Healthy Schools Division
Fostering Sources of Strength for Elementary Schools
Social-emotional skills are crucial for young people’s success, but many children lack these abilities, especially since the COVID-19 pandemic. These skill gaps can lead to problems in school, mental health issues, substance abuse, and violent behavior, potentially affecting individuals well into adulthood. To address this, a new project funded by the Rural Health and Safety Education program at the National Institute of Food and Agriculture aims to evaluate the elementary school version of Sources of Strength in six rural Northeast Colorado schools. This program, already successful in high schools, focuses on improving social-emotional learning (SEL) skills among students and educators and creating a positive school environment. The project has three main goals:
- Implement the program to boost SEL skills and reduce risks for students and staff;
- Develop support systems for effective implementation in each school; and
- Measure the program’s impact on SEL abilities, school climate, and risky behaviors, considering factors like race, ethnicity, age, and gender.
The CSU Prevention Research Center will supplement the program-specific training and technical assistance (T/TA) provided by Sources to build the necessary infrastructure for effective implementation and sustainability.
Establishing Prevention Support Systems within Colorado Schools
Implementing evidence-based preventive interventions is difficult for school districts to plan for, implement, evaluate, and sustain. As a result, a tiered system of training and technical assistance (T/TA) is often beneficial for districts when attempting to implement evidence-based preventive interventions with fidelity and for long-term sustainability. To address this need, the CSU Prevention Research Center serves as a prevention support system and has developed “light touch” online research-to-practice tools (Tier I T/TA) and workshops (Tier II T/TA) for networks of prevention practitioners, including school districts. This project will develop and deliver “heavier touch” Tier III T/TA to two regional networks of school districts seeking support for building capacity and infrastructure to implement and sustain evidence-based, school-based, preventive interventions. This T/TA will be delivered through a one-day prevention training with two two-hour learning communities delivered to each regional network of school districts. The first goal of this project is to develop the training and learning communities. Goal 2 is to implement the training and learning communities. We will then use trainee feedback to revise and improve the training and learning communities for future delivery.
Partners for Student Resilience
The PRC is working with Larimer County Health and Environment to leverage a portion of the County’s opioid abatement funds to scale up school-based substance use prevention. Poudre, Thompson, and Estes Park School Districts are collaborating with our team to support educators, behavioral health staff, and students to build capacity to implement evidence-based prevention programs. The project’s three goals include districtwide scans of current prevention efforts, developing and providing professional development, and implementing multiple cohorts of the evidence-based prevention program: Blues Program, which is shown to decrease student substance use and mental health challenges including depression.
The Weed Study
The Weed Study is a text-based intervention to reduce cannabis use among emerging adults with cannabis use disorder. In this intervention, participants receive several individualized texts per day to help them reduce cannabis use.
This study is a five-year, multi-site project with the University of Tennessee, funded by the National Institute on Drug Abuse. Among the interesting questions that this project will be able to test is whether intervention effects from a cannabis misuse intervention differ between a state with legalized adult retail use (i.e., Colorado) and a state without legalized adult retail use (i.e., Tennessee).
List of Publications
Asdigian, N.L., Riggs, N. R., Valverde, P. A., & Crane, L. A. (in press). Reducing youth vaping: A pilot test of the ‘Youth Engaged Strategies for Changing Adolescent Norms!’ (YES-CAN!) Program. Health Promotion Practice.
Coatsworth, J. D., Radford, A., Rayburn, S., Zaharakis, N., Wallis, D., Brown, A., Hale, C., Riggs, N. R., Russell, M. A., Mennis, J., Mason, M .J. (in press). Peer network counseling text for reducing frequent cannabis use among young adults: Protocol for a randomized controlled trial across two states.
Fidler, D. J., Van Deusen, K., Pinks, M. E., Walsh, M., Hepburn, S., Riggs, N. R., Daunhauer, L. & Graham, J. (2022). Career and technical education opportunities for adults with intellectual disability. International Review of Research on Developmental Disabilities, 63, 103-129.
