Trial reportPrevention science : the official journal of the Society for Prevention Research2021
Long-term Impacts and Benefit-Cost Analysis of the Communities That Care Prevention System at Age 23, 12 Years After Baseline.
Trial report in Prevention science : the official journal of the Society for Prevention Research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 43 citations in OpenAlex.
- Effect of the Communities That Care Prevention System on Adolescent Handgun Carrying: A Cluster-Randomized Clinical Trial.JAMA network open · 2023Trial
- Applying the PROSPER prevention delivery system with middle schools: Emerging adulthood effects on substance misuse and conduct problem behaviors through 14 years past baseline.Child development · 2022Trial
- Annual Research Review: Beyond the target - understanding crossover effects in family-centered prevention.Journal of child psychology and psychiatry, and allied disciplines · 2026Review
- Prevention Science, Community Empowerment and Social Justice in Achieving Stronger, Healthier Communities.Journal of prevention (2022) · 2026Article
- The Intensity of Adolescent Substance Use Before and After the COVID-19 Pandemic.American journal of preventive medicine · 2026Article
- Factorial Structure Analysis of the Communities that Care Youth Survey (CTC-YS) in Colombian Adolescents.Journal of prevention (2022) · 2025Article
- Co-design of the 'OurFutures Vaping' programme: a school-based eHealth intervention to prevent e-cigarette use.Health promotion international · 2025Article
- Global Burden of substance use disorders among adolescents during 1990-2021 and a forecast for 2022-2030: an analysis for the Global Burden of Disease 2021.BMC public health · 2025Article
- A community-engaged model for promoting youth behavioral health equity: voices from Washington State's Community Prevention and Wellness Initiative.Frontiers in public health · 2025Article
- A mixed-methods study among adolescents and teachers in Bogotá, Colombia: adapting the OurFutures Alcohol Program.Health promotion international · 2024Article
- Vulnerable Populations and Substance Use Prevention Service Delivery for the Mental Health Professional.Focus (American Psychiatric Publishing) · 2024Review
- Substance Use Disorders: Population Prevention.Focus (American Psychiatric Publishing) · 2024Article
- Integrated Prevention Infrastructure: A Framework for Addressing Social Determinants of Health in Substance Use Policy Making.Focus (American Psychiatric Publishing) · 2024Article
- Family-Focused Universal Substance Use Prevention in Primary Care: Advancing a Pragmatic National Healthcare Agenda.Prevention science : the official journal of the Society for Prevention Research · 2024Article
- The Impact of Place-Based Approaches Addressing Mental Health and Substance Use Among Adolescents: A Systematic Review of the Literature.Public health reviews · 2024Review
- [Evidence-based prevention for child and adolescent mental health: the "Communities That Care" (CTC) approach for Germany].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023Review
- Study protocol of the Our Futures Vaping Trial: a cluster randomised controlled trial of a school-based eHealth intervention to prevent e-cigarette use among adolescents.BMC public health · 2023Article
- Long-term Effects of Adolescent Substance Use Prevention on Participants, Partners, and their Children: Resiliency and Outcomes 15 Years Later During the COVID-19 Pandemic.Prevention science : the official journal of the Society for Prevention Research · 2022Article
- Addressing Barriers to Primary Care Screening and Referral to Prevention for Youth Risky Health Behaviors: Evidence Regarding Potential Cost-Savings and Provider Concerns.Prevention science : the official journal of the Society for Prevention Research · 2022Article
- Simultaneous use of marijuana and alcohol: Potential prevention targets among young adults who use alcohol.Addictive behaviors · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
This study estimated sustained impacts and long-term benefits and costs of the Communities That Care (CTC) prevention system, implemented and evaluated in a longitudinal cluster-randomized trial involving 24 communities in seven states. Analyses utilized reports from a longitudinal panel of 4407 participants, followed since the study's baseline in grade 5, with most recent follow-up 12 years later at age 23. Impacts on lifetime abstinence from primary outcomes of substance use and antisocial behavior were estimated using generalized linear mixed Poisson regression analysis, adjusted for individual and community-level covariates. Possible cascading effects on 4-year college completion, major depressive disorder, and generalized anxiety disorder through age 23 were evaluated as secondary outcomes. CTC had a statistically significant global effect on primary outcomes and also on combined primary and secondary outcomes. Among primary outcomes, point estimates suggested absolute improvements in lifetime abstinence of 3.5 to 6.1% in the intervention arm and relative improvements of 13 to 55%; 95% confidence intervals revealed some uncertainty in estimates. Among secondary outcomes, 4-year college completion was 1.9% greater among young adults from intervention communities, a 20% relative improvement. Mental health outcomes were approximately the same across trial arms. Although CTC had small sustained effects through age 23, benefit-cost analyses indicated CTC was reliably cost beneficial, with a net present value of $7152 (95% credible interval: $1253 to $15,268) per participant from primary impacts and $17,919 ($306 to $39,186) when secondary impacts were also included. It remained cost beneficial even when impacts were adjusted downward due to the involvement of CTC's developer in the trial. Findings suggest that broader dissemination of CTC could improve public health and individual lives in the long term and generate positive net benefits to society.
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What OpenQuestion holds
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.