Ruth W. Edwards

Community readiness: Research to practice

Communities are at many different stages of readiness for implementing programs, and this readiness is to be a major factor in determining whether a local program can be effectively implemented and supported by the community. The Community Readiness Model was developed to meet research needs, (e.g., matching treatment and control communities for an experimental intervention) as well as to provide a practical tool to help communities mobile for change. The model defines nine stages of community readiness ranging from “no awareness” of the problem to “professionalization” in the response to the problem within the community. Assessment of the stage of readiness is accomplished using key informant interviews, with questions on six different dimensions related to a communitys readiness to mobilize to address a specific issue. Based on experiences in working directly with communities, strategies for successful effort implementation have been developed for each stage of readiness. Once a community has achieved a stage of readiness where local efforts can be initiated, community teams can be trained in use of the community readiness model. These teams can then develop specific, culturally appropriate efforts that use local resources to guide the community to more advanced levels of readiness, eventually leading to long-term sustainability of local community efforts. This article presents the history of the development of the model, the stages of readiness, dimensions used to assess readiness, how readiness is assessed and strategies for change at each level of readiness.

Links from emotional distress to adolescent drug use: a path model.

Administered anonymous surveys asking about drug use, emotional distress, and peer drug associations to 11th and 12th grade high school students (N = 563). Emotional distress variables accounted for only 4.8% of the variance in drug use. The addition of peer drug associations as a predictor variable increased the variance accounted for to 43.4%. A path model of adolescent drug use based on peer cluster theory was tested using LISREL, and this provided a good fit with the data. As predicted, peer drug associations dominated the prediction of drug use and mediated the effect of emotional distress on drug use, with the exception of a small residual path directly from anger to drug use. The hypothesis that young people take drugs to alleviate emotional distress does not hold up well; emotional distress variables, with the exception of anger, produced only very small and indirect links to drug use.

The measurement of mathematics anxiety: The mathematics anxiety rating scale for adolescents—MARS‐A

Describes the Mathematics Anxiety Rating Scale for Adolescents (MARS-A). Normative data on over 1,200 junior high and senior high students are reported. In addition, psychometric data that relate to reliability and construct validity for the MARS-A scale are discussed. Two factors were identified in the scale, a factor of numerical anxiety that appeared in 91% of the items and a factor of mathematics test anxiety that appeared in the remaining items. Results that show the association between high mathematics anxiety scale scores and low grade average in mathematics courses are reported on two samples of students.

Suinn Mathematics Anxiety Rating Scale for Elementary School Students (MARS-E): Psychometric and Normative Data

The Suinn Mathematics Anxiety Rating Scale, Elementary Form (MARS-E) is described along with validity and reliability information. The scale is composed of 26 items which assess the degree to which students experience anxiety in specific life situations. Psychometric data were obtained on 1,119 fourth, fifth, and sixth graders from six schools. Results indicated that the MARS-E scores are significantly correlated with achievement scores from the Stanford Achievement Test on mathematics skills. Factor analysis identified two factors, named mathematics test anxiety, and mathematics performance evaluation anxiety.

COMMUNITY READINESS AND PREVENTION PROGRAMS

Community norms and values are important factors affecting the support of community-based development efforts. This is particularly the case when the programs are prevention efforts, including drug education programs. The purpose of this article is to describe a way to measure the readiness of a community to support drug prevention education. The readiness scale was based on the classic community development models of the social action process (Beal, 1964) and the innovation decision-making process (Rogers, 1994). Development of the scale was based on construction of 45 anchor rating statements for five dimensions of a prevention program and nine stages of community readiness. The community readiness scale was designed for use by community development practitioners working in the field of prevention, through key informants interviews with selected community leaders. Results from 45 communities indicated a bi-modal distribution of readiness levels. Implications of the results and experiences in developing ...

