title: Reducing Binge Drinking in Adolescents through Implementation of the Strategic Prevention Framework.
abstract: The Strategic Prevention Framework (SPF) is a conceptual model that supports coalition-driven efforts to address underage drinking and related consequences. Although the SPF has been promoted by the U.S. Substance Abuse and Mental Health Services Administration's Center for Substance Abuse Prevention and implemented in multiple U.S. states and territories, there is limited research on the SPF's effectiveness on improving targeted outcomes and associated influencing factors. The present quasi-experimental study examines the effects of SPF implementation on binge drinking and enforcement of existing underage drinking laws as an influencing factor. The intervention group encompassed 11 school districts that were implementing the SPF with local prevention coalitions across eight Kansas communities. The comparison group consisted of 14 school districts that were matched based on demographic variables. The intervention districts collectively facilitated 137 community-level changes, including new or modified programs, policies, and practices. SPF implementation supported significant improvements in binge drinking and enforcement outcomes over time (p < .001), although there were no significant differences in improvements between the intervention and matched comparison groups (p > .05). Overall, the findings provide a basis for guiding future research and community-based prevention practice in implementing and evaluating the SPF.
authors.affiliation: David Geffen School of Medicine, Integrated Substance Abuse Programs, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, UCLA Integrated Substance Abuse Programs, Los Angeles, CA, USA.|Work Group for Community Health and Development, The University of Kansas, Lawrence, KS, USA.
authors.forename: Kaston D
authors.initials: KD
authors.lastname: Anderson-Carpenter
authors.affiliation: Work Group for Community Health and Development, The University of Kansas, Lawrence, KS, USA.|Department of Applied Behavioral Science, The University of Kansas, Lawrence, KS, USA.
authors.forename: Jomella
authors.initials: J
authors.lastname: Watson-Thompson
authors.affiliation: Southeast Kansas Education Service Center-Greenbush, Girard, KS, USA.
authors.forename: Lisa
authors.initials: L
authors.lastname: Chaney
authors.affiliation: Work Group for Community Health and Development, The University of Kansas, Lawrence, KS, USA.|Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Marvia
authors.initials: M
authors.lastname: Jones
mesh_terms: D000293:Adolescent; D063425:Binge Drinking / Q000517:prevention & control* / Q000523:psychology; D005260:Female; D006284:Health Plan Implementation / Q000458:organization & administration*; D006291:Health Policy; D006801:Humans; D007400:Interprofessional Relations; D000070516:Intersectoral Collaboration; D007615:Kansas; D008297:Male; D010043:Outcome and Process Assessment, Health Care; D012922:Social Change; D012944:Social Support; D012946:Social Welfare; D000066608:Underage Drinking / Q000517:prevention & control* / Q000523:psychology
keywords: Binge drinking; Community intervention; Enforcement; Risk and protective factors; Strategic prevention framework; Youth and adolescents