Document text
Principal Investigator: Daniel Max Crowley
Organization: PENNSYLVANIA STATE UNIVERSITY, THE
Fiscal Year: 2024
Award: $683,168
Funding agency: National Institute on Drug Abuse
Project Summary
The proposed study will evaluate the economic impact of a major NIDA-funded prevention delivery and support
system for evidence-based preventive interventions (EBPIs) known as PROSPER (PROmoting
School/community-university Partnerships to Enhance Resilience). This research will build on the existing
randomized trial of PROSPER that delivered EBPIs to over 12,000 youth in rural communities 18 to 20 years
ago and cultivated sustained high-quality local prevention efforts. These community prevention teams selected
and implemented family-focused and school-based EBIs for middle school students in 6th and 7th grade. Initial
assessments followed students from pretest (6th grade) through 12th grade (five years post-intervention).
Prior funded research pointed to consistent findings for reduced substance misuse among intervention
participants. These earlier findings warrant further investigation of the economic implications. Consequently,
the proposed study will allow us to assess how long-term effects of the intervention will translate into economic
benefits through adulthood. Beyond estimating the full economic impact of the PROSPER system, we will also
assess how local program implementation and supportive systemic factors may influence the efficiency of
universal prevention efforts, providing needed information around how to build efficient substance abuse
prevention efforts.
The specific aims of this study are to: (1) Evaluate the economic impact of the PROSPER model for
preventing substance misuse; (2) Model how variation in local prevention infrastructure influences
economic impact; and (3) Assess how individual risk factors impact prevention efficiency. Prior work
demonstrated how the resources necessary for program delivery can be managed more efficiently within a
prevention delivery system that cultivates sustainable funding streams to support long-term dissemination. The
proposed research would follow this investigation by evaluating how these increased efficiencies can improve
the likelihood for positive economic benefit resulting from intervention effectiveness. Importantly, this inquiry
will examine the range of expected economic outcomes given variation in implementation factors for program
delivery, leveraging unique detailed data assessing this. Further, investigations of how economic impact may
vary due to participant characteristics will further inform policy makers of the range of outcomes that could be
expected. Thus, this research provides a unique opportunity to determine the long-term economic benefit from
an efficient prevention delivery system’s impact on reduced substance misuse and risky behavior among
adolescents.
Terms: <12-20 years old><12th grade><21+ years old><6th grade><7th grade><Adolescence><Adolescent><Adolescent Youth><Adult><Adult Human><Age><Budgets><COVID crisis><COVID epidemic><COVID pandemic><COVID-19 crisis><COVID-19 epidemic><COVID-19 era><COVID-19 global health crisis><COVID-19 global pandemic><COVID-19 health crisis><COVID-19 pandemic><COVID-19 period><COVID-19 public health crisis><COVID-19 years><Characteristics><Communities><Conduct Disorder><Cost-Benefit Analysis><Costs and Benefits><Country><Criminal Justice><Crystal Meth><Crystal methamphetamine><Data><Deoxyephedrine><Desoxyephedrine><Economics><Education><Educational aspects><Effectiveness of Interventions><Employment><Environment><Expenditure><Family><Funding><Future><Health><Healthcare><History><Human><Individual><Infrastructure><Investigation><Investments><Junior High School Student><Junior High Student><Link><Local Government><Long-Term Effects><Longterm Effects><Marijuana><Marketing><Measures><Medicaid><Methamphetamine><Methylamphetamine><Middle School Student><Modeling><Modern Man><N-Methylamphetamine><NIDA><National Institute of Drug Abuse><National Institute on Drug Abuse><Opiates><Opioid><Outcome><Participant><Personal Satisfaction><Policy Maker><Population><Preventative intervention><Prevention><Prevention program><Productivity><Public Assistance><Public Health><Randomization trial><Randomized, Controlled Trials><Recording of previous events><Records><Research><Research Resources><Resources><Risk><Risk Behaviors><Risk Factors><Risky Behavior><Rural Community><SARS-CoV-2 epidemic><SARS-CoV-2 global health crisis><SARS-CoV-2 global pandemic><SARS-CoV-2 pandemic><SARS-coronavirus-2 epidemic><SARS-coronavirus-2 pandemic><Schools><Services><Severe Acute Respiratory Syndrome CoV 2 epidemic><Severe Acute Respiratory Syndrome CoV 2 pandemic><Severe acute respiratory syndrome coronavirus 2 epidemic><Severe acute respiratory syndrome coronavirus 2 pandemic><Social Support System><Stream><Students><Subgroup><Support System><Survey Instrument><Surveys><System><Taxes><Testing><Tobacco><Translating><Variant><Variation><Work><Youth><Youth 10-21><adolescence (12-20)><adulthood><ages><alcohol misuse><at risk behavior><build resilience><build resiliency><cohort><community academic collaboration><community academic partnership><community academic research partnership><community intervention><community level intervention><community university partnership><community-based intervention><coronavirus disease 2019 crisis><coronavirus disease 2019 epidemic><coronavirus disease 2019 global health crisis><coronavirus disease 2019 global pandemic><coronavirus disease 2019 health crisis><coronavirus disease 2019 pandemic><coronavirus disease 2019 public health crisis><coronavirus disease crisis><coronavirus disease epidemic><coronavirus disease pandemic><coronavirus disease-19 global pandemic><coronavirus disease-19 pandemic><cost><cost benefit economics><cost benefit effectiveness><design><designing><develop resilience><develop resiliency><disorder of conduct><disorders of conduct><economic><economic analysis><economic assessment><economic evaluation><economic impact><economic implication><economic outcome><enhance resilience><enhance resiliency><ethanol misuse><evidence base><health care><health service use><health service utilization><high risk><high school senior><histories><implementation determinants><implementation factors><improve resilience><improve resiliency><improved><increase resilience><increase resiliency><intervention delivery><intervention effect><intervention for prevention><intervention participants><juvenile><juvenile human><marihuana><meth><opiate crisis><opioid crisis><opioid epidemic><post intervention><prevent substance abuse><prevent substance misuse><prevention intervention><prevention service><preventional intervention strategy><preventive intervention><programs><promote resilience><promote resiliency><randomized control trial><randomized trial><resilience development><rural America><rural area><rural location><rural region><service utilization><seventh grade><severe acute respiratory syndrome coronavirus 2 global health crisis><severe acute respiratory syndrome coronavirus 2 global pandemic><sixth grade><substance abuse control><substance abuse prevention><substance misuse><substance misuse prevention><success><twelfth grade><unhealthy alcohol use><universal interventions><universal prevention><universal preventive interventions><universal preventive measure><well-being><wellbeing>