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Articles 91 - 120 of 144

Full-Text Articles in Clinical Psychology

Family Oriented Values, Emerging Adulthood, And Tobacco Use Among Hispanic Emerging Adults, Melek Yildiz Spinel Jan 2018

Family Oriented Values, Emerging Adulthood, And Tobacco Use Among Hispanic Emerging Adults, Melek Yildiz Spinel

Theses and Dissertations

Theory and research on emerging adulthood (ages 18 to 25) have increased in the past two decades. However, few studies have assessed how different cultural values and experiences influence the experiences of ethnic minority emerging adults. The first objective of the current study was to expand the field of emerging adulthood research by exploring how familism, the belief that family is central to a person’s life, related to their experience of emerging adulthood. Specifically, the study assessed how familism related to Arnett’s proposed experiences of emerging adulthood (identity exploration, self focused, other-focused, feeling in between, the age of instability/negativity, and …


Cognitive Remediation Of Working Memory Deficits In Children With Chronic Health Conditions: Tailoring Cogmed Training To Address Barriers To Adherence, Kelsey Smith Jan 2018

Cognitive Remediation Of Working Memory Deficits In Children With Chronic Health Conditions: Tailoring Cogmed Training To Address Barriers To Adherence, Kelsey Smith

Theses and Dissertations

Objective: Children with sickle cell disease (SCD) and cancer are at risk for working memory impairment due to the disease and treatment. However, inconsistency in adherence to cognitive training programs conducted with this population suggests that adaptations are necessary in order to improve the effectiveness of this intervention. In addition, it is unclear whether gains in working memory translate to improvement in classroom functioning.

Methods: Children engaged in cognitive training exclusively over the summer in order to improve adherence to Cogmed Working Memory Training. A total of 17 children ages 7- 17 with a diagnosis of SCD (n = 14) …


Contexts Of Recovery: Community Resilience Capacity As A Predictor Of Trauma Symptoms, Douglas J. Archie Iii Jan 2018

Contexts Of Recovery: Community Resilience Capacity As A Predictor Of Trauma Symptoms, Douglas J. Archie Iii

Theses and Dissertations

In October 2015, the state of South Carolina was devastated by effects related to hurricane Joaquin. The event set new state records for rainfall totals. Contemporary research highlights the need to increase community resilience so that populations can better adapt to the unique stressors presented by natural disasters. Using the framework provided by Norris et al. (2008) we measure four “capacities” of community resilience: Economic Development, Social Capital, Information and Communication, and Social Trust to determine their relationship to the development of PTSD symptoms and feelings of hope. Results revealed that overall perceived community resilience was a significant predictor of …


Sustaining Evidence-Based Substance Use Prevention Interventions: A Five-And-A-Half Year Follow-Up Study, Tara Kenworthy Jan 2018

Sustaining Evidence-Based Substance Use Prevention Interventions: A Five-And-A-Half Year Follow-Up Study, Tara Kenworthy

Theses and Dissertations

In the United States, extensive monetary resources are dedicated annually to support drug use prevention programs, but the sustainability of these interventions over time is often a neglected area of research. This study examines the moderating effect of capacity factors on the relationship between motivation factors and years interventions were sustained. We retained a sample of 29 evidence-based substance use prevention interventions implemented in 14 community coalitions as part of the Strategic Prevention Framework State Incentive Grant (SPF SIG) in Tennessee. Primary data were collected through interviews about each intervention conducted five-and-a-half years after SPF SIG funding ended. These interviews …


Predicting Post-Treatment Recurrence Of Child Maltreatment Among Substance-Abusing Parents, Emily Noel Neger Jan 2018

Predicting Post-Treatment Recurrence Of Child Maltreatment Among Substance-Abusing Parents, Emily Noel Neger

Theses and Dissertations

Approximately one quarter of parents identified by Child Protective Services (CPS) as having committed child maltreatment will be reidentified within a year. Children who are multiply victimized are at the greatest risk for detrimental outcomes across development. This study looked to determine whether four predictors of interest could help differentiate parents who recommitted maltreatment within an 18-month follow-up period from those who did not. Predictors assessed were the severity of a parents’ substance use, parents’ level of social conflict, parents’ belief in the use of harsh parenting practices and parents’ overall quality of life. Covariates of interest included a parent’s …


Temperament, Adhd Symptoms, And Impairment In Middle Childhood, Lauren Elizabeth Dattilo Jan 2018

