Prevention Science最新文献

{"title":"Implementing Temporary Financial Assistance for Homelessness Prevention: a CFIR-Guided Study of Provider Perspectives.","authors":"Micaela Mercado, Megan Emily Chavez, Chelsea Nolan, Lara Law, Sara Shuman, Laura Noll, Kristin Ferguson, Hannah McEntarffer, Raechel Livingston, Shana Ellis, Jessie Helmes, Klim Drobnyh, Kelsie King, Robert Wickham","doi":"10.1007/s11121-026-01937-9","DOIUrl":"10.1007/s11121-026-01937-9","url":null,"abstract":"<p><p>Housing insecurity is a growing public health concern with significant implications for efforts to prevent homelessness. Temporary financial assistance (TFA) is an upstream intervention designed to prevent homelessness by addressing urgent housing needs through flexible, short-term financial support. Guided by the Consolidated Framework for Implementation Research (CFIR), this study examined providers' perspectives on implementing TFA across nine Arizona organizations and explored how these determinants may inform the selection and measurement of implementation outcomes. Thirty-six participants participated in interviews or focus groups to share their experiences implementing TFA. Using deductive thematic analysis, findings highlight key internal and external barriers such as complex eligibility criteria, administrative burdens, and limited affordable housing that may have affected the adoption, implementation, and sustainment of TFA delivery. Facilitators included provider training, cross-sector partnerships, and strong vendor relationships that improved adoption and integration of TFA across service settings. Providers used a range of implementation strategies, including reimbursement systems, promise-to-pay arrangements, and tiered intake processes, to overcome systemic barriers and promote recipients' housing stability. Although funding constraints and contextual challenges limited sustainment, providers demonstrated a strong commitment to adapting implementation approaches to meet recipient needs. This study contributes to the growing evidence based on the practical application of implementation science in homelessness prevention, offering insights into how determinants of implementation can strengthen intervention delivery in diverse settings. Findings inform policy, research, and practice aimed at optimizing implementation outcomes for homelessness prevention interventions.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"937-946"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200610","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":"Community Navigation: Iterative Development and Implementation of a Prenatal Psychosocial System of Care.","authors":"Helen M Milojevich, Debra L Best, W Benjamin Goodman, Peter D Rehder, Kenneth A Dodge","doi":"10.1007/s11121-026-01939-7","DOIUrl":"10.1007/s11121-026-01939-7","url":null,"abstract":"<p><p>We describe the iterative process of developing a universal psychosocial system of primary care across early life, called Community Navigation, and evaluate whether it can be implemented during the prenatal period with high engagement, identification of family needs, connections to community services, and family satisfaction. Community Navigation is a manualized program to improve child and family outcomes by engaging families during pregnancy, co-identifying their family-specific needs, and connecting them with community resources to address their needs. Continuous quality improvement efforts enhanced and refined the program leading to three iterative versions (Navigation 1.0, 2.0, and 2.1). Here, we report implementation metrics across all three versions. In each version, families were recruited during pregnancy and offered 1-3 visits with a trained Navigator. Findings from Versions 1.0 and 2.0 were used to improve the Navigation protocol, resulting in Navigation 2.1. Of the 194 Navigation 2.1 families who were eligible and offered the program, 81% completed the initial Navigation visit and 82% of those families completed at least one follow-up visit prior to birth (net total completion = 65% of the eligible population). Adherence to the protocol was 93%. Nearly all families (98%) reported at least one unmet need, with 75% reporting a major need requiring a community resource connection. Connection rates were high: 66% of families who received referrals were successfully connected to at least one community agency. Families reported high satisfaction with the program. Community Navigation holds promise as a novel system of universal primary psychosocial care for birthing families.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"971-982"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13360660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148333799","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":"Cost Analysis of BEST in CLASS-Elementary: Average Cost per Teacher-Student Dyad and Marginal Cost per Additional Student.","authors":"K S Sutherland, M A Conroy, A Blandin, K L Granger, Isabel Li","doi":"10.1007/s11121-026-01938-8","DOIUrl":"10.1007/s11121-026-01938-8","url":null,"abstract":"<p><p>This study used the Ingredients Cost Method (Levin & McEwan, 2001) to calculate the average cost of implementing BEST in CLASS-Elementary, a Tier 2 program that trains and coaches teachers to provide support to focal students who have unwanted problem behavior. Data were used from kindergarten to third-grade classrooms in a multisite randomized controlled trial. We describe the average cost of implementing BEST in CLASS-Elementary per teacher-student dyad as well as the marginal cost of adding up to two additional students in classrooms receiving the training and coaching. Data from 136 teacher student dyads (N = 63 teachers) were used in the current study. The average cost to implement the program, including teacher recruitment costs, was $2,866 per teacher-student dyad in a classroom, and the marginal cost of adding an additional focal student per treated classroom was $101. The actual intervention accounted for less than half of the total costs and coaches accounted for the highest investment (almost half of the total costs). Limitations of the current study as well as implications for future research in this area are discussed.