Wallis, D., Coatsworth, J. D., Mennis, J., Riggs, N. R., Zaharakis, N., Russell, M. A., Brown, A. R., Rayburn, S., Radford, A., Hale, C., & Mason, M. J. (2022). Predicting self-medication with cannabis in young adults with hazardous cannabis use. International Journal of Environmental Research and Public Health, 19, 1850.
Fetterling, T., Prince, M., Conner, B., George, M., Shillington, A., & Riggs, N. R. (2021). Moderated mediation of the Marijuana eCHECKUP TO GO college student marijuana use intervention. Substance Use and Misuse, 56, 1508-1515.
Jones, T. M., Williford, A., Spencer, M., Riggs, N. R., Toll, R., George, M., Becker, K., & Bruick, S. (2021). School mental health providers’ perspectives on the impact of COVID-19 on racial inequities and school disengagement. Children in Schools, 43, 97-106.
Prince, M. A., *Tyskiewicz, A., J., Conner, B. T., Parnes, J. E., George, M. W., Shillington, A. M., & Riggs, N. R. (2021). Mechanisms of change in an adapted Marijuana e-CHECKUP TO GO intervention on decreased college student cannabis use. Journal of Substance Abuse Treatment, 124, 108308.
Trentacosta, C. & Riggs, N. R. (2020). Executive function in context. Introduction to the Special Issue on Executive Function in Context, Infant and Child Development, 29, e2174.
Wallace, G., Parnes, J., Prince, M. A., Conner, B. T., Riggs, N. R., George, M., & Shillington, A. (2020). Associations between marijuana use patterns and recreational legislation changes in a large Colorado college student sample. Addiction Research and Theory, 28, 211-221.
Antenien, A., Conner, B. T., Fredrickson, G., Riggs, N. R., Jurica, J., & Neighbors, C. (2019). Tailgating protective behavioral strategies mediate the effects of positive alcohol outcome expectancies on game day drinking. Journal of Primary Prevention, 40, 357-365.
Riggs, N. R. & Greenberg, M. T. (2019). Mindful awareness: can a neuro-developmentally timed approach prevent youth substance use. Journal of Primary Prevention, 40, 593-403.
Yoon, Y., Lee, J. O., Cho, J., Bello, M.S., Khoddam, R., Riggs, N. R., & Leventhal, A. M. (2019). Association of cyberbullying involvement with subsequent substance use among adolescents. Journal of Adolescent Health, 65, 613-620.
Cho, J., Goldenson, N. I., Stone, M. D., McConnel, R. S. Barrington-Trimis, J. L., Chou, C-P., Sussman, S. Y., Riggs, N. R., & Leventhal, A. M. (2018). Characterizing poly-tobacco use trajectories and their associations with substance use and mental health across mid-adolescence. Nicotine & Tobacco Research, 20, S31-S38.
Riggs, N. R., Conner, B. T., *Parnes, J. E., Prince, M. A., Shillington, A., & George, M. W. (2018). Marijuana e-CHECKUP TO GO: Effects of a personalized normative feedback intervention for college student heavy marijuana use. Drug and Alcohol Dependence, 190, 13-19.
Williams, C. K., Strickland, A. L., Riggs, N. R., Dyett, A., Gibson, Z., & Pulskamp, A. D. (2018). Colorado Healthy Schools Smart Source: An example of school-based research, policy, and practice. School Mental Health, 10, 163-172.
Intellectual and Developmental Disabilities Division
Executive Function Play Opportunities (EXPO)
We’re working with a team of experts to develop a new executive function intervention for young children with Down syndrome. ‘Executive function’ skills are the thinking skills we use for problem-solving and planning. We will develop a new set of activities for parents and their preschool-aged children to play together and then test the effects of these activities in a pilot implementation. Stay tuned for more information about how to get involved!
