Sustaining effective school-based prevention programs is critical to improving youth and population-based health. This article reports on results from the Aban Aya Sustainability Project, an effort to sustain a school-based prevention program that was tested via a randomized trial and targeted violence, drug use, and risky sex-related behaviors among a cohort of 5th-grade African American children followed through 10th grade. Sustainability project health educators trained parent educators to deliver the Aban Aya prevention curriculum in five schools, and project researchers studied the resultant curricular implementation and relations between the research and school-based teams. Study results showed uneven implementation across the five schools that we largely attributed to parent educator preparation and parent educator-health educator relations. These and related results are discussed to answer the study's primary research question: How viable was the sustainability project's parent-centered approach to sustaining a school-based prevention program?
Altman, D.G. (1995). Sustaining interventions in community systems: On the relationship between researchers and communities. Health Psychology, 14(6), 526-536.
2.
Atkinson, P., & Hammersley, M. (1998). Ethnography and participant observation. In N. K. Denzin &Y. S. Lincoln (Eds.), Strategies of qualitative inquiry (pp. 110-136). Thousand Oaks, CA: Sage.
3.
Basch, C.E. (1984). Research on disseminating and implementing health education programs in schools. Journal of School Health, 54, 57-66.
4.
Bracht, N., Finnegan, J.R., Rissel, C., Weisbrod, R., Gleason, J., Corbett, J., et al. (1994). Community ownership and program continuation following a health demonstration project. Health Education Research, 9(2), 243-255.
5.
Carey, J.W., Morgan, M., & Oxtoby, M.J. (1996). Intercoder agreement in analysis of responses to open-ended interview questions: Examples from tuberculosis research. Cultural Anthropology Methods, 8(3), 1-5.
Comer, J.P., & Haynes, N.M. (1991). Parent involvement in schools: An ecological approach . The Elementary School Journal, 91(3), 271-277.
8.
Dryfoos, J.G. (1990). Adolescents at risk: Prevalence and prevention . New York: Oxford University Press .
9.
Eccles, J.S., & Harold, R.D. (1993). Parent-school involvement during the early adolescent years. Teachers College Record, 94(3), 568-587.
10.
Edwards, R.W., Jumper-Thurman, P., Plested, B.A., Oetting, E.R., & Swanson, L. (2000). Community readiness: Research to practice. Journal of Community Psychology, 28(3), 291-307.
11.
Elias, M.J., Zins, J.E., Weissberg, R.P., & Graczyk, P.A. (2003). Implementation, sustainability, and scaling up of social-emotional and academic innovations in public schools. School Psychology Review, 32(3), 303-319.
12.
Eng, E., Parker, E., & Harlan, C. (1997). Lay health advisor intervention strategies: A continuum from natural helping to paraprofessional helping. Health Education & Behavior, 24(4), 413-417.
13.
Eng, E., & Young, R. (1992). Lay health advisors as community change agents . Journal of Family and Community Health, 15(1), 4-40.
14.
Fagen, M.C. (2003). Practice notes: Strategies in health education. The Aban Aya Sustainability Project. Health Education & Behavior, 30(6), 641-643.
15.
Fan, X., & Chen, M. (2001). Parental involvement and students' academic achievement: A meta-analysis. Educational Psychology Review, 13(1), 1-22.
16.
Flay, B.R. (1986). Efficacy and effectiveness trials (and other phases of research) in the development of health promotion programs. Preventive Medicine, 15, 451-474.
17.
Flay, B.R. (2002). Positive youth development requires comprehensive health promotion programs. American Journal of Health Behavior , 26(6), 407-424.
18.
Flay, B.R., & Collins, L.M. (2005). Historical review of school-based randomized trials for evaluating problem behavior prevention programs. The Annals of the American Academy of Political and Social Science, 599, 115-146.
19.
Flay, B.R., Graumlich, S., Segawa, E., Burns, J., Holliday, M., & Aban Aya co-investigators. ( 2004). Effects of two prevention programs on high-risk behaviors among African-American youth: A randomized trial. Archives of Pediatric and Adolescent Medicine, 158(2), 377-384.
20.
Flay, B.R., & Petraitis, J. (1994). The theory of triadic influence: A new theory of health behavior with implications for preventive interventions. Advances in Medical Sociology, 4, 19-44.
21.
Goodman, R.M., & Steckler, A. (1987-1988). The life and death of a health promotion program: An institutionalization case study. International Quarterly of Community Health Education, 8(1), 5-21.
22.
Goodman, R.M., & Steckler, A. (1989). A model for the institutionalization of health promotion programs. Family and Community Health, 11(4), 63-78.
23.
Goodson, P., Murphy Smith, M., Evans, A., Meyer, B., & Gottlieb, N.H. (2001). Maintaining prevention in practice: Survival of PPIP in primary care settings. American Journal of Preventive Medicine, 20(3), 184-189.
24.
Hansen, W.B., & Dusenbury, L. (2001). Building capacity for prevention's next generation . Prevention Science, 2(4), 207-208.
25.
Jackson, C., Fortmann, S.P., Flora, J.A., Melton, R.J., Snider, J.P., & Littlefield, D. (1994). The capacity-building approach to intervention maintenance implemented by the Stanford Five-City Project . Health Education Research, 9(3), 385-396.
26.
