ArticlePrevention science : the official journal of the Society for Prevention Research2014
Prevention system mediation of communities that care effects on youth outcomes.
Article in Prevention science : the official journal of the Society for Prevention Research, 2014. 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 37 papers, 3 of them syntheses that pooled 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.
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.
The Interplay of Social, Normative, and Legal Marijuana Environments and Marijuana and ATOD Use From Late Childhood to Young Adulthood
Who cites it
37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.
- Youth Justice Services: Relationships, Rehabilitation and the Reality of the Young People Involved-A Meta-synthesis of the Qualitative Literature.Clinical child and family psychology review · 2025Pooled it
- Evidence for state, community and systems-level prevention strategies to address the opioid crisis.Drug and alcohol dependence · 2019Pooled it
- Using theory of change to design and evaluate public health interventions: a systematic review.Implementation science : IS · 2016Pooled it
- Prevention System Implementation and Reach: Attitudes and Environmental Predictors in a Randomized Controlled Trial of the NORTH STAR Prevention System.Prevention science : the official journal of the Society for Prevention Research · 2022Trial
- 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 · 2021Trial
- Universal Prevention Exposure as a Moderator of the Community Context: Findings from the PROSPER Project.American journal of community psychology · 2016Trial
- Building Local Infrastructure for Community Adoption of Science-Based Prevention: The Role of Coalition Functioning.Prevention science : the official journal of the Society for Prevention Research · 2015Trial
- Relating coalition capacity to the adoption of science-based prevention in communities: evidence from a randomized trial of Communities That Care.American journal of community psychology · 2015Trial
- Study protocol for a quasi-experimental evaluation of the whole school approach FREI DAY.Archives of public health = Archives belges de sante publique · 2026Article
- Early Effects of Communities That Care on System Transformation: a Non-randomized Community Trial in Germany.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- Productivity Losses From Substance Use Disorder in the U.S. in 2023.American journal of preventive medicine · 2026Article
- Community Coalition Functioning, Collaborative Structure, and Coalition Models: Enhancing Support for Evidence-Based Practice Implementation.Prevention science : the official journal of the Society for Prevention Research · 2025Article
- Increasing support for the prevention of adverse childhood experiences and substance use: Implementation of narrative change strategies in local health departments.American journal of community psychology · 2024Article
- The Impact of the Communities that Care Approach in Reducing Violence and Crime Within an Urban, High-Burden Community.Prevention science : the official journal of the Society for Prevention Research · 2024Article
- Contextual effects of community capacity as a predictor for adolescent alcohol, tobacco, and illicit drug use: A multi-level analysis.SSM - population health · 2023Article
- Understanding community- and system-capacity change over time: A close look at changing social capital in Evidence2Success communities.Journal of community psychology · 2023Article
- Community capacity for prevention and health promotion: a scoping review on underlying domains and assessment methods.Systematic reviews · 2023Article
- [Evidence-based prevention for child and adolescent mental health: the "Communities That Care" (CTC) approach for Germany].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023Review
- Initial conditions and functioning over time among community coalitions.Evaluation and program planning · 2022Article
- Study protocol: a non-randomised community trial to evaluate the effectiveness of the communities that care prevention system in Germany.BMC public health · 2021Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
This study examined whether the significant intervention effects of the Communities That Care (CTC) prevention system on youth problem behaviors observed in a panel of eighth-grade students (Hawkins et al. Archives of Pediatrics and Adolescent Medicine 163:789-798 2009) were mediated by community-level prevention system constructs posited in the CTC theory of change. Potential prevention system constructs included the community's degree of (a) adoption of a science-based approach to prevention, (b) collaboration on prevention activities, (c) support for prevention, and (d) norms against adolescent drug use as reported by key community leaders in 24 communities. Higher levels of community adoption of a science-based approach to prevention and support for prevention in 2004 predicted significantly lower levels of youth problem behaviors in 2007, and higher levels of community norms against adolescent drug use predicted lower levels of youth drug use in 2007. Effects of the CTC intervention on youth problem behaviors by the end of eighth grade were mediated fully by community adoption of a science-based approach to prevention. No other significant mediated effects were found. Results support CTC's theory of change that encourages communities to adopt a science-based approach to prevention as a primary mechanism for improving youth outcomes.
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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.