One-year outcomes of Project Towards No Drug Abuse
One-year outcomes of Project Towards No Drug Abuse
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DOI：
10.1006/pmed.1998.0338
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发表时间：
1998-07-01
影响因子：
5.1
通讯作者：
Craig, S
中科院分区：
文献类型：
--
作者：
Sussman, S;Dent, CW;Craig, S
目标.本文介绍了在南加州开展的一项大规模的预防药物滥用计划--“走向无药物滥用计划”（Project Towards No Drug Abuse，Project TND）的1年效果评价。本研究采用三条件实验设计，评估九节健康动机-社会技能-决策课程的效能。21所学校被随机分配到三个条件之一-标准护理（控制），课堂计划，课堂计划加上一个学期的学校作为社区组成部分。一个预测试之后，为期3周的药物滥用预防计划，然后在14个延续高中后测。7所标准护理学校只接受了前测，然后是后测（时间相同）。随访1年。在测试前1年的随访时间间隔内评估了吸烟、饮酒、大麻和硬性药物使用的变化。随访率为67%（分析n = 1，074）。在酒精和硬性毒品使用方面发现了指示的预防效果。在两种程序条件下未发现差异。TND项目是第一个通过使用以学校为基础的有限会议模型来证明1年自我报告的行为对老年高危青年中酒精使用和硬性药物使用的影响的项目。(C)1998年美国健康基金会和学术出版社。
Objectives. This paper presents the 1-year outcomes evaluation of Project Towards No Drug Abuse (Project TND), a large-scale indicated drug abuse prevention program in southern California applied to continuation high school youth, who are at high risk for drug abuse.Methods. The efficacy of a nine-lesson health motivation-social skills-decision-making curriculum was evaluated in a three-condition experimental design. Twenty-one schools were randomly assigned by block to one of three conditions-standard care (control), classroom program, and classroom program plus a semester-long school-as-community component. A pretest was followed by a 3-week-long drug abuse prevention program and then a posttest at 14 continuation high schools. The 7 standard care schools received only the pretest followed by the posttest (same time duration). Subjects were followed up 1 year later.Results. Changes in use of cigarettes, alcohol, marijuana, and hard drugs were assessed in a pretest-1-year follow-up time interval. The follow-up rate was 67% (analysis n = 1,074). Indicated preventive effects were found on alcohol and hard drug use. No differences were found across the two program conditions.Conclusions. Project TND is the first program to demonstrate 1-year self-reported behavioral effects on alcohol use and hard drug use among older, high-risk youth by using a school-based, limited-session model. (C) 1998 American Health Foundation and Academic Press.