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Using Data to Guide and Sustain Community Interventions

Using Data to Guide and Sustain Community Interventions. Joel W. Grube, Ph.D . Prevention Research Center Pacific Institute for Research and Evaluation OJJDP UDETC National Leadership Conference Tucson, AZ August 18-20, 2005.

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Using Data to Guide and Sustain Community Interventions

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  1. Using Data to Guide and Sustain Community Interventions Joel W. Grube, Ph.D.Prevention Research CenterPacific Institute for Research and EvaluationOJJDP UDETC National Leadership ConferenceTucson, AZAugust 18-20, 2005 Preparation of this presentation was supported byNIAAA grants AA006282 and AA014958

  2. What is Sustainability? Sustainability addresses three issues: • Maintaining the benefits of a program • Continuing a program • Building the capacity to continue a program Broadly speaking sustainability refers to: “The process of ensuring an adaptive preventive system … can be integrated into ongoing operations to benefit diverse stakeholders.” (Johnson, Hayes, Center, & Daley, 2004, p. 137)

  3. Key Issues in Sustainability • Sustainability is an ongoing dynamic process • Sustainability is an adaptive process • Sustainable innovation is integrated into normal operations and requires adequate infrastructure capacity • Sustainable innovation should have proven benefit to diverse stakeholders • Sustainability requires commitment and support: Champions Decision-makers Stakeholders Workers Source: Johnson, Hayes, Center, & Daley, 2004

  4. Model of Sustainability Assess Plan Implement Evaluate Reassess/Modify Capacity Building Innovation Integration into System Sustainable Innovation Continuation Stakeholder Benefits Data Source: Johnson, Hayes, Center, & Daley, 2004

  5. Some Examples Using Data:Oregon Youth Alcohol Access ProjectCommunity Trials Project to Reduce Alcohol TraumaDiadema Project

  6. Assess:Is there a problem?What is the problem?

  7. 30-Day DrinkingOregon 11th Graders Half of Oregon 11th graders report drinking in the past 30 days…. Source: Oregon Healthy Teens Survey 2005http://oregon.gov/DHS/ph/chs/youthsurvey/yrbsdata.shtml

  8. 30-Day 5+ DrinksOregon 11th Graders Of those Oregon 11th graders who report drinking in the past 30 days, 60% report having 5+ drinks…. Source: Oregon Healthy Teens Survey 2005http://oregon.gov/DHS/ph/chs/youthsurvey/yrbsdata.shtml

  9. 30-Day Drug Use Among Oregon 11th Graders Alcohol is by far the most commonly used and abused drug among Oregon 11th graders…. Source: Oregon Healthy Teens Survey 2005http://oregon.gov/DHS/ph/chs/youthsurvey/yrbsdata.shtml

  10. Work Lost andOther Costs Medical Costs Pain & Suffering Annual Costs of Underage Drinking in Oregon 2001(Millions of Dollars) Total Costs: $697 million annually $387 per capita per year Source: Enforcing Underage Drinking Laws Website: http://www.udetc.org/UnderageDrinkingCosts.asp

  11. Annual Costs of Underage Drinking in Oregon (2001) Source: Enforcing Underage Drinking Laws Website: http://www.udetc.org/UnderageDrinkingCosts.asp

  12. Planning:Where do we intervene?How?

  13. Ease of Obtaining Alcoholby Oregon 11th Graders …Over 81% of Oregon 11th graders say it would be very easy or sort of easy to get alcohol if they wanted… Source: Oregon Healthy Teens Survey 2005http://oregon.gov/DHS/ph/chs/youthsurvey/yrbsdata.shtml

  14. Sources of Alcohol Past 30 Days by Oregon 11th Graders Commercial Social Oregon teens use multiple sources to obtain alcohol… Source: Dent, Grube, & Biglan, 2005

  15. Indicated Points of Intervention • Commercial AvailabilityReward and ReminderCompliance Checks • Social AvailabilityShoulder TapsParty DispersalMIP • Targeted Media

  16. Monitor Implementation What is being done? What dosage?

  17. Underage Access ActivitiesCommunity Trials Project Pre-intervention Intervention Period Source: Grube, 1997

  18. Evaluate/Assess What effects? What benefits?

  19. Effects of Reward and Reminder on Tobacco Sales Baseline Post Intervention Biglan, Ary, Smolkowski, Duncan, & Black, 2000

  20. Effects of Reward and Reminderon Weekly Alcohol Use Biglan, Ary, Smolkowski, Duncan, & Black, 2000

  21. Homicides per 1,000 Residents:Diadema, Brazil After Restriction Before Sales Hours Restriction There were an average of 301.3 homicides per year before the sales restrictions and 169.6 per year afterward Duailibi, Laranjeira, Ponicki, Grube, & Lacey, 2005

  22. Estimated Effects of ReducingHours of Sales Duailibi, Laranjeira, Ponicki, Grube, & Lacey, 2005

  23. Reassess/Modify What is not working? What should be changed? Where are more resources needed?

  24. Effects of Compliance Checks and RBS on Underage Sales Source: Grube, 1997

  25. Conclusion Data can guide and sustain programs: • Define the problem and the solution • Plan and target interventions • Monitor implementation • Evaluate outcomes • Reassess and modify interventions • Marshall support for increased allocation of resources and infrastructure capacity

  26. Key reference: Johnson, K., Hays, C., Center, H., & Daley, C. (2004). Building capacity and sustainable prevention innovations: A sustainability planning model. Evaluation and Program Planning, 27, 135-149.

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