Reconceptualizing Efficacy in Substance Use Prevention Research: Refusal Response Efficacy and Drug Resistance Self-Efficacy in Adolescent Substance Use

Reconceptualizing Efficacy in Substance Use Prevention Research: Refusal Response Efficacy and Drug Resistance Self-Efficacy in Adolescent Substance Use
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DOI:
10.1080/10410236.2012.720245
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发表时间:
2013-01-01
影响因子:
3.9
通讯作者:
Hecht, Michael L.
Hecht, Michael L.
中科院分区:
医学3区
文献类型:
--
作者:
Choi, Hye Jeong;Krieger, Janice L.;Hecht, Michael L.

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本研究的目的是利用扩展的平行加工模型(EPPM)来扩展青少年物质使用情境中效能感的结构。本研究以39所农村学校的2129名七年级学生为被试,考察了药物拒绝效能的结构,并论证了反应效能、自我效能与青少年吸毒之间的关系。与假设一致的是,验证性因素分析得到了一个由12个条目组成的量表的三个因素的解决方案:拒绝RE、酒精抵抗自我效能(ASE)和大麻抵抗自我效能(MSE)。拒绝RE和ASE/MSE与饮酒和吸食大麻呈负相关,而MSE与饮酒呈正相关。这些数据表明,在药物预防中,有效性是一个比通常认为的更广泛的结构。预防计划应加强拒绝RE和物质特异性抗性SE。
The purpose of this study is to utilize the Extended Parallel Process Model (EPPM) to expand the construct of efficacy in the adolescent substance use context. Using survey data collected from 2,129 seventh-grade students in 39 rural schools, we examined the construct of drug refusal efficacy and demonstrated relationships among response efficacy (RE), self-efficacy (SE), and adolescent drug use. Consistent with the hypotheses, confirmatory factor analyses of a 12-item scale yielded a three-factor solution: refusal RE, alcohol-resistance self-efficacy (ASE), and marijuana-resistance self-efficacy (MSE). Refusal RE and ASE/MSE were negatively related to alcohol use and marijuana use, whereas MSE was positively associated with alcohol use. These data demonstrate that efficacy is a broader construct than typically considered in drug prevention. Prevention programs should reinforce both refusal RE and substance-specific resistance SE.