One-year follow-up evaluation of Project Towards No Drug Abuse (TND-4).

One-year follow-up evaluation of Project Towards No Drug Abuse (TND-4).
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DOI:
10.1016/j.ypmed.2008.07.003
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发表时间:
2008-10
影响因子:
5.1
通讯作者:
Rohrbach, Louise Ann
Rohrbach, Louise Ann
中科院分区:
医学2区
文献类型:
--
作者:
Sun, Ping;Sussman, Steve;Dent, Clyde W.;Rohrbach, Louise Ann

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本文介绍了一年的结果,第四次实验性试验的项目走向没有药物滥用。该计划的两个理论内容组成部分进行了检查,以增加我们对每个程序的有效性的相对贡献的理解。南加州的高中(n=18)被随机分配到三个条件之一:认知感知信息课程,认知感知信息+行为技能课程,或标准护理(对照)。该课程提供给高中学生(n=2734)的项目健康教育工作者和正规课堂教师。计划的有效性进行了评估,在基线和一年的后续行动的30天的物质使用的二分法和连续的措施。在所有项目学校中,两种不同的课程在一年的随访中未能显着减少物质使用(香烟,酒精,大麻和硬毒品)的二分法措施。这两个课程只对硬药物使用的连续测量产生影响,表明相对于对照组,在过去30天内使用硬药物的次数减少了42%(p=0.02)。该计划对二分结局的主要影响的缺乏与以前的研究相反。这两种干预条件对硬毒品使用的影响复制了以前的工作,并表明该计划的影响可能是由于对毒品使用的认知误解而不是行为技能的变化。
This paper describes the one-year outcomes of the fourth experimental trial of Project Towards No Drug Abuse. Two theoretical content components of the program were examined to increase our understanding of the relative contribution of each to the effectiveness of the program. High schools in Southern California (n=18) were randomly assigned to one of three conditions: cognitive perception information curriculum, cognitive perception information + behavioral skills curriculum, or standard care (control). The curricula were delivered to high school students (n=2734) by project health educators and regular classroom teachers. Program effectiveness was assessed with both dichotomous and continuous measures of 30-day substance use at baseline and one-year follow-up. Across all program schools, the two different curricula failed to significantly reduce dichotomous measures of substance use (cigarette, alcohol, marijuana, and hard drugs) at one-year follow-up. Both curricula exerted an effect only on the continuous measure of hard drug use, indicating a 42% (p=0.02) reduction in the number of times hard drugs were used in the last 30 days in the program groups relative to the control. The lack of main effects of the program on dichotomous outcomes was contrary to previous studies. The effect on hard drug use among both intervention conditions replicates previous work and suggests that this program effect may have been due to changes in cognitive misperception of drug use rather than behavioral skill.
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期刊: PREVENTION SCIENCE
影响因子: 3.5
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影响因子: 5.1
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影响因子: 5.1
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DOI: 10.1006/pmed.2001.0834
发表时间: 2001-06-01
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