RAM Scholars
The RAM Scholars Program at CSU provides career skills training for adults with IDD, who are at risk for isolation and secondary mental health conditions in adulthood. By providing inclusive pathways to employment for young adults with IDD in the field of agriculture, the RAM Scholars program facilitates the integration of people with IDD in the economic, cultural, and educational mainstream of the Rocky Mountain region. Economic integration occurs in the form of competitive, paid employment outcomes resulting from technical training. Cultural integration occurs through participation in the rich agricultural history influencing the labor, social, and community engagement opportunities in the Rocky Mountain Region. Educational integration occurs through the opportunity to learn side by side with CSU student peers and to be included as members of the broader campus environment.
List of Publications
These best practices are published in the following manuscripts:
Fidler, D. J., Riggs, N. R., Esbensen, A. J., Jackson-Cook, C., Rosser, T., & Cohen, A. (2022). Outreach and engagement efforts in research on Down syndrome: An NIH INCLUDE Working Group consensus statement. International Review of Research in Developmental Disabilities (Vol. 63, pp. 247-267). Academic Press.
Fidler, D.J., Hepburn, S., Daunhauer, L., Van Deusen, K., Pinks, M., Walsh, M., Riggs, N., & Graham, J. (2022). Career and Technical Education opportunities for adults with intellectual and developmental disabilities. International Review of Research in Developmental Disabilities, 63, 103-129.
Riggs, N., Hepburn, S., Pinks, M., & Fidler, D.J. (2022). A Prevention Science approach to promoting health and Quality of Life for individuals with intellectual and developmental disabilities. Infant and Child Development.
Riggs, N., Rigles, B., Schworer, E., & Fidler, D.J. (2020). Community Based Participatory Research in neurogenetic syndromes. International Review of Research on Developmental Disabilities, 58, 157-186.
Walsh, M., Pinks, M., Van Deusen, K., Riggs, N.R., Ceci, B., Lanfranchi, S., & Fidler, D.J. (under review). Parent perceptions of at-home intervention for preschoolers with Down syndrome.
And described in the following community presentations:
Van Deusen, K., & Clark, N. (2024, January 26). Neurodiverse learners in the classroom. Three- hour workshop for Agriculture Instructors across the state. Colorado Ag Teachers Association Mid-Winter Conference. Colorado State University, Fort Collins, CO.
Fidler, D.J. (2023). Ram Scholars: Inclusive Careers Skills Education at Colorado State University. Invited presentation to the Arc of Larimer County Annual Meeting. Fort Collins, April.
Lanfranchi, S., Walsh, M., Marcolin, C., Pinks, M., Ceci, B., Van Deusen, K., Colaianni, S., Riggs, N., Onnivello, S., Hepburn, S., Pulina, F., Daunhauer, L., Fidler, D.J. (2023). Potenziare le Funzioni Esecutive in bambini di età prescolare con sindrome di Down. Presentazione orale, XXXI Congresso Nazionale Airipa, Foggia.
Lanfranchi, S., Walsh, M., Marcolin, C., Pinks, M., Ceci, B., Van Deusen, K., Colaianni, C., Riggs, N., Onnivello, S., Hepburn, S., Pulina, F., Daunhauer, L., & Fidler, D. J. (2023). New possibilities to improve executive function in Down syndrome: the EXPO project. Down Syndrome Research Forum (online).
Colaianni, S., Walsh, M., Marcolin, C., Pinks, M., Ceci, B., Van Deusen, K., Riggs, N., Onnivello, S., Hepburn, S., Pulina, F., Daunhauer, L., Rossi, E., Fidler, D.J., Lanfranchi, S. (2023). Il progetto EXPO per la sindrome di Down: uno studio pilota. VII Convegno Nazionale Sindrome di Down dalla Ricerca alla Terapia (online).
Colaianni, S., Walsh, M., Marcolin, C., Pinks, M., Ceci, B., Van Deusen, K., Riggs, N., Onnivello, S., Hepburn, S., Pulina, F., Daunhauer, L., Rossi, E., Fidler, D.J., Lanfranchi, S. (2023). Intervento precoce sulle funzioni esecutive in prescolari con sindrome di Down. Risorse educative per l’inclusione a scuola – Problematiche psicopedagogiche e insegnanti di sostegno (online).
