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Contextual determinants, including intervention\u2010setting compatibility, focus on the intervention, available resources, and leadership support, influence implementation success. This study investigates the impact of multilevel contextual determinants on Michigan Model for Health: (MMH) curriculum fidelity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>High school health teachers across Michigan (<jats:italic>N<\/jats:italic>\u2009=\u2009171) participated in an MMH implementation survey. We used structural equation modeling to investigate the relative contributions of contextual determinants to implementation fidelity while also permitting the determinant factors to covary.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The models demonstrate a good fit with the data (structural: <jats:italic>X<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u200951, df: 34, <jats:italic>p<\/jats:italic>\u2009=\u20090.03; RMSEA: 0.06, 95% CI: 0.02, 0.08; CFI: 0.98). Results indicate that the context latent factors individually were associated with fidelity. Examined together, we found significant covariance between the latent factors, but only resources predicted fidelity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for School Health Policy, Practice, and Equity<\/jats:title><jats:p>School health policy and practice benefit from sufficient resources to support prevention curriculum implementation. Insufficient resources exacerbate existing barriers in low\u2010resource communities, leading to unequal intervention implementation and widening health disparities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our results indicate that while contextual determinants are interrelated, sufficient resources are foundational to successful implementation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.13539","type":"journal-article","created":{"date-parts":[[2024,12,26]],"date-time":"2024-12-26T02:58:51Z","timestamp":1735181931000},"page":"1185-1195","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Resource Realities: Exploring the Foundations of Successful Implementation in School\u2010Based Drug Prevention*"],"prefix":"10.1111","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4100-6543","authenticated-orcid":false,"given":"Andria B.","family":"Eisman","sequence":"first","affiliation":[{"name":"Division of Kinesiology, Health and Sport Studies, College of Education Wayne State University  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey","family":"Martin","sequence":"additional","affiliation":[{"name":"Center for Health and Community Impact Wayne State University  Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4526-2656","authenticated-orcid":false,"given":"Rebecca E.","family":"Hasson","sequence":"additional","affiliation":[{"name":"School of Kinesiology University of Michigan  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy M.","family":"Kilbourne","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs Quality Enhancement Research Initiative (QUERI), Department of Learning Health Sciences University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,25]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7150a2"},{"key":"e_1_2_12_3_1","unstructured":"NIDA \u201cInvesting in Prevention Makes Good Financial Sense \u201dhttp:\/\/nida.nih.gov\/about\u2010nida\/noras\u2010blog\/2022\/04\/investing\u2010in\u2010prevention\u2010makes\u2010good\u2010financial\u2010sense."},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2014.01.029"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2020.1310"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0002716203260102"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/23794925.2020.1784052"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/15390940802232499"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10488\u2010010\u20100283\u20102"},{"key":"e_1_2_12_10_1","unstructured":"CDC \u201cCharacteristics of an Effective Health Curriculum \u201dCDC Healthy Schools https:\/\/www.cdc.gov\/healthyschools\/sher\/characteristics\/index.htm."},{"key":"e_1_2_12_11_1","unstructured":"CDC \u201cWhole School Whole Community Whole Child (WSCC) | Healthy Schools | CDC \u201dCenters for Disease Control and Prevention https:\/\/www.cdc.gov\/healthyschools\/wscc\/index.htm."},{"key":"e_1_2_12_12_1","volume-title":"Substance Abuse Prevention Dollars and Cents: A Cost\u2010Benefit Analysis, DHHS Pub. 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