CPP Evidence-Based Prevention Strategies 3 — Questions and Answers
Question 1: When adapting an evidence-based program for a new cultural population, which action is MOST appropriate?
- Replace all program content with locally developed materials
- Modify surface features while preserving core components (Correct answer)
- Eliminate activities that seem culturally irrelevant without review
- Conduct the program in the original language to maintain fidelity
Correct answer: Modify surface features while preserving core components
Cultural adaptation should modify surface-level features (language, examples, images) while preserving core components proven to drive program effectiveness.
Question 2: Life Skills Training (LST) is classified as evidence-based primarily because it:
- Has been endorsed by multiple celebrity advocates
- Has been evaluated through rigorous RCTs showing significant reductions in substance use (Correct answer)
- Is required by federal grant funding mandates
- Was developed by a nationally recognized university
Correct answer: Has been evaluated through rigorous RCTs showing significant reductions in substance use
LST earned evidence-based status through decades of randomized controlled trials demonstrating statistically significant reductions in tobacco, alcohol, and drug use.
Question 3: Which concept describes the idea that prevention programs must address multiple risk domains to be maximally effective?
- Singular domain focus
- Comprehensive programming (Correct answer)
- Targeted intervention
- Indicated prevention
Correct answer: Comprehensive programming
Comprehensive programming addresses risk and protective factors across multiple domains (individual, family, school, community) to produce stronger and more durable effects.
Question 4: A prevention professional notes that a program effective in urban settings shows no effect in rural communities. This illustrates the importance of:
- Restricting evidence-based programs to their original settings
- Assessing contextual fit before program adoption (Correct answer)
- Developing entirely new programs for every community
- Ignoring setting differences when using proven programs
Correct answer: Assessing contextual fit before program adoption
Contextual fit ensures that a selected program aligns with the community's unique characteristics, resources, and needs before adoption.
Question 5: Which of the following best describes 'implementation science' in the context of prevention?
- The study of how biological factors influence addiction
- The study of methods to promote adoption and integration of evidence-based practices (Correct answer)
- Statistical analysis techniques for program evaluation
- Scientific review of unpublished prevention research
Correct answer: The study of methods to promote adoption and integration of evidence-based practices
Implementation science examines the processes, barriers, and facilitators involved in moving evidence-based programs from research into real-world practice settings.
Question 6: The Nurse-Family Partnership program is an example of which prevention level?
- Universal prevention
- Selective prevention (Correct answer)
- Indicated prevention
- Treatment
Correct answer: Selective prevention
Nurse-Family Partnership targets first-time, low-income mothers—a subgroup at elevated risk—making it a selective prevention program.
Question 7: Which statistical measure is most commonly used to compare effect sizes across different prevention program studies?
- P-value
- Cohen's d (Correct answer)
- Confidence interval width
- Sample size
Correct answer: Cohen's d
Cohen's d is a standardized effect size measure that allows researchers to compare the magnitude of outcomes across studies with different scales and sample sizes.
CPP Evidence-Based Prevention Strategies 3
When adapting an evidence-based program for a new cultural population, which action is MOST appropriate?