Jackson, E.J., & Parks, C.P. (1997). Recruitment and training issues from selected lay health advisor programs among African Americans: A 20-year perspective . Health Education & Behavior, 24(4), 418-431.
27.
Jenney, J., & Roberts, M.D. (2000). Commentary on observations of the past decade's efforts to bridge the gaps between health education and health promotion practice and research. Health Promotion Practice, 1(3), 239-242.
28.
Johnson, K., Hays, C., Center, H., & Daley, C. (2004). Building capacity and sustainable prevention innovations: A sustainability planning model. Evaluation and Program Planning , 27(2), 135-149.
29.
Kelle, U. (Ed.). (1995). Computer-aided qualitative data analysis. London: Sage.
30.
Lefebvre, R.C. (1990). Strategies to maintain and institutionalize successful programs: A marketing framework. In N. Bracht (Ed.), Health promotion at the community level (pp. 209-228). Newbury Park, CA: Sage.
31.
Lytle, L.A., Ward, J., Nader, P.R., Pedersen, S., & Williston, B. (2003). Maintenance of a health promotion program in elementary schools: Results from the CATCH-ON study key informant interviews. Health Education & Behavior, 30(4), 503-518.
32.
Ngwe, J.E., Liu, L.C., Flay, B.R., Segawa, E., & Aban Aya co-investigators. ( 2004). Violence prevention among African American adolescent males: Tests of mediating mechanisms. American Journal of Health Behavior, 28(Suppl. 1), S24-S37.
33.
Nutbeam, D., Aar, L., & Catford, J. (1989). Understanding children's health behavior: The implications for health promotion for young people. Social Science and Medicine, 29(3), 317-325.
34.
O'Loughlin, J., Renaud, L., Richard, L., Sanchez Gomez, L., & Paradis, G. (1998). Correlates of the sustainability of community-based heart health promotion interventions. Preventive Medicine , 27(5), 702-712.
35.
Oetting, E.R., Jumper-Thurman, P., Plested, B.A., & Edwards, R.W. (2001). Community readiness and health services. Substance Use & Misuse, 36(6-7), 825-843.
36.
Osganian, S.K., Parcel, G.S., & Stone, E.J. (2003). Institutionalization of a school health promotion program: Background and rationale of the CATCH-ON Study. Health Education & Behavior, 30(4), 410-417.
37.
Paine-Andrews, A., Fisher, J.L., Campuzano, M.K., Fawcett, S.B., & Berkley-Patton, J. (2000). Promoting sustainability of community health initiatives: An empirical case study. Health Promotion Practice, 1(3), 248-258.
38.
Pentz, M.A. (2000). Institutionalizing community-based prevention through policy change. Journal of Community Psychology, 28(3), 257-270.
39.
Pluye, P., Potvin, L., & Denis, J.-L. (2004). Making health programs last: Conceptualizing sustainability . Evaluation and Program Planning, 27(2), 121-133.
40.
Pluye, P., Potvin, L., Denis, J.-L., Pelletier, J., & Mannoni, C. (2005). Program sustainability begins with the first events . Evaluation and Program Planning, 28(2), 123-137.
41.
Rogers, E.M. (1995). Diffusion of innovations (4th ed.). New York: Free Press.
42.
Scheirer, M.A. (1990). The life cycle of an innovation: Adoption versus discontinuation of the fluoride mouth rinse program in schools. Journal of Health and Social Behavior, 31, 203-215.
43.
Scheirer, M.A. (2005). Is sustainability possible? A review and commentary on empirical studies of program sustainability. American Journal of Evaluation, 26(3), 320-347.
44.
Segawa, E., Ngwe, J.E., Li, Y., Flay, B.R., & Aban Aya co-investigators. ( 2005). Evaluation of the effects of the Aban Aya Youth Project in reducing violence among African American adolescent males using latent class growth mixture modeling techniques. Evaluation Review , 29(2), 128-148.
45.
Shediac-Rizkallah, M.C., & Bone, L.R. (1998). Planning for the sustainability of community-based health programs: Conceptual frameworks and future directions for research, practice and policy. Health Education Research, 13(1), 87-108.
Stake, R.E. (1995). The art of case study research. Thousand Oaks, CA: Sage.
48.
Steckler, A., & Goodman, R.M. (1989). How to institutionalize health promotion programs . American Journal of Health Promotion, 3(4), 34-43.
49.
Thompson, B., & Winner, C. (1999). Durability of community intervention programs: Definitions, empirical studies, and strategic planning. In N. Bracht (Ed.), Health promotion at the community level: New advances (2nd ed., pp. 137-154). Thousand Oaks, CA: Sage.
50.
Tricket, E., & Moos, R.H. (1973). The social environment of junior high and high school classrooms. Journal of Educational Psychology, 65, 93-102.
51.
Vaughn, S., Klingner, J., & Hughes, M. (2000). Sustainability of research-based practices. Exceptional Children, 66(2), 163-171.
52.
Yin, R.K. (1979). Changing urban bureaucracies: How new practices become routinized. Lexington, MA: Lexington Books.
53.
Yin, R.K. (1981). Life histories of innovations: How new practices become routinized. Public Administration Review, 41(1), 21-28.
54.
Yin, R.K. (2003). Case study research: Design and methods (3rd ed.). Thousand Oaks, CA: Sage.
