The contributors to this volume demonstrate that it is now
possible to undertake community prevention trials of
alcohol-involved problems with the same precision, good design, and
careful planning that has characterized similar prevention trials
for heart disease and cancer prevention. This is the first book to
establish a scientific basis for the integration of research into
program design and in program evaluation, making it possible to
determine if community programs are effective or worth the money
spent for them.
In part I, the contributors address issues of outcome measures,
selection of relevant community interventions, utilization of
appropriate research designs and analyses, and adjustment to social
and political realities. Part II reviews definitions, perspectives,
and issues that provide a conceptual base for the rest of the book.
Also considered are the selection and measurement of alcohol
problems that may be candidate outcome variables for a community
intervention study. Part III summarizes the perspectives and prior
experiences of community-based approaches in other health areas
(including heart disease, cancer, and adolescent health) that may
be applicable to the prevention of alcohol-related problems.
Experiences and implications of alcohol-prevention projects in
Ontario, Texas, and Rhode Island are discussed in part IV. Part V
evaluates different experimental designs, methodologies, and
relative risk regression models of community-based intervention
programs in alcohol prevention. The two chapters in part VI discuss
the dynamic social and political realities facing community
prevention trials for alcohol problems and guidelines for
undertaking such trials. This book will be useful for state and
local prevention program planners and evaluators, researchers in
alcohol and substance abuse, teachers of applied research methods
or social program development and planning, and government policy
makers.
General
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