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Examining the Highs and Lows of the Collaborative Relationship Between Technical Assistance Providers and Prevention Implementers
Journal article   Peer reviewed

Examining the Highs and Lows of the Collaborative Relationship Between Technical Assistance Providers and Prevention Implementers

Sarah M Chilenski, Janet Welsh, Jonathan Olson, Lesa Hoffman, Daniel F Perkins and Mark E Feinberg
Prevention science, Vol.19(2), pp.250-259
02/2018
DOI: 10.1007/s11121-017-0812-2
PMCID: PMC5754258
PMID: 28677088
url
https://www.ncbi.nlm.nih.gov/pmc/articles/5754258View
Open Access

Abstract

The PROSPER model uses a three-tiered community partnership, university researcher, and Cooperative Extension-based technical assistance system to support the delivery of evidence-based interventions in communities. This study examines the trajectory and predictors of the collaborative relationship between technical assistance providers and community teams across the three phases of organization, implementation, and sustainability. Members of 14 PROmoting School-university-community Partnerships to Enhance Resilience (PROSPER) community teams and directors of local agencies rated communities' levels of readiness and adolescent substance use norms. Technical assistance providers rated their collaborative relationship with their teams at 14 occasions across 4.5 years. Results from mixed models show that levels of collaboration were stable until the sustainability phase, when they increased significantly. Team differences in change were significant during the implementation phase. Community readiness predicted levels of the collaborative relationship over time: high community readiness was associated with a high level of collaboration during organization, but a decline in collaboration during implementation. These results provide a more nuanced understanding of the relationship between technical assistance provision and community prevention teams and lead to recommendations to improve dissemination models to achieve a greater public health impact.
Humans Middle Aged Cooperative Behavior Male Young Adult Community Networks Preventive Health Services Adult Female Interviews as Topic Health Planning Technical Assistance Qualitative Research Longitudinal Studies

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