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Implementation issues in drug abuse prevention research.

M A Pentz1, E Trebow

  • 1Department of Preventive Medicine, University of Southern California, Pasadena 91101.

NIDA Research Monograph
|January 1, 1991
PubMed
Summary
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Evaluating drug abuse prevention program implementation quality is complex. This review addresses definition, measurement, and influence parameters, proposing a model to estimate true program effects by integrating implementation levels with experimental findings.

Area of Science:

  • Public Health
  • Health Services Research
  • Program Evaluation

Background:

  • Assessing the quality of drug abuse prevention program implementation is crucial for understanding their true impact.
  • Methodological challenges exist in defining, measuring, and identifying factors influencing program implementation.
  • Existing research often overlooks the nuances of implementation quality, potentially biasing effect estimates.

Purpose of the Study:

  • To review methodological issues in evaluating the implementation quality of drug abuse prevention programs.
  • To propose a general model for understanding implementation as a multi-determined process.
  • To offer recommendations for accurately estimating program effects by considering implementation fidelity.

Main Methods:

  • Review of methodological issues including definition (adherence, exposure, reinvention), measurement (self-report, observation), and parameters of influence (person, situation, environment).

Related Experiment Videos

  • Analysis of implementation results from recent drug prevention and health promotion studies.
  • Development of a general model integrating person, situation, and environmental influences on implementation.

    • Main Results:

    • Implementation quality evaluation faces challenges in consistent definition and accurate measurement.
    • Program implementation is influenced by a complex interplay of individual, situational, and environmental factors.
    • A proposed model highlights the multiply determined nature of implementation processes.

    Conclusions:

    • Accurate estimation of drug abuse prevention program effects requires integrating experimental assignment with measured implementation quality.
    • Recommendations are provided for improving the assessment of 'true' program effects.
    • Acknowledging discrepancies between researcher and practitioner standards for implementation quality is essential for effective program delivery and evaluation.