Temperament, Adhd Symptoms, And Impairment In Middle Childhood, Lauren Elizabeth Dattilo

Theses and Dissertations

Attention deficit/hyperactivity disorder (ADHD), a disorder first diagnosed in childhood that often persists into adulthood, is characterized by difficulty sustaining attention and controlling hyperactive and impulsive behaviors (Barkley & Murphy, 2006). ADHD is associated with impairment in numerous domains in both childhood (Hinshaw, 1992) and adulthood (Flory, Milich, Lynam, Leukefeld, & Clayton, 2003). Research suggests that temperament is associated with both ADHD and impairment (Martel, Gremillion, Roberts, Zastrow, & Tackett, 2014; Nigg, 2006), and the relation between ADHD and impairment is well established (Johnston & Mash, 2001). However, there has been very little research examining the relations among ADHD, temperament, …


Male Gender Equality Ideology, Empathy, And Prosocial Bystanding Behaviors And Intentions: A Path To Intimate Partner Violence Prevention On College Campuses, Virginia Diane Woodbrown Jan 2018

Male Gender Equality Ideology, Empathy, And Prosocial Bystanding Behaviors And Intentions: A Path To Intimate Partner Violence Prevention On College Campuses, Virginia Diane Woodbrown

Theses and Dissertations

Objective: The importance of involving young college males as prosocial bystanders who will step in to stop sexual violence on college campuses is acknowledged as an important next step in reducing violence against women. However, research revealing which factors influence males to become engaged in this way is nascent. Prior research designed to uncover which factors lead people to step in as prosocial bystanders has primarily focused on situational factors rather than personal characteristics, and has not explored males in the context of intimate partner violence (IPV) more specifically. Method: Survey data from 1,455 male participants, ages 18 through 25, …


A Mixed Method Feasibility Assessment Of A Youth Participatory Action Research Program To Promote Physical Activity: Evaluating Implementation Within Two Pre-Existing Aftercare Programs Serving Middle School Youth, Michelle Abraczinskas Jan 2018

A Mixed Method Feasibility Assessment Of A Youth Participatory Action Research Program To Promote Physical Activity: Evaluating Implementation Within Two Pre-Existing Aftercare Programs Serving Middle School Youth, Michelle Abraczinskas

Theses and Dissertations

Obesity interventions to date have had small effects, which may be due to youth disengagement. In youth participatory action research (YPAR), youth become involved in research to make changes that impact their lives. Thus, integrating YPAR into a physical activity intervention, like we do in the current study, is a novel strategy to engage youth and increase empowerment for health behavior change. YPAR is typically implemented with high school youth, standalone, and within elective classrooms or focused after school programs; yet, YPAR can benefit all youth, so we expanded its reach into pre-existing aftercare programs. Participating youth were predominantly minority, …


Adhd Symptoms And Adult Romantic Relationships: The Role Of Partner Attachment Style, Emotion Recognition, And Personality, Katherine Knies Jan 2018

Adhd Symptoms And Adult Romantic Relationships: The Role Of Partner Attachment Style, Emotion Recognition, And Personality, Katherine Knies

Theses and Dissertations

The purpose of this project was to examine the impact of ADHD within the context of adult romantic relationships more thoroughly than has previously been examined. Whereas symptoms of ADHD do seem to contribute to the quality of a relationship (Canu, 2014; Orlov, 2010; Pera, 2008), no prior research has examined the interaction between individual characteristics and partner ADHD symptoms in predicting relationship quality. The present study addressed this gap in the literature by examining the characteristics of both partners, specifically, how certain characteristics of one partner interact with the other partner’s ADHD symptoms in predicting relationship quality. Participants were …


Individual Difference Variables And Social Learning: An Investigation Into Expectancies, Philip Andrew Wiliamson May 2017

Individual Difference Variables And Social Learning: An Investigation Into Expectancies, Philip Andrew Wiliamson

USC Aiken Psychology Theses

Bandura (1969, 1985) proposed social learning theory (SLT) as a theoretical framework through which behaviors can be predicted. SLT offers an explanation to thoughts, feelings, and behaviors are learned. Alcohol outcome expectancies (AOEs) are defined as the physiological or psychological consequences that are anticipated following the consumption of alcohol (Goldman, Boca, & Darkes, 1999). Expectancies enhance or diminish a person’s willingness to engage in drinking behaviors. SLT and AOEs converge as children watch adults and the media either consume and glorify alcohol or conversely vilify alcohol and shun its consumption. This study investigated whether individual difference variables (i.e., suggestibility, prior …