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"947-957"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13433375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165137","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":"The Effectiveness of the Parent Support Program: a Randomized Controlled Trial of an Online Intervention to Increase Parental Support Among Parents and Caregivers of Trans and Nonbinary Youth.","authors":"Em Matsuno, Matt L Miller, Ga Tin Finneas Wong, Danny Shultz, Jenna Rudo-Stern, Alex E Colson, Cady Berkel","doi":"10.1007/s11121-026-01921-3","DOIUrl":"10.1007/s11121-026-01921-3","url":null,"abstract":"<p><p>The increasingly hostile sociopolitical climate is heightening psychological distress among trans and nonbinary (TNB) youth, who already face elevated risks for depression, anxiety, suicidal ideation, and substance use. Parental support is a key protective factor for TNB youth to prevent these negative mental health outcomes. Yet, there are minimal existing evidence-based interventions that aim to increase parental support among parents and caregivers (PCs) of TNB youth. The Parent Support Program (PSP) is a theory-driven, asynchronous, online intervention that was developed and refined based on community and expert feedback. This study used a randomized controlled trial (RCT) with 619 PCs of TNB youth to test the effectiveness of the PSP. We applied linear regression models with multiple imputation adjustments and propensity weights to estimate the effects of being assigned to the intervention condition (intent to treat effects) and global dosage of the PSP (total number of activities completed). Results from our intent to treat (ITT) analyses found that the PSP was effective at increasing self-compassion and PCs' self-rated level of knowledge about gender diversity. However, global dosage predicted self-rated knowledge and the use of affirming language, but not self-compassion. The PSP is a promising intervention that may be a useful resource for some PCs of TNB youth. We address limitations of the PSP and future directions of how the PSP could be further refined and tested to optimize the intervention's effectiveness and implementation, as well as clinical implications.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"859-875"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976469","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":"Improvements in Capacity Among Community Coalitions Receiving Technical Assistance Through the Coalition Check-Up.","authors":"Yvonne Gaddy, Sarah M Chilenski, Rebecca Wells, Louis D Brown","doi":"10.1007/s11121-026-01941-z","DOIUrl":"10.1007/s11121-026-01941-z","url":null,"abstract":"<p><p>Community coalitions are central to the prevention delivery system, yet their ability to implement and sustain effective strategies often depends on technical assistance (TA). TA typically strengthens coalition capacity, but many coalitions lack connection to TA, and it is costly to sustain. Low intensity TA models that support coalition capacity exist but have not been rigorously evaluated. This study examines the Coalition Check-Up (CoCU) as a low intensity TA model to strengthen coalition capacity. Using up to 3 years of data, we tested whether capacities selected by coalitions during each CoCU implementation year improved over time. Thirty-two coalitions in Pennsylvania and Missouri received TA to review their summary report on data collected yearly over 3 years and a follow-up after year 3. Each year, coalitions used their report to prioritize a capacity for action planning following the CoCU TA model. Analyses examined data from multiple baselines (i.e., before action planning at year 1, year 2, and year 3) and subsequent data collection timepoints to test for longitudinal change on prioritized capacities. Coalitions receiving TA through the CoCU model demonstrated measurable improvements over time. Capacities prioritized in year 1 significantly improved across the following years measured (β = 0.13, 95% confidence interval (CI) [0.004, 0.26]; p = .04), as did capacities selected in the second year (β = 0.20, CI [0.02, 0.37]; p = .03) and the third year (β = 0.61, CI [0.16, 1.07]; p = .01). Findings suggest that a low intensity TA model like CoCU has the potential to guide coalitions toward strategic capacity development, ultimately enhancing their ability to deliver impactful prevention initiatives.