“点燃与参与”:对以同学为主导、以学校为基础的药物使用预防项目进行的混合方法评估。

IF 3.2 2区 医学 Q1 SUBSTANCE ABUSE
Kenneth W Verbos Ii, Arjola Agolli, Stephen Sandelich, Anthony Alvarado, Alma Jusufagic, Kenneth D Croes, Aleksandra E Zgierska
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引用次数: 0

摘要

背景:物质使用通常始于青春期,因此早期识别和预防对于避免包括物质使用障碍在内的下游危害至关重要。本研究评估了一个以同学为主导,以学校为基础的讲故事项目对参与的初高中学生的影响。方法:从2014年到2020年,对参加由康复社区组织(RCO)领导的校本活动“点燃与参与”的中西部初高中学生进行横断面匿名在线调查。描述性统计总结了定量调查结果,归纳性专题分析总结了定性调查结果。结果:在10,438名受访学生中,2,853人(27.3%)报告曾经使用过药物,大多数(55.2%)报告在14至16岁之间开始使用药物,29.2%在更早的年龄开始使用药物。996名受访者对节目的影响进行了评价,其中71.3%的人对节目持肯定态度,76.3%的人认为主持人的个人康复故事是最有价值的元素,51.2%的人认为节目结束后不太可能使用酒精或毒品,这种影响在中学生中比高中生更强(分别为60.3%和49.5%)。这个以学校为基础的讲故事项目,由具有成瘾康复生活经验的主持人主持,代表了一种有希望的、新颖的方法来预防初高中学生的物质使用和减少危害。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"Ignite & engage:" A mixed methods evaluation of a peer-led, school-based substance use prevention program.

Background: Substance use often begins in adolescence, making early identification and prevention essential to avert downstream harms, including substance use disorders. This study evaluated the impact of a peer-led, school-based storytelling program on participating middle- and high school students.

Methods: A cross-sectional, anonymous, online survey was distributed from 2014 to 2020 to Midwestern middle and high-schoolers who had attended a school-based event, "Ignite & Engage," led by a recovery community organization (RCO). Descriptive statistics summarized quantitative and an inductive thematic analysis summarized qualitative survey results.

Results: Of 10,438 surveyed students, 2,853 (27.3%) reported ever using substances The majority (55.2%) reported initiating substance use between the ages of 14 and 16 years, and 29.2% initiated it at an earlier age. The program impact was rated by 996 respondents, with 71.3% of them viewing it favorably and 76.3% noting presenters' personal recovery stories as the most valuable elements, and 51.2% feeling less likely to use alcohol or drugs afterwards, an effect stronger in middle- than high school youth (60.3% vs. 49.5%, respectively, p < 0.001). Qualitative feedback (N = 2,884) echoed the quantitative findings, emphasizing students' greater intent to avoid substance use, seek help, support peers, and reflect on recovery.

Conclusion: This school-based storytelling program, delivered by presenters with lived experience of addiction recovery, represents a promising, novel approach to substance use prevention and harm reduction among middle- and high school students.

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来源期刊
Addiction Science & Clinical Practice
Addiction Science & Clinical Practice Psychology-Clinical Psychology
CiteScore
3.90
自引率
10.80%
发文量
64
审稿时长
28 weeks
期刊介绍: Addiction Science & Clinical Practice provides a forum for clinically relevant research and perspectives that contribute to improving the quality of care for people with unhealthy alcohol, tobacco, or other drug use and addictive behaviours across a spectrum of clinical settings. Addiction Science & Clinical Practice accepts articles of clinical relevance related to the prevention and treatment of unhealthy alcohol, tobacco, and other drug use across the spectrum of clinical settings. Topics of interest address issues related to the following: the spectrum of unhealthy use of alcohol, tobacco, and other drugs among the range of affected persons (e.g., not limited by age, race/ethnicity, gender, or sexual orientation); the array of clinical prevention and treatment practices (from health messages, to identification and early intervention, to more extensive interventions including counseling and pharmacotherapy and other management strategies); and identification and management of medical, psychiatric, social, and other health consequences of substance use. Addiction Science & Clinical Practice is particularly interested in articles that address how to improve the quality of care for people with unhealthy substance use and related conditions as described in the (US) Institute of Medicine report, Improving the Quality of Healthcare for Mental Health and Substance Use Conditions (Washington, DC: National Academies Press, 2006). Such articles address the quality of care and of health services. Although the journal also welcomes submissions that address these conditions in addiction speciality-treatment settings, the journal is particularly interested in including articles that address unhealthy use outside these settings, including experience with novel models of care and outcomes, and outcomes of research-practice collaborations. Although Addiction Science & Clinical Practice is generally not an outlet for basic science research, we will accept basic science research manuscripts that have clearly described potential clinical relevance and are accessible to audiences outside a narrow laboratory research field.
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