Evidence-Based Prevention Strategies Flashcards

Which evaluation design is most appropriate when random assignment is not feasible in a community prevention setting?

Answer: Quasi-experimental design with comparison group

Quasi-experimental designs using matched comparison groups provide stronger causal evidence than pre-post only designs when full randomization is ethically or practically impossible.

The Strengthening Families Program (SFP) is considered evidence-based for which primary reason?

Answer: Multiple independent RCTs have demonstrated reductions in substance use and delinquency

SFP's evidence base rests on multiple independent randomized trials showing significant, lasting reductions in risk behaviors across diverse populations.

What is the primary purpose of conducting a 'needs assessment' before selecting an evidence-based program?

Answer: To identify community-specific risk factors, assets, and readiness to guide program selection

A needs assessment provides data-driven insight into which problems and populations require intervention, ensuring the selected program addresses actual local priorities.

Which of the following describes the 'community readiness' model in prevention?

Answer: A framework assessing a community's awareness and motivation to address a specific issue

The Community Readiness Model assesses nine stages of a community's readiness—from no awareness to professionalization—to tailor appropriate intervention strategies.

Which practice is an example of an environmental prevention strategy targeting substance use?

Answer: Enforcing alcohol outlet density restrictions in a neighborhood

Alcohol outlet density restrictions change the physical environment to reduce alcohol availability, exemplifying an environmental-level prevention approach.

A prevention specialist reviews a program listed in a registry as 'promising' rather than 'effective.' This distinction most likely means the program:

Answer: Shows positive results but has fewer or less rigorous studies supporting it

'Promising' programs show positive preliminary outcomes but lack the volume or rigor of studies (e.g., multiple RCTs) required to achieve 'effective' or 'well-supported' status.

What is 'participatory action research' and why is it valued in community prevention?

Answer: A collaborative approach where community members co-design and conduct research to ensure relevance and ownership

Participatory action research engages community members as active partners in the research process, increasing cultural relevance, trust, and the likelihood that findings will be used locally.