@article{ref1,
title="Qualitative process evaluation of rural schools: uptake of change processes and contextual factors influencing implementation within a primary prevention program for youth",
journal="Prevention science",
year="2020",
author="Yoder, Jamie and Williford, Anne and Ortega, Lilyana and Espelage, Dorothy L. and LoMurray, Scott and Ruiz, Daniel and Kennedy, Natalie",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Sexual violence (SV), homophobic name-calling, and bullying commonly occur in school settings. As such, comprehensive school-based violence prevention strategies are needed. Recent calls in prevention science argue that investigations of preventive interventions must move beyond simply testing if programs work; rather, they must also examine how interventions work. The purpose of this study was to explore the differential uptake of salient change mechanisms of a school-based primary prevention program, Sources of Strength (Sources) in rural schools, and examine contextual factors that may influence implementation outcomes in rural contexts. As a supplement to a randomized controlled trial of Sources in 20 high schools in Colorado, the present project utilized a rigorous qualitative design to conduct staff focus groups and student interviews within four schools (two intervention and two waitlist schools) that participated in the RCT. <br><br>RESULTS suggest variability in uptake of Sources key processes (expansion of networks to build connections, school-wide activities, and staff support) in intervention schools. While these were indicated as non-formalized processes in waitlist schools, there was also variability in these reports. Furthermore, results revealed specific contextual factors including cultural norms, degree of rurality, and school-level buy-in/investment that impacted implementation outcomes for intervention and waitlist schools (e.g., pre-implementation readiness). Implications are discussed around alignment of a school's policies, procedures, and values with the preventative intervention in effort to support strong implementation.<p /> <p>Language: en</p>",
language="en",
issn="1389-4986",
doi="10.1007/s11121-020-01163-x",
url="http://dx.doi.org/10.1007/s11121-020-01163-x"
}