Riggs, N. R., Pinks, M. E., Walsh, M. M., Van Deusen K., Hepburn, S. L., Daunhauer, L. A., Looney, S., Pulina, F., Onnivello, S., Marcolin, C., Colaianni, S., Ceci, B., Lanfranchi, S., & Fidler, D. J. (2023, May 30-June 2). M. E. Pinks (organizer) & N. R. Riggs (discussant), An innovative parent-mediated intervention design for promoting executive function in young children with Down syndrome [Symposium]. Society for Prevention Research 31st Annual Meeting, Washington, DC.
Van Deusen K., Riggs, N. R., Pinks, M. E., Walsh, M. M., Hepburn, S. L., Daunhauer, L. A., Looney, S., Pulina, F., Onnivello, S., Marcolin, C., Colaianni, S., Ceci, B., Lanfranchi, S., & Fidler, D.J. (2023, May 30-June 2). Using a behavioral phenotype framework to develop an executive function intervention for children with Down syndrome. In M. E. Pinks (organizer) & N. R. Riggs (discussant), An innovative parent-mediated intervention design for promoting executive function in young children with Down syndrome [Symposium]. Society for Prevention Research 31st Annual Meeting, Washington, DC.
Walsh, M. M., Riggs, N. R., Pinks, M. E., Van Deusen K., Hepburn, S. L., Daunhauer, L. A., Looney, S., Pulina, F., Onnivello, S., Marcolin, C., Colaianni, S., Ceci, B., Lanfranchi, S., Fidler, D.J. (2023, May 30-June 2). Community involvement in intervention development through focus groups and formative evaluation. In M. E. Pinks (organizer) & N. R. Riggs (discussant), An innovative parent-mediated intervention design for promoting executive function in young children with Down syndrome [Symposium]. Society for Prevention Research 31st Annual Meeting, Washington, DC.
Pinks, M. E., Riggs, N. R., Walsh, M. M., Van Deusen K., Hepburn, S. L., Daunhauer, L. A., Looney, S., Pulina, F., Onnivello, S., Marcolin, C., Colaianni, S., Ceci, B., Lanfranchi, S., & Fidler, D. J. (2023, May 30-June 2). Pilot implementation and evaluation of a novel parent-mediated intervention for preschoolers with Down syndrome. In M. E. Pinks (organizer) & N. R. Riggs (discussant), An innovative parent-mediated intervention design for promoting executive function in young children with Down syndrome [Symposium]. Society for Prevention Research 31st Annual Meeting, Washington, DC.
Pinks, M.E., Van Deusen, K., Fidler, D., Riggs, N.R., & Rigles, B. (2021, February). Developing a Framework for CBPR Outreach in Neurogenetic Syndrome Populations. Poster accepted to be presented at the Society for Personality and Social Psychology, Intervention Science Preconference, Austin, TX.
Healthy Aging Division
Strengthening Community Capacity to Improve Quality of Life for Older Adults in Rural Colorado
This project responds to the need for increased community-based rural health leadership in healthy aging and culturally responsive aging programming. To that end, our project focuses on three objectives:
- Increase the capacity and confidence of CSU Extension professionals and community partners to respond to aging-related needs,
- Adapt Aging Mastery Program training manuals and increase the number of CSU Extension professionals and community partners who are trained to facilitate AMP in rural and Spanish-speaking communities, and
- Implement AMP in eight new rural Colorado communities, with at least four programs delivered in Spanish.
Training Extension specialists to meet the needs of older adults in their communities will further address resource access gaps. Those trained in objective 1 will be primed to complete AMP facilitator training (objective 2). The AMP is a 10-course, evidence-informed program that educates and empowers older adults to take charge of their health. Our project involves scaling up AMP in rural Colorado (objective 3) to support the cultural values and needs of rural aging populations, including Spanish-speaking, Native American, and immigrant and refugee populations. Supporting these three objectives in rural Colorado will advance RHSE’s program goal to improve quality of life among older adults living in rural communities.
