez","doi":"10.1007/s11121-025-01770-6","DOIUrl":"10.1007/s11121-025-01770-6","url":null,"abstract":"<p><p>Suicide prevention programs delivered in school settings have been shown to reduce suicide attempts and ideation among adolescents. School-based digital interventions targeting at-risk youth are a promising avenue for suicide prevention, and some evidence has shown that blending digital and face-to-face components may improve the effectiveness. However, further evidence on its acceptability, feasibility, and effectiveness is needed, especially in Latin America, where mental health support is limited. Reframe-IT is an internet-based Cognitive Behavioral Therapy (CBT) program to reduce youth suicidal ideation in school settings. We created four complementary face-to-face CBT sessions and, through a pilot study, tested the acceptability, feasibility, and effectiveness of a blended intervention (Reframe-IT +) in adolescents (N = 52) from 6 public schools in Chile, randomized into two groups: Reframe-IT + (N = 33) and Control (N = 19). We found that the intervention was acceptable and feasible, with high degrees of satisfaction and adherence. We also observed a significant reduction in suicidal ideation and depressive symptoms in the intervention group compared to the control group at post-intervention. Our results suggest that the Reframe-IT + could be delivered as a suitable, acceptable, and effective intervention to reduce suicide ideation in adolescents in school settings. Further research is needed to confirm these preliminary results.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"12-24"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between College Enrollment and Suicide Attempts by Race and Ethnicity.","authors":"Ashley M Witmer, Yali Deng, Ramin Mojtabai, Holly C Wilcox, James Aluri","doi":"10.1007/s11121-025-01771-5","DOIUrl":"10.1007/s11121-025-01771-5","url":null,"abstract":"<p><p>Little is known about how race and ethnicity influence the association between college enrollment and past-year suicide attempts. In this brief report, the relationship between college enrollment and past-year suicide attempts varied across racial groups in a nationally representative sample of 12,474 full-time college enrolled and unenrolled young adults. Only White students displayed a protective association between enrollment and past-year suicide attempts (aOR, 0.32; 95% CI, 0.17, 0.62). Race and ethnicity significantly moderated the relationship between enrollment and past-year suicide attempts for Black/African American (P = 0.003) and multiracial (P = 0.03) compared to White young adults.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"25-30"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Novel Approach to Research Synthesis with the Distillation and Matching Model: Application to the Prevention of Youth Social, Emotional, and Behavioral Problems.","authors":"Lauren E Oddo, Bryce D McLeod, Kevin S Sutherland, Jason C Chow, Jennifer R Ledford, Grace W Li","doi":"10.1007/s11121-025-01766-2","DOIUrl":"10.1007/s11121-025-01766-2","url":null,"abstract":"<p><p>It is difficult for consumers to access the evidence base for prevention programs to determine which models or practices have the strongest empirical support for improving youth social, emotional, and behavioral (SEB) outcomes within their specific service contexts. Researchers can address this evidence-to-practice gap through innovations in research synthesis. The Distillation and Matching Model (Chorpita et al., 2005), an approach to research synthesis developed for the mental health field, is designed to identify what works for whom and under what conditions via three steps. In this paper, we describe the Distillation and Matching Model and suggest that applying this approach to the prevention literature for youth SEB problems may help bridge the evidence-to-practice gap. The first step, distillation, involves identifying \"practice elements,\" defined as the goal or general principle guiding a discrete practice (e.g., praise) targeting a specific domain of SEB outcomes. This step produces a standard set of terms for the individual practices used across the literature that are studied in isolation and comprise comprehensive intervention models. The second step involves identifying \"common elements,\" or the practice elements found in studies that meet standards of methodological rigor and report significant improvements in youth SEB outcomes. The third step, \"matching,\" is a method for matching common element profiles (combinations of common elements) to intervention and personal characteristics to identify what combinations of common elements work for whom and under what conditions. The Distillation and Matching Model can provide a method for researchers to generate actionable information about common elements that can be used to develop and evaluate tailored interventions.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"69-79"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Situational Loneliness on Mental Health and Sleep Health Outcomes among White Older Adults during the COVID-19 Pandemic.","authors":"Ayesha Siddiqua, Jeanine M Parisi, Todd M Manini, Christopher N Kaufmann, Emily J Smail","doi":"10.1007/s11121-024-01760-0","DOIUrl":"10.1007/s11121-024-01760-0","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined the cross-sectional and 2-year prospective associations between situational loneliness and health outcomes in older adults during the COVID-19 pandemic.