Social Support, Parent Stress, And Child Aggression: A Longitudinal Model Of Family Ecology, Jill B. Lubansky Jan 2017

Social Support, Parent Stress, And Child Aggression: A Longitudinal Model Of Family Ecology, Jill B. Lubansky

Theses and Dissertations

In the last few decades, treatment of problem behaviors in children and adolescents has targeted the entire family rather than more traditional methods that targeted the individual child. This approach is rooted in family systems and other ecological research and theory. The social sciences have maintained a long history of inquiry into the relations among social support, stress, and psychopathology. However, few of these inquiries include child outcomes, such as behavior problems, as the psychopathological outcome. Even fewer studies have utilized longitudinal models that have the capacity to accurately reflect the developmental process of stress and psychopathology. In the current …


Smartphone Use And Mindfulness: Empirical Tests Of A Hypothesized Connection, Darren Todd Woodlief Jan 2017

Smartphone Use And Mindfulness: Empirical Tests Of A Hypothesized Connection, Darren Todd Woodlief

Theses and Dissertations

The current study is the first test of a newly developed conceptual model of the effect of smartphone use on mindfulness. Previous research has shown the capacity for mindfulness is strongly associated with increased psychological well-being (e.g. higher self-esteem and lower perceived stress, anxiety, and psychological distress). We argue that smartphones can be used in an automatic and mindless or experientially avoidant way, and that this use can lead to a decreased capacity for mindfulness, with adolescents being most vulnerable to this potential impact. Components of mindfulness, such as the capacity for sustained attention and the areas of the brain …


Acculturative Stress And Depression Among Latinos/As: Investigating The Role Of Neighborhood Context, Rebeca Castellanos Jan 2017

Acculturative Stress And Depression Among Latinos/As: Investigating The Role Of Neighborhood Context, Rebeca Castellanos

Theses and Dissertations

Latinos/as are the fastest growing demographic in the United States (U.S. Census Bureau, 2015). As they encounter U.S. society, Latino/as may experience acculturative stress (Berry, 1997). Empirical evidence suggests that Latinos/as in the U.S. report high rates of depression symptoms (Wassertheil-Smoller et al 2014). Acculturative stress has been strongly associated with depression (Driscoll & Torres, 2013) and research suggests that Latino/as may experience acculturative stress differently depending on their generational status (i.e., how recently they or their parents immigrated to the U.S). There is evidence to suggest that contextual factors such as neighborhood context may influence both acculturative stress processes …


Comparison Of Intimate Partner Violence And Sexual Assault Among Black And White College Women At Predominantly White Institutions (Pwis), Cynthia Nicole White Jan 2017

Comparison Of Intimate Partner Violence And Sexual Assault Among Black And White College Women At Predominantly White Institutions (Pwis), Cynthia Nicole White

Theses and Dissertations

Objective: The current study sought to compare Black and White college women’s experiences following sexual assault or physical intimate partner violence (IPV) while attending a predominately White institution (PWI). Prevalence rates, depression, academic effects, binge drinking, and help-seeking among victims was compared by race.

Method: Black (N= 435) and White (N= 4,313) college women from 3 large PWIs in the United States completed online surveys. The survey included questions about race, sexual assault, physical IPV, depression, academic outcomes of victimization, binge drinking, and help-seeking.

Results: Black women were more likely to experience physical IPV than White women, …


Examining Illness Invalidation And Illness Perception In Relation To Physical Functioning In The Context Of Cardiovascular Disease, Jaclyn Ciera Turner Dec 2016

Examining Illness Invalidation And Illness Perception In Relation To Physical Functioning In The Context Of Cardiovascular Disease, Jaclyn Ciera Turner

USC Aiken Psychology Theses

Invalidation is defined as the perception of cognitive, affective, and behavioral responses of others that are experienced as denying, lecturing, overprotecting, not supporting, and not acknowledging with the respect to the condition of the patient (Kool, 2012). Invalidation has also been suggested to negatively impact patients’ physical health (Kool, 2012). One specific type of invalidation is illness invalidation (II), defined as attitudes of distrust, suspicion, lack of support for, or acknowledgement that a patient is suffering from an illness (Blom et al., 2011). In addition to II, illness perception (IP) is another construct that has been linked to negative physical …


