The primary goal of the current project is to identify contextual and attitudinal factors that are associated with successful action plan implementation. Preliminary analyses included two dependent variables assessed at follow-up: 1) the extent to which the community action plan (CAP) was implemented and 2) the percentage of the population reached by the activities of the CAP. Of all variables included in the study, these two best indicate the extent to which the activities decided upon in the CAP were actually done and reached the target population. Change in predictor variables (i.e., slope) was calculated from reports of community action board members at each base at pre-, post-, and follow-up assessments. For installations randomly assigned to the intervention group, 1) increases in attitudes toward the use of data in prevention (r = .89; p < .01); 2) increases in community support for prevention (r = .87; p < .01); 3) decreases in resistance to change (r = -.70; p <.05); 4) decreases in barriers to implementation (r = -.61; p < .05); and increases in program related efficacy (r = .73; p < .05) predicted the extent to which the activities outlined in the CAP were implemented. In predicting the percent of the population reached by CAP activities, 1) increases in collaboration on community action planning boards (r = .62; p < .05); 2) decreases in resistance to change (r = -.62; p < .05); and 3) decreases in barriers to implementation (r = -.78; p < .01) were significant predictors.
We plan to conduct similar analyses from a separate trial of NORTH STAR currently underway; in this trial the prevention system is implemented at the level of the squadron versus the installation and can serve as a partial replication given different modes of prevention system delivery. Identifying predictors of implementation may provide insight into targets for environmental, attitudinal, and structural change to optimize prevention efforts.