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THE INFLUENCE OF CONTEXTUAL FACTORS ON THE PROCESSES OF ADOPTION AND IMPLEMENTATION OF EVIDENCE-BASED SUBSTANCE USE PREVENTION AND TOBACCO CESSATION PROGRAMS IN SCHOOLS
by
Melissa A. Little
A Dissertation Presented to the
FACULTY OF THE USC GRADUATE SCHOOL
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF PHILOSOPHY
(PREVENTIVE MEDICINE)
May 2012
Copyright 2012 Melissa A. Little
Object Description
| Title | The influence of contextual factors on the processes of adoption and implementation of evidence-based substance use prevention and tobacco cessation programs in schools |
| Author | Little, Melissa A. |
| Author email | mgunning@usc.edu;mlittle@cc.hawaii.edu |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Preventive Medicine (Health Behavior) |
| School | Keck School of Medicine |
| Date defended/completed | 2011-12-13 |
| Date submitted | 2012-04-24 |
| Date approved | 2012-04-24 |
| Restricted until | 2012-04-24 |
| Date published | 2012-04-24 |
| Advisor (committee chair) | Rohrbach, Louise Ann |
| Advisor (committee member) |
Sussman, Steven Riggs, Nathaniel Sun, Ping Palinkas, Lawrence |
| Abstract | Although considerable resources have been spent developing and disseminating effective school-based substance use prevention programs, many school districts in the United States fail to use prevention programs with proven effectiveness. Moreover, there is a dearth of research understanding the factors that promote adoption, implementation fidelity, and sustained use of these programs in schools. Consequently, a significant gap remains in what we know about how to effectively “translate” evidence-based programs from research to practice (L. A. Rohrbach, Grana, Sussman, & Valente, 2006). ❧ Research grounded in the diffusion of innovations theory (Rogers, 1983), theory driven evaluations (Chen, 1998), systems models (Estabrooks & Glasgow, 2006) and recent reviews of the literature (Durlak & DuPre, 2008) have identified some community-, organizational-, and individual-level factors that are correlated with the translation of evidence-based programs in schools. The studies presented here explore the relationships between factors at several levels of the ecological framework and program adoption, implementation fidelity and sustained use of evidence-based substance use prevention and tobacco cessation programs in schools. ❧ The findings presented in these studies suggest that school-based substance use prevention programming is influenced by a variety of contextual factors occurring at multiple ecological levels. Characteristics of the community and organization, beliefs of key decision makers, and funding were important factors in promoting adoption, implementation fidelity and sustained use of evidence-based substance use prevention programs in schools. In order to move the field ahead, researchers need to account for the multiple systems at play in schools when designing research trials and school-based programs. Ultimately, translational research can be used to increase the use of evidence-based prevention programs in schools, which should lead to reductions in substance use and other problem behaviors among adolescents. |
| Keyword | translation; school-based; substance use; prevention; tobacco cessation; implementation; adoption |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Provenance | Electronically uploaded by the author |
| Type | texts |
| Legacy record ID | usctheses-m |
| Rights | Little, Melissa A. |
| Access conditions | The author retains rights to his/her dissertation, thesis or other graduate work according to U.S. copyright law. Electronic access is being provided by the USC Libraries in agreement with the author, as the original true and official version of the work, but does not grant the reader permission to use the work if the desired use is covered by copyright. It is the author, as rights holder, who must provide use permission if such use is covered by copyright. The original signature page accompanying the original submission of the work to the USC Libraries is retained by the USC Libraries and a copy of it may be obtained by authorized requesters contacting the repository e-mail address given. |
| Repository name | University of Southern California Digital Library |
| Repository address | USC Digital Library, University of Southern California, University Park Campus MC 7002, 106 University Village, Los Angeles, California 90089-7002, USA |
| Repository email | cisadmin@usc.edu |
| Archival file | uscthesesreloadpub_Volume4/etd-LittleMeli-632-0.pdf |
Description
| Title | Page 1 |
| Full text | THE INFLUENCE OF CONTEXTUAL FACTORS ON THE PROCESSES OF ADOPTION AND IMPLEMENTATION OF EVIDENCE-BASED SUBSTANCE USE PREVENTION AND TOBACCO CESSATION PROGRAMS IN SCHOOLS by Melissa A. Little A Dissertation Presented to the FACULTY OF THE USC GRADUATE SCHOOL UNIVERSITY OF SOUTHERN CALIFORNIA In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY (PREVENTIVE MEDICINE) May 2012 Copyright 2012 Melissa A. Little |
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