Alcohol and Indian Youth: Social and Psychological Correlates and Prevention

This paper relates psychosocial correlates to prevention. Young native American heavy alcohol users (ages 12 to 16) were matched with non-users. Alcohol users did not have more emotional problems, did not experience less alienation, or did not feel less self-confident or less socially accepted than non-users, but did use other drugs and were more deviant. Alcohol users came more often from broken families, felt less family caring and had fewer family sanctions against substance use, had poorer school adjustment, had less hope for the future, and had friends encouraging alcohol and drug use. Prevention programs should start very early and should focus on increasing family strength, improving school adjustment, providing opportunities for the future, breaking up deviant peer clusters and building peer clusters that discourage alcohol and drug use.

American Indian Adolescent Drug Use and Socialization Characteristics A Cross-Cultural Comparison

The socialization variables of family strength, religious identification, school adjustment, family sanctions against drug use and peer associations correlate with youth drug abuse. A path model testing the relationships between these variables among Anglo youths has shown that peer drug associations mediate the influence of the other factors and that with minor exceptions peers are likely to be the dominating force in youth drug abuse. The current study applied the same path model to a group of American Indian youths and the findings were replicated with two important exceptions. Peer drug associations, although still dominant in the model, were not as highly correlated with drug use for Indian youths, and family sanctions against drugs had a direct influence on drug use in addition to an indirect influence. Differences in family dynamics among American Indian youths may account for the findings; they may associate more with and learn about drug use from same-aged siblings and other relatives in the extended family, and they may have a greater number of adult family figures to apply sanctions against drug use.

Readiness for Drug Use Prevention in Rural Minority Communities

An assessment of community readiness for drug use prevention in rural communities indicated that most rural communities are at relatively low stages of readiness. Minority communities were particularly low in readiness, with only 2% having functioning drug prevention programs. Rural communities at different levels of readiness require different types of programs to increase readiness, i.e., communities at the no awareness stage require analysis of the historical and cultural issues that support tolerance of drug use, those at the denial and vague awareness stages need specific information about local problems, and communities at the preplanning and preparation stages need information about effective programs, help in identifying resources, and assistance with staff training. In addition, building and maintaining effective programs requires continued evolution of readiness through the stages of initiation, stabilization, confirmation and expansion, and professionalization. Revised and updated scales and methods for assessing community readiness are provided.

COMMUNITY READINESS AND HEALTH SERVICES

Community readiness theory is a practical tool for implementing changes in community health services. The theory provides methods for assessment, diagnosis, and community change. First, community key informants are asked semi-structured questions that provide information about what is occurring in the community in relation to a specific problem. The results evaluate readiness to deal with that problem on six dimensions; existing efforts, knowledge about the problem, knowledge about alternative methods or policies, leadership, resources, and community climate. The eventual result is a diagnosis of the overall stage of community readiness. There are nine stages, tolerance or no awareness, denial, vague awareness, preplanning, preparation, initiation, institutionalization or stabilization, confirmation/expansion, and professionalization. Each stage requires different forms of interventions in order to move the community to the next stage until, eventually, initiation and maintenance of health services programs and policies can be achieved. [Translations are provided in the International Abstracts Section of this issue.]

Indian and Anglo Adolescent Alcohol Use and Emotional Distress: Path Models

Anonymous surveys of alcohol use and emotional distress of 11th and 12th grade students were administered to 327 reservation Indian adolescents and 524 Anglo adolescents. Path models based on peer cluster theory were developed and tested. Results argue against a self-medication theory of adolescent alcohol use. Emotional distress variables had little effect on alcohol involvement, with the exception of anger which operated in opposite directions for the two groups. The highest relationship with alcohol involvement in both groups was with peer alcohol associations, confirming the a priori hypothesis that much of adolescent alcohol use is linked to peer associations. Those relationships, however, were much stronger in Anglo youth, suggesting that alcohol may be used more frequently in nonpeer situations by Indian youth, or at least in situations where the peers are not those close friends who have very similar patterns of alcohol use. The most important difference between Indian and Anglo youth, however, may be the role that anger plays in alcohol involvement. In Anglo youth, anger may be associated with problem behaviors including alcohol use. In Indian youth, higher anger is linked to higher self-esteem, and tends to reduce alcohol use.