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"958-970"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13433725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148310001","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":"Health Without Barriers: Community-Engaged Adaptation of a Whole Family-Inclusive Intensive Health Behavior and Lifestyle Program in Rural Colorado.","authors":"Megan J Moran, Ana Gutierrez-Colina, Virginia Jimenez, Elvia German-Palacios, Lyndsey Parrott, Talia T Thompson, Natalia Sanchez, Addie Rzonca, Jesse Owen, Elizabeth Vargas, Caitlin Edwards, Sarah D E Perzow, Christine L Chan, Matthew A Haemer, Nicole Clark, Lauren B Shomaker","doi":"10.1007/s11121-026-01942-y","DOIUrl":"10.1007/s11121-026-01942-y","url":null,"abstract":"<p><p>Risk factors for type 2 diabetes (T2D) and cardiovascular diseases (CVD) are increasingly apparent in adolescence, and those in rural communities are disproportionately impacted. Intensive health behavior and lifestyle treatment (IHBLT) interventions have been shown to reduce risk factors for T2D and CVD; yet, for adolescents living in rural communities, these types of interventions are difficult to access and may be less effective due to unique barriers faced by rural adolescents. Tailoring IHBLT to the local rural context, particularly in ways that consider current and historical structural drivers of inequity, offers strong potential to address this need. Guided by the Practical, Robust Implementation and Sustainability Model with an equity focus, we co-created an adapted version of an IHBLT program, Health Without Barriers, for rural families with adolescents ages 11-19 years, emphasizing access for families living on a low-income, for adolescents whose caregivers prefer a language other than English (Spanish), and for adolescents with historically marginalized racial and ethnic identities. The aims of the current project were to (1) illustrate how participatory co-creation with community members can be systematically implemented-through an extensive initial information gathering phase coupled with iterative adaptation and additional information gathering-to make local and cultural adaptations to IHBLT, and (2) evaluate the feasibility and acceptability of those adaptations using multiple methods (self-report survey data, program attendance, and focus groups) among rural families with adolescents (n = 29 adolescents and n = 22 caregivers) who participated in the adapted IHBLT. Findings have implications for other research teams and practitioners looking to increase access and efficacy of IHBLT for the prevention and treatment of T2D and CVD in diverse and underserved rural populations.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"983-998"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13433621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340692","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":"Understanding Risk and Protective Factors of Intimate Partner Violence: A Public Health and Social Advocacy Approach.","authors":"Mangai Natarajan, Yasemin Irvin-Erickson, Brittany Suh, Susan Nembhard, Lindsay Smith, Yi-Fang Lu","doi":"10.1007/s11121-026-01944-w","DOIUrl":"10.1007/s11121-026-01944-w","url":null,"abstract":"<p><p>Intimate partner violence (IPV) is a recurring social problem that has individual, interpersonal, community, and societal level consequences necessitating interdisciplinary knowledge and a holistic, systemic approach for prevention. Recent research on IPV indicates the need to identify the implications of the COVID-19 pandemic for IPV risk and subsequent consequences to inform mitigation solutions. Using a mixed-methods design, this rapid assessment research aims to address an existing gap by gathering primary data on the perceived risk and protective factors in addressing IPV through interviews, focus group discussions (n = 102), and surveys (n = 324) from a purposive sample of victim service providers (VSPs) in all US states, Washington, D.C., and five major inhabited territories (Puerto Rico, Guam, US Virgin Islands, American Samoa, Northern Mariana Islands). The study findings indicate that existing risk factors have increased, alongside the emergence of new ones at the individual, interpersonal, community, and societal levels. We also identified 35 proactive protection measures that VSPs concocted during the COVID-19 pandemic to mitigate IPV in their communities. Integrating insights from public health and social advocacy theoretical models, this study provides survivor-centered, community-level solutions to prevent IPV in both public emergencies and non-emergency situations. This research highlights the importance of recognizing the convergence of IPV risk factors during the COVID-19 pandemic, as factors such as the political climate, natural disasters, and health crises-including pandemics-can exacerbate existing risk factors, thereby underscoring the need for prevention efforts more than ever.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"999-1013"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13433530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148363303","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":"The Role of Program Implementation Quality in Family-Focused Substance-Use Prevention for Youth with Multiple Risks: PROSPER Project.","authors":"Yoon S Hur, Sarah M Chilenski, Patrick R O'Neill, Damon E Jones, Richard L Spoth, Mark E Feinberg, D Max Crowley","doi":"10.1007/s11121-026-01929-9","DOIUrl":"10.1007/s11121-026-01929-9","url":null,"abstract":"<p><p>Programming to prevent behavioral problems can effectively build youth skills and enhance bonding to parents and prosocial peers to delay substance use for adolescents, an important challenge for adolescents given the links between early adolescent experimentation and the chance of