Ph. Tolan et Ng. Guerra, PROGRESS AND PROSPECTS IN YOUTH VIOLENCE-PREVENTION EVALUATION, American journal of preventive medicine, 12(5), 1996, pp. 129-131
The evaluation of youth violence-prevention projects using sound metho
ds is very important. Up to now, the evaluation literature has (1) ina
dequately heeded known epidemiologic patterns of violence, (2) failed
to differentiate types of violence, and (3) failed to differentiate th
e levels of risk-influence addressed by the intervention. The reports
in this supplement have considered these past deficiencies. These repo
rts also make some notable advances, such as illustrating the role tha
t efficacy trials can and should play in violence prevention, demonstr
ating that programs can and should be evaluated and that design charac
teristics such as random assignment are plausible, balancing the pract
ical and theoretical aspects of violence prevention, and reflecting th
e importance of the setting on the style and scope of the intervention
. The reports and projects also have remaining limitations. Length of
planned follow-up is generally quite brief. In some cases the rational
e for the intervention is not adequately explained. Some reports do no
t clarify whether the intervention is intended for all youths or selec
ted high-risk youth. The next steps for these and similar projects are
to determine the program impact and implementation, strive for longer
follow-up, document conditions that interact with proximal impact on
distal outcomes, and further broaden evaluation efforts into modifying
situations instead of modifying only individuals. Finally, we must re
cognize that the goal of evaluation is not to declare all earnest effo
rts effective, but to determine which efforts merit further considerat
ion. Medical Subject Headings (MeSH): violence, program evaluation, in
tervention studies.