Effects of the Universal Prevention Curriculum for Schools on Substance Use Among Peruvian Adolescents: A Randomized Trial.

IF 0.8 Q4 Medicine
JOURNAL OF DRUG EDUCATION Pub Date : 2022-09-01 Epub Date: 2023-06-26 DOI:10.1177/00472379231185130
Mallie J Paschall, Fernando Salazar Silva, Zili Sloboda, Christopher L Ringwalt, Joel W Grube
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引用次数: 0

Abstract

This group-randomized trial assessed the effects of a universal prevention training curriculum for school administrators and teachers that focused on effective strategies to prevent adolescent substance use and related problems. Twenty-eight schools in three regions of Peru were randomly assigned to either an intervention or control condition (14 schools per condition). Repeated cross-sectional samples of 11 to 19-year-old students participated in four surveys from May 2018 to November 2019 (N = 24,529). School administrators and teachers at intervention schools participated in a universal prevention training curriculum focusing on the development of a positive school climate as well as effective policies related to school substance use. All intervention and control schools were offered Unplugged, a classroom-based substance use prevention curriculum. Outcome measures included: lifetime drug use; past-year and past-month tobacco, alcohol, marijuana, and other drug use; awareness of school tobacco and alcohol use policies; perceived enforcement of school policies; school bonding; perceived friends' use of tobacco, alcohol, marijuana and other drugs; and personal problems in general and problems related to substance use. Multi-level analyses indicated significant reductions in past-year and past-month smoking, friends' substance use, and problems related to substance use and in general at intervention relative to control schools. Significant increases were found in intervention vs. control schools related to students' awareness of school substance use policies, perceived likelihood of getting caught for smoking, and school bonding. These findings suggest that the universal prevention training curriculum and the school policy and climate changes it promoted reduced substance use and related problems in the study population of Peruvian adolescents.

学校通用预防课程对秘鲁青少年药物使用的影响:随机试验
这项分组随机试验评估了针对学校管理人员和教师的普及预防培训课程的效果,该课程侧重于预防青少年使用药物及相关问题的有效策略。秘鲁三个地区的 28 所学校被随机分配到干预或对照条件下(每个条件下有 14 所学校)。2018年5月至2019年11月期间,11至19岁学生的重复横截面样本参与了四次调查(N = 24,529)。干预学校的行政人员和教师参加了普及预防培训课程,重点是营造积极的校园氛围以及与学校药物使用相关的有效政策。所有干预学校和对照学校都开设了 "Unplugged "课程,这是一种基于课堂的药物使用预防课程。结果测量包括:终生使用药物;过去一年和过去一个月使用烟草、酒精、大麻和其他药物的情况;对学校烟草和酒精使用政策的认识;对学校政策执行情况的感知;学校凝聚力;对朋友使用烟草、酒精、大麻和其他药物情况的感知;以及一般个人问题和与药物使用相关的问题。多层次分析表明,与对照学校相比,干预学校在过去一年和过去一个月的吸烟率、朋友使用药物的情况、与使用药物有关的问题以及一般问题方面都有显著减少。干预学校与对照学校相比,在学生对学校药物使用政策的认识、认为吸烟被抓的可能性和学校凝聚力方面都有明显提高。这些研究结果表明,普及预防培训课程及其促进的学校政策和氛围的改变,减少了秘鲁青少年的药物使用和相关问题。
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来源期刊
JOURNAL OF DRUG EDUCATION
JOURNAL OF DRUG EDUCATION EDUCATION, SCIENTIFIC DISCIPLINES-
CiteScore
1.00
自引率
0.00%
发文量
5
期刊介绍: Authoritative, peer-refereed publication affording a wide-ranging coverage of important trends and developments in the drug field. Whatever your area of special interest, the Journal of Drug Education brings timely, helpful information, insights and methodologies that can be adapted to various situations. Look to this Quarterly for critical analyses, innovative approaches, scholarly standards, and clear, concise reports on theoretical, research and programmatic issues.
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