</p><p><strong>Methods: </strong>Data were collected using an online survey that evaluated behaviors (e.g., socialization) and health outcomes at two points (May-June 2020 and October-November 2022) during the pandemic. Logistic regression was used to analyze the cross-sectional associations between situational loneliness and health outcomes (i.e., depressive symptoms, anxiety symptoms, and sleep health) while linear regression was used to examine the prospective associations.</p><p><strong>Results: </strong>In a sample of 428 older adults (age 65 +), situational loneliness was associated with short-term, but not long-term, increases in depressive symptoms, anxiety symptoms, and problems with sleep.</p><p><strong>Conclusion: </strong>Findings suggest that the older adult population demonstrates resilience in the face of short-term increases in loneliness. Thus, promoting resilience may be a promising strategy for mitigating the negative consequences of situational loneliness.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"31-42"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying an Equity Lens to Evidence-Based Preventive Interventions: a Systematic Review of Subgroup Findings from Experimental Evaluations.","authors":"Pamela R Buckley, Charleen J Gust, Sarah Gonzalez Coffin, Sheba M Aikawa, Christine M Steeger, Fred C Pampel","doi":"10.1007/s11121-025-01765-3","DOIUrl":"10.1007/s11121-025-01765-3","url":null,"abstract":"<p><p>Evidence reveals that minoritized groups face disparities, underscoring the need for interventions to address behavioral health inequities. This review examined which minoritized populations are represented in evidence-based preventive interventions (EBPIs) and whether they equitably benefit from these programs. Using the Blueprints for Healthy Youth Development online clearinghouse, we synthesized findings from 240 high-quality experimental evaluations of EBPIs conducted in the U.S. between 2010 and 2023 and performed a descriptive analysis based on consensus coding to assess (1) the prevalence of culturally tailored EBPIs; (2) how frequently tests for subgroup effects were conducted; and (3) whether subgroup tests indicated differential benefits for minoritized groups. We found few culturally tailored interventions (31%), with 4% evaluating EBPIs developed for African American or Black populations and 1% for Hispanic or Latino youth. Additionally, only 25% and 15% tested for subgroup effects by race and ethnicity, respectively. For other subgroups, few (28%) evaluations included effects by economic disadvantage while 47% examined outcomes by binary gender categories. Essentially no reports tested for subgroup effects by sexual identity, location, or nativity status. Encouraging findings were that EBPIs more often benefited racial and ethnic minoritized groups, and there was an upward trend in reporting subgroup tests across time. EBPIs should test for subgroup effects to answer the questions of \"what works for whom?\" and \"in which settings?\" and to better understand the generalizability of findings. Investments are needed in culturally grounded programs developed for historically marginalized populations and trials of EBPIs that investigate mitigating health disparities.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"93-106"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Trauma-Focused Screening Approach for Teen Dating Violence Prevention.","authors":"Joseph R Cohen, Jae Wan Choi, Jaclyn S Fishbach, Jeff R Temple","doi":"10.1007/s11121-025-01772-4","DOIUrl":"10.1007/s11121-025-01772-4","url":null,"abstract":"<p><p>Developing accurate and equitable screening protocols can lead to more targeted, efficient, and effective, teen dating violence (TDV) prevention programming. Current TDV screening protocols perform poorly and are rarely implemented, but recent research and policy emphasizes the importance of leveraging more trauma-focused screening measures for improved prevention outcomes. In response, the present study examined which adversities (i.e., indices of family violence), trauma-focused risk factors (i.e., threat and reward biases) and strengths (i.e., social support and racial/ethnic identity) best classified concurrent and prospective risk for physical and psychological forms of TDV-perpetration. Participants included 584 adolescents aged 12-18 years (M_Age = 14.43; SD = 1.22), evenly distributed across gender (48.9% female), race (35% African American; 38.5% White) and ethnicity (40% Hispanic). Surveys completed at baseline and 1-year follow-up were analyzed using an evidence-based medicine (EBM) analytic protocol (i.e., logistic regression, area-under-the-curve; (AUC), diagnostic likelihood ratios (DLR), calibration curves) and compared to machine learning models. Results revealed hostility best classified risk for concurrent and prospective physical TDV-perpetration (AUCs > 0.70; DLRs > 2.0). Additionally, domestic violence (DV) exposure best forecasted prospective psychological TDV-perpetration (AUC > 0.70; DLR > 3.0). Both indices were well-calibrated (i.e., non-significant Spiegelhalter's Z statistics) and statistically fair. Machine learning models added minimal incremental validity. Results demonstrate the importance of prioritizing hostility and DV-exposure for accurate, equitable, and feasible screening for physical and psychological forms of TDV-perpetration, respectively. Integrating these findings into existing prevention protocols can lead to a more targeted approach to reducing TDV-perpetration.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"80-92"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}