Project Towards No Drug Abuse: long-term substance use outcomes evaluation.
Project Towards No Drug Abuse: long-term substance use outcomes evaluation.
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杜绝药物滥用项目：长期药物使用结果评估。
DOI：
10.1016/j.ypmed.2005.11.011
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发表时间：
2006
影响因子：
5.1
通讯作者：
Sussman,Steve
中科院分区：
文献类型：
--
作者：
Sun,Wei;Skara,Silvana;Sun,Ping;Dent,ClydeW;Sussman,Steve
目的介绍南加州另类高中系统1994-1999年间开展的药物滥用预防计划--无药物滥用计划(Project to No Druit Abuse，简称TND)的5年后成果。方法对9节健康动机-社会技能-决策课程的效果进行评估。招募的21所学校被随机分配到标准护理(对照)、仅限教室或教室加为期一学期的学校社区部分。最近30天对香烟、酒精、大麻和硬性毒品的使用情况进行了三个时间间隔的评估：短期(第1年)、中期(第2年或第3年)和长期(第4或第5年)。结果在1578名基线受试者中，68%(1年)、66%(第2年或3年)和46%(第4年或第5年)的受试者获得了随访数据。结果显示，在两个项目干预的第4年和第5年，硬药物使用的长期计划效果显著(P=0.02)。结论TND项目减少了46%的成功跟踪的硬药物使用。这是第一个通过以学校为基础的有限时段模式展示长期自我报告的行为对高危青年使用硬性毒品的影响的项目。
OBJECTIVESThis paper presents up to 5 years post-program outcomes of Project Towards No Drug Abuse (Project TND), a drug abuse prevention program conducted in South California alternative high school system during years 1994–1999.METHODSThe effects of a 9-session health motivation–social skills–decision-making curriculum were evaluated. Twenty-one schools recruited were randomly assigned to standard care (control), classroom only, or a classroom plus semester-long school-as-community component. Last 30-day use of cigarettes, alcohol, marijuana, and hard drugs were assessed at three time intervals: short-term (year 1), middle-term (years 2 or 3), and long-term (years 4 or 5). Multilevel random coefficients modeling were employed to estimate the adjusted levels of substance use.RESULTSAmong 1578 baseline subjects, follow-up data were available for 68% (year 1), 66% (years 2 or 3), and 46% (years 4 or 5) of subjects, respectively. Results revealed significant positive long-term program effects for hard drug use at year 4 or 5 for the two program interventions (P = 0.02).CONCLUSIONSProject TND reduced hard drug use in the 46% who were successfully followed. It is the first program to demonstrate long-term self-reported behavioral effects on hard drug use among high-risk youth by using a school-based, limited-session model.