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Icelandic Prevention Model in Rural Appalachian Communities: Gauging Stakeholder Experience with the Core Processes

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The Integrated Community Engagement (ICE) Collaborative in rural West Virginia shows promise in adolescent substance use prevention. Stakeholders value its long-term approach and community focus, though funding remains a challenge.

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Area of Science:

  • Community Health
  • Substance Use Prevention
  • Rural Health

Background:

  • Assesses stakeholder experiences with the Integrated Community Engagement (ICE) Collaborative after three years of implementation in rural West Virginia.
  • Focuses on primary prevention of adolescent substance use using a community-based approach.

Purpose of the Study:

  • Evaluate the core processes of the ICE Collaborative, guided by the Icelandic Prevention Model (IPM).
  • Promote a paradigm shift towards long-term, sustainable, and community-led substance use prevention strategies.
  • Enhance cooperation among researchers, policymakers, practitioners, and community members.

Main Methods:

  • Conducted qualitative interviews and focus groups with 33 stakeholders in Fall 2022.
  • Employed thematic analysis to identify key experiences and perceptions of the ICE Collaborative.

Main Results:

  • Identified six major themes: community involvement, improved understanding of prevention, enhanced student engagement, challenges with chronic underfunding, acknowledgment of family context, and ICE/IPM fostering solution-based approaches.
  • Stakeholders reported positive aspects of ICE, including its long-term focus and access to local data.

Conclusions:

  • Stakeholders perceive the ICE Collaborative positively, appreciating its sustainable, community-driven model for adolescent substance use prevention.
  • Suggestions for strategy improvement were noted, indicating ongoing refinement of the IPM-guided approach.
  • Findings align with IPM principles and contribute to the discourse on rural community health promotion.