GRANDcares: Caring for Grandfamilies
Originally funded by the USDA/NIFA Children Youth and Families At-Risk Sustainable Community Projects and in partnership with the University of Hawaii at Manoa, GRANDcares is a multi-component family-focused intervention for grandfamilies (i.e., grandparents and kin and the children they have primary responsibility for in their homes). We also created several short videos for service providers working with grandparents and grandchildren to assist in increasing their knowledge of the needs and strengths of grandfamilies. Learn more on the GRANDcares website.
Building Community Capacity for Healthy Aging Programming and Research in Northeast Colorado
Funded by the CCTSI at the University of Colorado Anschutz Medical Campus, this 9-month pilot development project focuses on building academic-community partnerships between CSU, CSU Extension, and the Logan County Coalition on Aging to create an advisory board and develop a strategic plan addressing healthy aging in northeast rural Colorado. Please stay tuned for more information, as we work closely with the CSU Northeast Regional Engagement Center to uplift healthy aging programs and research.
List of Publications
Fox, A. L., Riggs, N. R., Yancura, L., Sharp, J. L., & Fruhauf, C. A. (in press). Translating discovery science: improving self-efficacy in grandparents raising grandchildren: Results from a strengths-based education intervention. Family Relations. 1-10.
Fruhauf, C. A., Yancura, L., Greenwood-Junkermeier, H., Riggs, N. R., Fox, A., & Mendoza, N. (in press). Lessons from the field. Community-based participatory research: The important role of university-community partnerships to support grandfamilies. Family Relations.
Fruhauf, C. A., Mendoza, N., Fox, A., Greenwood-Junkermeier, H., Riggs, N. R., & Yancura, L. (2022). Positive health behavior changes in custodial grandparents and their grandchildren following an intervention. International Journal of Environmental Research and Public Health, 19, 4027.
Fruhauf, C., Yancura, L., Greenwood-Junkermeier, H., Riggs, N. R., Mendoza, N. Fox, A. (2020). The importance of family-focused and strengths-based approaches to interventions for grandfamilies. Journal of Family Theory and Review, 12, 478-491.
Community-University Partnership Division
El Paso and Teller County Needs Assessment and Tailored Opioid Prevention Efforts
Nationally, states have reached settlements with pharmaceutical companies for their culpability in the nation’s opioid epidemic. To date, Colorado is on track to receive $750 million in settlement funds over the next 18 years, and 80% of these funds go directly to regions and local governments statewide – 19 regions total. Alongside Rise Above Colorado and SE2, the PRC received funding through Region 16 (El Paso and Teller Counties) Opioid Abatement Council to conduct a regional youth prevention needs assessment, identify regional prevention efforts and determine any gaps, raise opioid/fentanyl overdose prevention awareness through Connect Effect campaign, and build community capacity to implement evidence-based youth-focused prevention programs. This project closely involves El Paso County Public Health, El Paso County CSU Extension, Teller County Public Health, and Teller County Mental Health Alliance.
Building Bridges: Support for Rural Native American & Latine Families and CSU Extension Agents
CSU Extension’s DARE to be You Bridge Program (DTBY-BP) is an evidence-based prevention program (EBP) originally developed in partnership with the Ute tribe. It involves family-school collaboration to enhance family resilience and parent-youth-teacher relationships, build youth life skills, and reduce risks of substance use. One project goal is to implement DTBY-BP in the five isolated rural county region in Colorado’s Four Corners area with the objective of increasing Native American and Latine youths’ and families’ ability to make healthy choices and build supportive family and school environments with respect to opioid and other substance use. Our team will provide education on prevention best practices to Extension staff across Colorado. This support will involve online educational modules and TA support on prevention science such as implementation fidelity, adaptation, and sustainability.
