Evidence map›Paper›PMID 28399955›Full record

ArticlePsychological medicine2017

PROSPER delivery of universal preventive interventions with young adolescents: long-term effects on emerging adult substance misuse and associated risk behaviors.

R Spoth, C Redmond, C Shin, M T Greenberg, M E Feinberg, L Trudeau

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Psychological medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 4 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  10. Annual Research Review: Beyond the target - understanding crossover effects in family-centered prevention.Journal of child psychology and psychiatry, and allied disciplines · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

R SpothPartnerships in Prevention Science Institute,Iowa State University,Ames,Iowa,USA.
C RedmondPartnerships in Prevention Science Institute,Iowa State University,Ames,Iowa,USA.
C ShinPartnerships in Prevention Science Institute,Iowa State University,Ames,Iowa,USA.
M T GreenbergPrevention Research Center,The Pennsylvania State University,University Park,Pennsylvania,USA.
M E FeinbergPrevention Research Center,The Pennsylvania State University,University Park,Pennsylvania,USA.
L TrudeauPartnerships in Prevention Science Institute,Iowa State University,Ames,Iowa,USA.

Funding

Partnership Model for Diffusion of Proven PreventionR01DA013709 · NIDA · IOWA STATE UNIVERSITY · PI SPOTH, RICHARD · 2002 to 2017
$35.0M
Rural Family and Community Drug Abuse Prevention ProjectR01AA014702 · NIAAA · IOWA STATE UNIVERSITY · PI SPOTH, RICHARD · 2003 to 2007
$3.0M
NIAAA NIH HHS R01 AA014702NIDA NIH HHS R01 DA013709
6 · The paper itself

Abstract

backgroundSubstance misuse and associated health-risking behaviors are prevalent in emerging adulthood. There is a knowledge gap concerning the post-high school effects of community-based delivery systems for universal preventive interventions implemented during young adolescence. This study reports effects of the PROSPER delivery system through age 19, 7.5 years past baseline.

methodsA cohort sequential design included 28 public school districts randomly assigned to the PROSPER partnership delivery system or usual-programming conditions. PROSPER community teams implemented a family-focused intervention in 6th grade and a school-based intervention in 7th grade. Outcomes for the age 19, post-high school report included lifetime, current, and frequency of substance misuse, as well as antisocial and health-risking sexual behaviors. Intent-to-treat, multi-level analyses of covariance of point-in-time outcomes were conducted, along with analyses of risk-related moderation of intervention effects.

resultsResults showed emerging adults from PROSPER communities reported significantly lower substance misuse across a range of types of substances, with relative reduction rates of up to 41.0%. No significant findings were observed for associated antisocial and health-risking sexual behavior indices; or for lifetime rates of sexually transmitted infections. Risk-related moderation effects were non-significant, suggesting generally comparable outcomes across higher- and lower-risk subgroups of emerging adults.

conclusionsThe PROSPER delivery system for brief universal preventive interventions has potential for public health impact by reducing long-term substance misuse, with positive results extending beyond high school.

Indexed as

Adolescent BehaviorOutcome and Process Assessment, Health CareRisk-TakingSexual BehaviorAdolescentAdultChildFamily TherapyFemaleHumansIowaJuvenile DelinquencyLongitudinal StudiesMalePennsylvaniaPsychotherapyCommunity-university partnership modeldelivery systememerging adult outcomesevidence-based interventionuniversal preventive intervention

Identifiers

PMID28399955
PMCPMC5963524

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Registered trials

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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.