Evidence map›Paper›PMID 21969362›Full record

Trial reportArchives of pediatrics & adolescent medicine2012

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

J David Hawkins, Sabrina Oesterle, Eric C Brown, Kathryn C Monahan, Robert D Abbott, Michael W Arthur, Richard F Catalano

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of pediatrics & adolescent medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01088542 (The Interplay of Social, Normative, and Legal Marijuana Environments and Marijuana and ATOD Use From Late Childhood to Young Adulthood), which is not on this map. Cited by 68 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01088542 naactive not recruitingnot on this map

The Interplay of Social, Normative, and Legal Marijuana Environments and Marijuana and ATOD Use From Late Childhood to Young Adulthood

TypeinterventionalSponsorUniversity of WashingtonRan2003 to 2025Enrolled52,323ConditionsSubstance Abuse, Juvenile Delinquency, Sexual Behavior, Criminal BehaviorArmsCommunities That Care
3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Family-based prevention programmes for alcohol use in young people.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Pooled it
  4. Family-based programmes for preventing smoking by children and adolescents.The Cochrane database of systematic reviews · 2015
    Pooled it
  5. Pooled it
  6. The role of collaboration in facilitating policy change in youth violence prevention: a review of the literature.Prevention science : the official journal of the Society for Prevention Research · 2014
    Pooled it
  7. Long-term Impacts and Benefit-Cost Analysis of the Communities That Care Prevention System at Age 23, 12 Years After Baseline.Prevention science : the official journal of the Society for Prevention Research · 2021
    Trial
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  13. Effects of the communities that care prevention system on youth reports of protective factors.Prevention science : the official journal of the Society for Prevention Research · 2015
    Trial
  14. Trial
  15. Variation in the sustained effects of the communities that care prevention system on adolescent smoking, delinquency, and violence.Prevention science : the official journal of the Society for Prevention Research · 2014
    Trial
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  20. Cost-benefit analysis of communities that care outcomes at eighth grade.Prevention science : the official journal of the Society for Prevention Research · 2012
    Trial

8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

J David HawkinsSocial Development Research Group, School of Social Work, University of Washington, Seattle, WA 98115, USA. jdh@uw.edu
Sabrina Oesterle
Eric C Brown
Kathryn C Monahan
Robert D Abbott
Michael W Arthur
Richard F Catalano

Funding

The Community Youth Development Study: A Test of Communities That CareR01DA015183 · NIDA · UNIVERSITY OF WASHINGTON · PI HAWKINS, J DAVID, OESTERLE, SABRINA · 2003 to 2016
$34.0M
NIDA NIH HHS R01 DA015183NIDA NIH HHS R01 DA015183-03
6 · The paper itself

Abstract

objectiveTo 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.

designA community randomized trial.

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

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

interventionA 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 their community's elevated risks from a menu of tested and effective programs for youths aged 10 to 14 years, their families, and schools. OUTCOME MEASURES: Levels of risk and incidence and prevalence of tobacco, alcohol, and other drug use; delinquency; and violent behavior by grade 10.

resultsMean levels of targeted risks increased less rapidly between grades 5 and 10 in CTC than in control communities and were significantly lower in CTC than control communities in grade 10. The incidence of delinquent behavior, alcohol use, and cigarette use and the prevalence of current cigarette use and past-year delinquent and violent behavior were significantly lower in CTC than in control communities in grade 10.

conclusionsUsing the CTC system can produce enduring reductions in community-wide levels of risk factors and problem behaviors among adolescents beyond the years of supported implementation, potentially contributing to long-term public health benefits.

trial registrationclinicaltrials.gov Identifier: NCT01088542.

Indexed as

Adolescent BehaviorCommunity Health ServicesOutcome Assessment, Health CareRisk Reduction BehaviorAdolescentAdolescent Health ServicesChildHumansIncidenceJuvenile DelinquencyMultivariate AnalysisPrevalenceSmoking PreventionSubstance-Related DisordersUnited StatesViolence

Identifiers

PMID21969362
PMCPMC4137869

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.