The Civic Capacity Index
The Civic Capacity Index measures dynamic processes related to collective leadership, inclusion of diverse voices, and how institutions and coalitions address shared challenges. With the help of the CCI, civic actors can take advantage of existing civic capacity, understand where it is lacking, and build community resilience for the future.
Familias Fuertes: Culturally Adapted Prevention in Rural Colorado
Evidence-based prevention programs (EBPs) are rarely adapted to meet the unique strengths and needs of Latinx families. Similarly, approaches to EBP technical assistance (TA) and research-to-practice tools are rarely adapted to address the unique TA needs of Latinx communities, which, in turn, can decrease the likelihood that EBPs will be implemented in Latinx communities with fidelity or sustained over the long term. Familias Fuertes is a Latinx cultural adaptation of the evidence-based Strengthening Families Program 10-14 (SFP 10-14) that enhances family resilience, strengthens parent-youth relationships, builds youth life skills and has been shown to prevent opioid use. The goal of this project is to implement the Familias Fuertes family-focused preventive intervention in six isolated counties in Colorado’s San Luis Valley and to support that implementation with culturally responsive tools and technical assistance related to program implementation, adaptation, evaluation, and sustainability.
Supporting Communities with Prevention Technical Assistance
Communities can struggle with the tension between implementing evidence-based prevention programs (EBPs) with strict fidelity versus adapting EBPs to be responsive to communities’ cultural needs. Starting in 2021, the PRC has contracted with the Colorado Department of Public Health and Environment to support Colorado’s SAMHSA Substance Abuse Prevention Block Grantees with training and technical assistance related to the implementation of EBPs with fidelity and best practices for program adaptation. This support has included the development of research-to-practice briefs, workshops, web-based video tutorials, and on-demand office hours. Many of these tools are available on the PRC’s Implementation Toolbox webpage for all communities to benefit from.
Strengthening Rural Colorado Families
Since 2018, funded by the U.S. Department of Agriculture and the Substance Abuse and Mental Health Services Administration, the PRC has collaborated with rural communities through Extension across Colorado to address opioid use. Through a multi-prong approach and multiple iterations of this work, the PRC has:
- trained community professionals to implement evidence-based prevention;
- supported communities in implementing the Strengthening Families 10-14 or Familias Fuertes programs, which engage youth and their families to help them build parenting, substance refusal and family strengthening skills;
- used media and social media to distribute data-informed messages to raise public awareness about the danger of using opioids like heroin and oxycodone and to help youth develop correct perceptions about substance use;
- established the PROSPER framework to Colorado – a system proven to support high quality implementation and sustainability of behavioral health-focused prevention programs in communities and schools; and,
- provided technical assistance and resources that resonate with local practitioners and build capacity related to program implementation, adaptation, evaluation, and sustainability.
Colorado Family Leadership Training Institute (FLTI)
The Prevention Research Center is a statewide evaluator for the Family Leadership Training Institute, which currently has programs at 15 sites, all affiliated with CSU Extension. The work is supported by contracts with the Colorado Attorney General’s office, Colorado Department of Public Health and Environment, and with funds from CSU’s Office of Engagement.
List of Publications
Carroll, J., Christensen, K., MacPhee, D., & Schmitt, P. (2018). Bringing family voice to determinants of health. Journal of Extension, 56(3), Article 331AW1.
Chrislip, D., MacPhee, D., & Schmitt, P. (2020, November). Civic capacity building in COVID-19 recovery planning in rural America. Rural Connections, 17-20.
MacPhee, D., Prendergast, S., Christensen, K., Schmitt, P., & Carroll, J. (2020). Impact of a two-generation family leadership program on civic engagement and positive youth development. Journal of Applied Developmental Psychology.
Mendoza, A. N., Fruhauf, C. A., & MacPhee, D. (2020). Grandparent caregivers’ resilience: Stress, social support, and coping predict life satisfaction. International Journal of Aging and Human Development, 91, 3-20.
