Sustained decreases in risk exposure and youth problem behaviors after installation of the Communities That Care prevention system in a randomized trial.

ABSTRACT:

Objective

To test whether the Communities That Care (CTC) prevention system reduced levels of risk and adolescent problem behaviors community-wide 6 years after installation of CTC and 1 year after study-provided resources ended.

Design

A community randomized trial.

Setting

Twenty-four small towns in 7 states, matched within state, randomly assigned to control or intervention condition in 2003.

Participants

A panel of 4407 fifth-grade students was surveyed annually through 10th grade from 2004 to 2009.

Intervention

A coalition of community stakeholders received training and technical assistance to install CTC, used epidemiologic data to identify elevated risk factors and depressed protective factors in the community, and implemented programs to address t

SUBMITTER: Hawkins JD 

PROVIDER: S-EPMC4137869 | biostudies-literature | 2012 Feb

REPOSITORIES: biostudies-literature