The Link Between Greek Involvement And Alcohol Consumption: A Utilization Of The Theory Of Planned Behavior To Examine Fundamental Influences, Alex Knoll Dec 2016

The Link Between Greek Involvement And Alcohol Consumption: A Utilization Of The Theory Of Planned Behavior To Examine Fundamental Influences, Alex Knoll

USC Aiken Psychology Theses

Elevated levels of alcohol consumption among college students associated with Greek life are a well-documented occurrence in the United States (Baer, 1994; Capone et al., 2007). Many studies have sought to understand the precise influence(s) responsible for facilitating such inflated amounts of alcohol consumption behaviors. This study utilized the theory of planned behavior in an attempt to ascertain the most salient influences that may be contributing to Greek and non-Greek collegiate alcohol consumption. Specifically, one’s attitudes, perception of acceptable norms, and their perceived level of control over their behaviors were examined in relation to alcohol consumption.

An undergraduate collegiate sample …


Fear Of Missing Out And Collegiate Alcohol Use: An Examination Of Relationship And Direction, Noah R. Wolkowicz Aug 2016

Fear Of Missing Out And Collegiate Alcohol Use: An Examination Of Relationship And Direction, Noah R. Wolkowicz

USC Aiken Psychology Theses

Collegiate alcohol abuse is an ongoing problem in the United States (Core Institute, 2014). While there have been numerous investigations into this concern, the precise nature of what motivates alcohol misuse in this population still contains areas of uncertainty. One such area could be the newly identified phenomenon known as Fear of Missing Out (FoMO). Research into FoMO demonstrates it as a motivator for individuals to seek socially rewarding experiences (Przybylski et al., 2013); this characteristic indicates it as a potential risk factor for collegiate alcohol abuse. When considering alcohol’s ubiquitous nature as a social facilitator in college campuses, these …


The Influence Of Adhd Symptoms And Social Impairment On Anxiety And Depression Symptoms In 8- To 10-Year-Old Children, Danielle Brooke Willis Jun 2016

The Influence Of Adhd Symptoms And Social Impairment On Anxiety And Depression Symptoms In 8- To 10-Year-Old Children, Danielle Brooke Willis

Theses and Dissertations

Previous research has shown that Attention-Deficit/Hyperactivity Disorder (ADHD) is associated with impaired social functioning in children and adolescents. ADHD and increased social impairment have proven to be separately correlated with increased anxiety and depression symptoms as well. However, little research has examined these specific associations and interactions among ADHD, social functioning, and internalizing symptoms. The current study aimed to examine the influence of ADHD symptoms and social functioning on anxiety and depression symptoms in 321 8- to 10- year-old children, and specifically, if social impairment moderated the relation between ADHD symptoms and anxiety and depression symptoms. Data on ADHD, social …


The Association Between Parenting Factors And Light And Moderate-To-Vigorous Physical Activity Levels In Overweight African American Adolescents, Lauren E. Huffman Jun 2016

The Association Between Parenting Factors And Light And Moderate-To-Vigorous Physical Activity Levels In Overweight African American Adolescents, Lauren E. Huffman

Theses and Dissertations

Overweight adolescents are less likely to meet physical activity (PA) recommendations as compared to healthy weight youth. Family environment and parenting practices may influence PA rates in adolescents, but few studies have examined this relationship in African American youth. The current study expands on past literature by examining associations between parenting factors and daily light PA (LPA), MVPA, and total PA. It was hypothesized that parenting factors would be positively associated with PA and that practices specific to PA (autonomy support for PA, emotional support, tangible support, and modeling) would be more strongly associated with PA outcomes compared to more …


An Analysis Of The Factors Influencing Bored And Emotional Eating: Should Bored Eating Exist As A Separate Construct?, Erin Elizabeth Stuck May 2016

An Analysis Of The Factors Influencing Bored And Emotional Eating: Should Bored Eating Exist As A Separate Construct?, Erin Elizabeth Stuck

USC Aiken Psychology Theses

Emotional eating pertains to eating in response to negative emotional experiences, and can occur for a variety of reasons. Individuals may emotionally eat as a means of submerging themselves into positive reinforcing states, as a way of coping, or as a distraction from their negative emotional experience (Cialdini, 1973; Kemp, Bui, & Grier, 2013; and Spoor et al., 2006). Historically, emotional eating has included boredom. Recent research has suggested that bored eating may be a separate construct from emotional eating (Koball et al., 2012). Thus, the present study investigated the variables associated with both emotional eating and bored eating with …


