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Using Data for Sustainable Community Interventions

Discover how data can guide and sustain community programs, assess key sustainability issues, and plan effective interventions using real examples. Get insights on maintaining program benefits, stakeholder support, and innovation integration.

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Using Data for Sustainable Community Interventions

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  1. Using Data to Guide and Sustain Community Interventions Joel W. Grube, Ph.D.Prevention Research CenterPacific Institute for Research and EvaluationOJJDP UDETC National Leadership ConferenceTucson, AZAugust 18-20, 2005 Preparation of this presentation was supported byNIAAA grants AA006282 and AA014958

  2. What is Sustainability? Sustainability addresses three issues: • Maintaining the benefits of a program • Continuing a program • Building the capacity to continue a program Broadly speaking sustainability refers to: “The process of ensuring an adaptive preventive system … can be integrated into ongoing operations to benefit diverse stakeholders.” (Johnson, Hayes, Center, & Daley, 2004, p. 137)

  3. Key Issues in Sustainability • Sustainability is an ongoing dynamic process • Sustainability is an adaptive process • Sustainable innovation is integrated into normal operations and requires adequate infrastructure capacity • Sustainable innovation should have proven benefit to diverse stakeholders • Sustainability requires commitment and support: Champions Decision-makers Stakeholders Workers Source: Johnson, Hayes, Center, & Daley, 2004

  4. Model of Sustainability Assess Plan Implement Evaluate Reassess/Modify Capacity Building Innovation Integration into System Sustainable Innovation Continuation Stakeholder Benefits Data Source: Johnson, Hayes, Center, & Daley, 2004

  5. Some Examples Using Data:Oregon Youth Alcohol Access ProjectCommunity Trials Project to Reduce Alcohol TraumaDiadema Project

  6. Assess:Is there a problem?What is the problem?

  7. 30-Day DrinkingOregon 11th Graders Half of Oregon 11th graders report drinking in the past 30 days…. Source: Oregon Healthy Teens Survey 2005http://oregon.gov/DHS/ph/chs/youthsurvey/yrbsdata.shtml

  8. 30-Day 5+ DrinksOregon 11th Graders Of those Oregon 11th graders who report drinking in the past 30 days, 60% report having 5+ drinks…. Source: Oregon Healthy Teens Survey 2005http://oregon.gov/DHS/ph/chs/youthsurvey/yrbsdata.shtml

  9. 30-Day Drug Use Among Oregon 11th Graders Alcohol is by far the most commonly used and abused drug among Oregon 11th graders…. Source: Oregon Healthy Teens Survey 2005http://oregon.gov/DHS/ph/chs/youthsurvey/yrbsdata.shtml

  10. Work Lost andOther Costs Medical Costs Pain & Suffering Annual Costs of Underage Drinking in Oregon 2001(Millions of Dollars) Total Costs: $697 million annually $387 per capita per year Source: Enforcing Underage Drinking Laws Website: http://www.udetc.org/UnderageDrinkingCosts.asp

  11. Annual Costs of Underage Drinking in Oregon (2001) Source: Enforcing Underage Drinking Laws Website: http://www.udetc.org/UnderageDrinkingCosts.asp

  12. Planning:Where do we intervene?How?

  13. Ease of Obtaining Alcoholby Oregon 11th Graders …Over 81% of Oregon 11th graders say it would be very easy or sort of easy to get alcohol if they wanted… Source: Oregon Healthy Teens Survey 2005http://oregon.gov/DHS/ph/chs/youthsurvey/yrbsdata.shtml

  14. Sources of Alcohol Past 30 Days by Oregon 11th Graders Commercial Social Oregon teens use multiple sources to obtain alcohol… Source: Dent, Grube, & Biglan, 2005

  15. Indicated Points of Intervention • Commercial AvailabilityReward and ReminderCompliance Checks • Social AvailabilityShoulder TapsParty DispersalMIP • Targeted Media

  16. Monitor Implementation What is being done? What dosage?

  17. Underage Access ActivitiesCommunity Trials Project Pre-intervention Intervention Period Source: Grube, 1997

  18. Evaluate/Assess What effects? What benefits?

  19. Effects of Reward and Reminder on Tobacco Sales Baseline Post Intervention Biglan, Ary, Smolkowski, Duncan, & Black, 2000

  20. Effects of Reward and Reminderon Weekly Alcohol Use Biglan, Ary, Smolkowski, Duncan, & Black, 2000

  21. Homicides per 1,000 Residents:Diadema, Brazil After Restriction Before Sales Hours Restriction There were an average of 301.3 homicides per year before the sales restrictions and 169.6 per year afterward Duailibi, Laranjeira, Ponicki, Grube, & Lacey, 2005

  22. Estimated Effects of ReducingHours of Sales Duailibi, Laranjeira, Ponicki, Grube, & Lacey, 2005

  23. Reassess/Modify What is not working? What should be changed? Where are more resources needed?

  24. Effects of Compliance Checks and RBS on Underage Sales Source: Grube, 1997

  25. Conclusion Data can guide and sustain programs: • Define the problem and the solution • Plan and target interventions • Monitor implementation • Evaluate outcomes • Reassess and modify interventions • Marshall support for increased allocation of resources and infrastructure capacity

  26. Key reference: Johnson, K., Hays, C., Center, H., & Daley, C. (2004). Building capacity and sustainable prevention innovations: A sustainability planning model. Evaluation and Program Planning, 27, 135-149.

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