Prendergast, S., & MacPhee, D. (2018). Parental contributors to children’s persistence and school readiness. Early Childhood Research Quarterly, 46(4), 31-44.
Prendergast, S., & MacPhee, D. (2020). Trajectories of maternal aggression: Associations with parenting stress, family resources, and neighborhood cohesion. Child Abuse & Neglect, 99.
Prendergast, S., & MacPhee, D. (2021). Risk assessments at birth predict kindergarten achievement and involvement with Child Protective Services. Prevention Science, 22, 432–442.
Rattenborg, K., MacPhee, D., Walker, A. K., & Miller-Heyl, J. (2019). Pathways to parent engagement: Understanding the contributions of parents, teachers, and schools in cultural context. Early Education and Development, 30(3), 315-336.
Rayburn, S. R., Coatsworth, J. D., & MacPhee, D. (2021). Becoming Fathers: A mixed-methods study of the feasibility and acceptability of a mindfulness-based group intervention for perinatal fathers. Journal of Child and Family Studies.
Williams, C. K., Strickland, A. L., Riggs, N. R., Dyett, A., Gibson, Z., & Pulskamp, A. D. (2018). Colorado Healthy Schools Smart Source: An example of school-based research, policy, and practice. School Mental Health, 10, 163-172.
Past Research Projects
Establishing the PROSPER Delivery System in Colorado’s San Luis Valley
Evidence-based prevention programs (EBPs) are scientifically proven interventions that prevent/reduce conduct problems such as substance use and delinquency by targeting known risk and protective factors. EBPs are unlikely to be implemented with fidelity or sustained without ongoing training and technical assistance (T/TA). Through this project, Rio Grande Public Health (RGPH) implements PROSPER, a proven delivery system that provides tiered support for high quality, sustained implementation of EBPs. Through PROSPER, a local team supports EBP implementation, a TA Provider provides team with resources and troubleshoots challenges, and a state management team (SMT) develops infrastructure that supports high-quality EBP implementation and sustainability. As a subaward on this project, the PRC convenes the statewide management team, provides T/TA to RGPH and the surrounding community, and evaluates the impact of two EBPs – Botvin’s Life Skills Training and Strengthening Families Program 10-14.
School Climate Transformation
This four-year project is a collaboration with the Colorado Department of Education to support school climate transformation in Colorado.
The project aims to develop an integrated behavioral health framework (inclusive of existing models of behavioral health implemented in the state; e.g., PBIS, MTSS, SEL, WSCC, etc.) with CDE and 10 funded districts, guided by best practices in creating a supportive school climate. Second, the project establishes high quality training and technical assistance provided by CDE to school/districts in using the integrated behavioral health framework and scaling up efforts across the state.
YOU @ CSU: Student Success Portal
During the fall semester of 2015, Grit Digital Health partnered with Colorado State University to conduct a mixed method pilot study of the feasibility and acceptability of a web-based interactive portal, named YOU. It was designed to help students gain greater self-awareness about their personal strengths and overall emotional health, and to connect students to campus resources in a timely, confidential, and user-friendly way. The design of the study provided approximately 1500 select CSU students with open access to use of the portal for approximately eight weeks during the Fall 2015 semester. All students who had access to the portal were invited to complete a brief survey about their experiences using the portal. Just over 200 students completed the online survey.
In addition, three focus groups were held to gather additional feedback and student opinions about the YOU portal. 91% of students reported being satisfied with the YOU portal and 86% of students felt the YOU portal was useful for them. A majority of students felt the YOU portal was engaging and easy to understand, liked the format, and thought the site was easy to navigate.
Funder: Contract with Grit Digital Health
Center Theme: Healthy Lifestyles
Lead Investigators: Doug Coatsworth, HDFS, and Melissa George, HDFS
Cannabis eCHECKUP TO GO
Marijuana eCHECKUP TO GO a web-based cannabis use intervention for heavy cannabis using college students. The intervention provides university-specific personalized feedback with normative information and protective behavioral strategies for reducing heavy use.