Adaptive Skill Trajectories In Infants With Fragile X Syndrome, Kelly Elizabeth Caravella Jan 2016

Adaptive Skill Trajectories In Infants With Fragile X Syndrome, Kelly Elizabeth Caravella

Theses and Dissertations

This study examined longitudinal trajectories of adaptive behavior in infants with fragile X syndrome (FXS), compared to typical development (TD) and infant siblings of children diagnosed with autism (ASIBs). Additional analysis were conducted to examine the differences in trajectories for males and females with FXS, and to identify if a profile of strengths and weaknesses appeared across domains by 24 months in males with FXS. Participants included 76 male infants assessed up to 4 times between 6 and 24 months of age. A sample of 12 females with FXS was also included for the comparative sex analysis. Infants with FXS …


Depression Among African American Midlife Women: Delineating The Role Of Stress, Heather Page Jan 2016

Depression Among African American Midlife Women: Delineating The Role Of Stress, Heather Page

Theses and Dissertations

Recent multi-ethnic epidemiologic studies indicate an increased risk for the onset of new as well as recurrent episodes of clinical depression among midlife women. However, little is known about the risk factors that influence the occurrence, severity, and course of depression in midlife among African American women (AAW). The purpose of the current study was to statistically model three prevailing conceptual views of stress and depression: 1) life course, 2) stress exposure, and 3) stress generation). The research investigated the abilities of these conceptual models to predict depressive symptoms severity, current depressed days, and major depression among midlife AAW. Data …


“More To Life Than Mental Health”: Investigating The Roles Of Community Mental Health Case Managers In Promoting Community Integration For Adults With Psychiatric Disabilities, Betsy A. Davis Jan 2016

“More To Life Than Mental Health”: Investigating The Roles Of Community Mental Health Case Managers In Promoting Community Integration For Adults With Psychiatric Disabilities, Betsy A. Davis

Theses and Dissertations

The recovery movement in the field of community mental health has brought attention to more holistic outcomes of services for adults with psychiatric disabilities, including community integration. However, there is a lack of empirical investigations of the roles that service providers, and case managers (CMs) in particular, can play in promoting such outcomes for their clients. The present study took an exploratory, hypothesis-building approach to describing the ways in which CMs supported the community integration of their clients with serious mental illness. A cross-sectional design was used with qualitative and quantitative data collected from 6 CMs and a sampling of …


Getting To Outcomes® In Clinical Practice An Empirical Exploration Of A Framework That Supports Quality For Graduate Student Therapy Training, Jennifer Castellow Jan 2016

Getting To Outcomes® In Clinical Practice An Empirical Exploration Of A Framework That Supports Quality For Graduate Student Therapy Training, Jennifer Castellow

Theses and Dissertations

Getting To Outcomes® in Clinical Practice is an innovation being developed and disseminated in a clinical training center for psychology doctoral students. The innovation is a step-wise framework posited to enhance clinical practice by supporting the planning, implementation, and evaluation of specific evidence-based practices in psychology. The current study introduces and defines the innovation and uses a multiple case study, mixed method analysis to evaluate current innovation use behaviors as well as attitudes about the innovation. The guiding research themes for this study include: (1) innovation use behaviors, (2) attitudes about the innovation, and (3) influential contextual factors that impact …


Exploring Teacher Readiness: What Features Of Professional Development Enhance Motivation To Implement Technology Innovations?, Robert S. Markle Jan 2016

Exploring Teacher Readiness: What Features Of Professional Development Enhance Motivation To Implement Technology Innovations?, Robert S. Markle

Theses and Dissertations

Several studies suggest that if evidence-based school innovations are to be successful, schools must possess adequate capacity to implement them with quality. This paper utilizes a framework of organizational readiness called R=MC2, positing that readiness to implement with quality consists of three components: general capacities, innovation-specific capacities, and motivation. Specifically, this paper investigates whether certain key characteristics of professional development (active learning, integration, time for practice, collaboration, tailoring, coaching, and provision of feedback) can impact teacher motivation to implement novel educational practices. The paper answers two major research questions: 1) Which characteristics of quality professional development (PD) are related to …


