Project Towards No Drug Abuse: two-year outcomes of a trial that compares health educator delivery to self-instruction
Project Towards No Drug Abuse: two-year outcomes of a trial that compares health educator delivery to self-instruction
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DOI：
10.1016/s0091-7435(03)00108-7
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发表时间：
2003-08-01
影响因子：
5.1
通讯作者：
Dent, CW
中科院分区：
文献类型：
--
作者：
Sussman, S;Sun, P;Dent, CW
目标。本文描述了针对药物滥用预防计划（“无药物滥用项目”（TND））的 12 期版本的 2 年随访。自学计划通常用于帮助辍学和吸毒高风险的青少年完成高中教育。然而，健康教育者主导的项目更具互动性。方法。研究了自学与健康教育者主导的课程版本的效果。十八所学校按组随机分配到以下三种条件之一：标准护理（对照）、健康教育者主导的课堂计划和自学课堂计划。受试者在 1 年后和 2 年后接受随访。这里报告了两年的结果。结果。相对于标准护理控制条件，自我指导计划没有产生行为影响。两年的随访结果表明，在健康教育者主导的版本中，项目对吸烟和吸毒的影响得以维持。结论。 TND 项目显示，在项目实施两年后，某些药物的效果仍保持不变，而此时大多数青少年还是年轻人。需要做更多的工作来了解如何维持各种物质的作用。继续探索实施方式可能会有所帮助。 (C) 2003 年美国健康基金会和爱思唯尔科学（美国）。版权所有。
Objectives. This paper describes the 2-year follow-up of a 12-session version of an indicated drug abuse prevention program, Project Towards No Drug Abuse (TND). Self-instruction programming often is used to help youth that are at high risk for dropout and drug abuse to complete their high school education. However, a health educator-led program is much more interactive.Methods. The effects of self-instruction versus health educator-led versions of this curriculum were examined. Eighteen schools were randomly assigned by block to one of three conditions-standard care (control), health educator-led classroom program, and self-instruction classroom program. Subjects were followed up I and 2 years later. Two-year results are reported here.Results. The self-instruction program produced no behavioral effects relative to the standard care control condition. The 2-year follow-up results indicated maintenance of program effects on cigarette smoking and hard drug use in the health educator-led version.Conclusions. Project TND shows maintenance of effects on some drugs 2 years after program implementation, when most youth were young adults. More work is needed to learn how to maintain effects across substances. Continued exploration of modalities of implementation may be helpful. (C) 2003 American Health Foundation and Elsevier Science (USA). All rights reserved.