developing problems related to substance use as an adult. For youth at higher risk, the effective delivery of such programs could be particularly critical. This study examined the impact of implementation outcomes of family-focused evidence-based prevention programming in sixth grade on substance use in ninth grade based on youths' initial levels of risk. Three implementation outcomes were assessed: (1) adherence, (2) facilitation quality, and (3) participant responsiveness. Using multi-level analysis of data from two cohorts across 14 school districts, we examined whether community-level implementation quality moderated the relationship between individual-level baseline risk and later substance use. Results showed higher implementation quality, particularly facilitation quality and participant responsiveness, was significantly associated with lower substance use among high-risk youth. Notably, high implementation quality was significantly associated with lower substance initiation index scores for high-risk students (p < 0.05). Similar results were also found for the initiation of marijuana and cigarette use, as well as for alcohol consumption in the past month.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"876-889"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13433459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007030","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":"Centering Community in Evidence-Based Prevention: Enhancing Evidence Criteria and Processes Across a State-Level Prevention System.","authors":"Brittany Rhoades Cooper, Eleanor Dizon, Gitanjali Shrestha, Jaymie Vandagriff","doi":"10.1007/s11121-026-01953-9","DOIUrl":"https://doi.org/10.1007/s11121-026-01953-9","url":null,"abstract":"<p><p>Evidence-based program registries (EBPRs) are commonly used within state prevention systems to organize and translate prevention science into actionable resources for communities. However, traditional EBPRs often rely on a limited range of methodological standards, which can unintentionally limit the inclusion of programs that may be responsive to community needs and contexts but do not yet meet existing review criteria. This paper describes a multiphase initiative led by the Washington State Health Care Authority (HCA), in partnership with Washington State University researchers, to strengthen statewide evidence review processes for youth substance use prevention programs. First, we outline the evolution of HCA's approach to identifying and supporting evidence-based programs, highlighting efforts to maintain rigor while increasing responsiveness to community needs within state prevention infrastructure. We then describe a four-phase approach that included a focused literature review, consultation with research, policy, and practice experts, development of recommendations, and their operationalization through system-level actions. Key recommendations included establishing clearer pathways for surfacing programs valued by communities for consideration within evidence review processes, advancing a continuum-based approach that recognizes varying levels of evidentiary support, and embedding structured processes for community, practitioner, and system partner engagement and input. Together, this work offers practical guidance for other states seeking to strengthen prevention infrastructure and improve responsiveness to community needs while maintaining rigor through iterative, collaborative approaches.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622008","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":"Data-Driven and State-Tailored Strategies to Promote Suicide Prevention in Corrections Facilities.","authors":"Hayoung K Donnelly, Radhika Sood, Ryan Price, Corbin J Standley","doi":"10.1007/s11121-026-01959-3","DOIUrl":"https://doi.org/10.1007/s11121-026-01959-3","url":null,"abstract":"<p><p>Suicide remains a significant public health issue in corrections settings in the United States, requiring systems-focused strategies for prevention and policy. We aggregated across 37 suicide rates, structural, social, and corrections-related variables from publicly available data sources. We used Latent Profile Analysis to identify clusters by profiles of correction systems across 50 states. We analyzed descriptive statistics of state characteristics by cluster to better understand their profiles. Lastly, we conducted ANOVAs to examine differences in suicide rates between clusters. We identified four clusters of states based on their profiles of corrections variables: number of facilities, populations in prisons, jails, and private prisons, prison overcrowding, prisoner-to-staff ratios, and disparities by race/ethnicity and gender. Thirteen states showed the highest racial and gender disparities in prison populations. Twenty-eight states showed average scores across all variables. Four states showed the highest proportion of people incarcerated in privately owned facilities. Five states showed the highest incarceration rates in both prisons and jails. Significant differences in suicide rates were observed across clusters, especially within jails. Findings from this study enhance our understanding of how structural and social factors may be associated with suicide in corrections settings. The discussion includes specific, tailored prevention strategies and policy solutions aimed at systems-level intervention.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608761","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}