Exploring The Relationship Between Church Level Predictors Of Status And Obesity Risk In African American Women Of Faith, Kinjal Pandya Jan 2016

Exploring The Relationship Between Church Level Predictors Of Status And Obesity Risk In African American Women Of Faith, Kinjal Pandya

Theses and Dissertations

Although obesity is a nationwide epidemic, there are large racial, gender, socioeconomic, and geographical disparities in the rates of this condition. Specifically, African American women are more likely to be classified as obese as compared to all other gender and racial groups. Scholars have targeted African American churches to implement dietary and physical activity interventions in an attempt to combat the racial disparity in obesity rates. One of the main correlates studied in regards to obesity has been individual level markers of status such as socioeconomic status and subjective social status. Even though we focus on churches as a place …


Promoting Positive Academic Beliefs And Performance: Exploring The Impact Of An Academic Enrichment Program, Melanie Avery Jan 2016

Promoting Positive Academic Beliefs And Performance: Exploring The Impact Of An Academic Enrichment Program, Melanie Avery

Theses and Dissertations

First generation and low income college students experience unique achievementrelated barriers not typically experienced by their counterparts whose parents attended college and/or are of higher socioeconomic status (Hahs-Vaugn, 2004; Kahlenberg, 2004; Mortensen, 2003; Prospero & Vohra-Gupta, 2007). Academic enrichment programs that target first generation and low income college youth are one strategy that has helped to address these concerns. To extend literature in this area, the current study sought to identify factors that may be promotive of and/or barriers to first generation and low income youths’ achievement-related outcomes. Furthermore, this investigation sought to explore whether an academic enrichment program, namely …


Help-Seeking And Intimate Partner Violence Re-Victimization Of Sexual Minority And Heterosexual College Students, Andrew T. Schramm Jan 2016

Help-Seeking And Intimate Partner Violence Re-Victimization Of Sexual Minority And Heterosexual College Students, Andrew T. Schramm

Theses and Dissertations

Recent estimates indicate that 18.5% of heterosexual college students and 30.3% of sexual minority college students are victims of physical intimate partner violence (IPV; Edwards, Sylaska, Barry, et al., 2015). Research among adult women in oppositesex relationships has shown that once an individual is victimized by IPV she is subsequently at high risk for future IPV victimization. Re-victimization is associated with more severe physical and mental health consequences of IPV. No prior study has assessed the rate of re-victimization among sexual minority adults. Help-seeking behavior, which refers to accessing a range of sources of support (e.g., family and friends, law …


Preliminary Evaluation Of "Footprints": Motivational Interviewing To Promote Cognitive-Behavioral Skills, Academic Outcomes, And Academic Protective Factors In Middle School Students, John Terry Jan 2016

Preliminary Evaluation Of "Footprints": Motivational Interviewing To Promote Cognitive-Behavioral Skills, Academic Outcomes, And Academic Protective Factors In Middle School Students, John Terry

Theses and Dissertations

There are high levels of unmet need in youth mental health services. To address this gap there is an increasing emphasis on multi-tiered systems of support involving promotion/prevention (Tier 1), early intervention (Tier 2) and intervention (Tier 3) to promote positive emotional/behavioral functioning in students. While research on these multi-tiered frameworks is increasing, there remains a relative dearth of empirically supported and feasible early intervention Tier 2 programs. To help address this gap, we developed the Tier 2 program, Footprints, which utilizes two Motivational Interviewing sessions to promote engagement in six group-based modularized Cognitive-Behavioral Therapy sessions and aims to enhance …


Building Capacity Through The Use Of A Strategic Prevention Framework System In Communities, Duncan Meyers Dec 2015

Building Capacity Through The Use Of A Strategic Prevention Framework System In Communities, Duncan Meyers

Theses and Dissertations

The Strategic Prevention Framework (SPF) is a planning and implementation model that mobilizes communities to collaborate on developing and implementing an evidence-based prevention system. This model follows a structured five-step process with two cross-cutting elements (cultural competence and sustainability) that emphasizes building capacity of coalitions to strategically plan, implement, and sustain evidence-based prevention services to reduce adolescent substance use. This study utilized a repeated cross-sectional design. Participating youth were in grades 6, 8, 10, and 12 and lived in one of 27 counties in a Southeastern state that was funded through the Center for Substance Abuse Prevention’s SPF State Incentive …