Preliminary findings demonstrate that participating in the Marijuana eCHECKUP TO GO program was associated with reduced cannabis use and that the program worked in different ways for males and females. A second trial is currently being implemented with partners from two Canadian universities, the University of Victoria and St. Francis Xavier University.
School Climate Transformation
This four-year project is a collaboration with the Colorado Department of Education to support school climate transformation in Colorado.
The project aims to develop an integrated behavioral health framework (inclusive of existing models of behavioral health implemented in the state; e.g., PBIS, MTSS, SEL, WSCC, etc.) with CDE and 10 funded districts, guided by best practices in creating a supportive school climate. Second, the project establishes high quality training and technical assistance provided by CDE to school/districts in using the integrated behavioral health framework and scaling up efforts across the state.
Family Engagement: Bringing Families and Decision Makers Together for Collaboration
In a five-year project funded by Children, Youth, and Families at Risk PRC faculty are implementing a dual-capacity building approach to family engagement in Longmont and Sheridan communities in Colorado.
Mitigating Farm Stress and Preventing Suicide in Rural Colorado
The purpose of this project is to better understand the perspectives and needs of Extension agents providing services to farmers who are at risk for mental health problems and suicide. The project will also align current efforts within the State to most effectively meet those needs.
PROSPER 2.0: Expanding applications of PROSPER prevention for behavioral health across Colorado
In early phases, P2S Colorado is an innovative application of the PROSPER model across Colorado with enhancements to support behavioral health. PROSPER is a scientifically-proven delivery system built on community partnership, embedded in a state’s Extension System to support county-based prevention activities through proactive technical assistance, best prevention practice, and ongoing implementation quality and sustainability of particular evidence-based prevention programs. This work is being implemented in extension communities in Colorado and supports community implementation of an effective family-based prevention program (Strengthening Families Program for Parents and Youth 10-14) and a school-based prevention program (Lifeskills Training).
Advancing IDEAS for School Health
The IDEAS collaborative project was a multi-institutional (primarily local universities), applied research collaborative funded by the Colorado Health Foundation to provide data, research, and evaluation supports for a statewide system supporting comprehensive school health in Colorado.
Effecting Systems Changes to Prevent Child Maltreatment and Promote School Readiness
This nine-month contract with the Colorado Department of Human Services Office of Child Maltreatment Prevention was to write a white paper on using a dual-capacity building approach to effect systems changes to prevent child maltreatment and promote school readiness. CDHE plans to use the white paper to guide their funding priorities and initiatives.
Equipt
Equipt focused on behavioral health integration in primary care through a partnership between Colorado Kaiser Permanente, Equipt, LLC/the Neurodevelopment Center of Colorado, and the PRC. A pilot study across two clinics examined an innovative approach to addressing Attention Deficit Hyperactivity Disorder in primary care using Equipt digital behavior therapy software. The study was designed to provide information regarding the feasibility and acceptability of the Equipt digital behavior support tool as well as evidence of potential for efficacy of the tool in supporting families of children with ADHD diagnosed in pediatric care. This pilot study was used to continue partnership and further testing of the Equipt digital behavior support tool for helping families in different service delivery contexts.
Mindfulness-enhanced Strengthening Families Program 10-14
The MSFP study examined the efficacy of an adapted version of the Strengthening Families Program for Parents and Youth 10-14. The Mindfulness-enhanced Strengthening Families Program 10-14 blended mindfulness activities for parents into the original SFP 10-14 program. The study recruited 432 families from three communities in central Pennsylvania and randomly assigned them to one of three conditions: A) MSFP, B) SFP 10-14, C) Home study control condition. Results showed MSFP was as effective as SFP 10-14 in improving multiple dimensions of parenting, including interpersonal mindfulness in parenting, parent-youth relationship quality, youth behavior management, and parent well-being, according to both parent and youth reports at both post-intervention and one-year follow-up. This study also found that in some areas MSFP boosted and better sustained the effects of SFP 10-14, especially for fathers.