DO DRUG PREVENTION EFFECTS PERSIST INTO HIGH-SCHOOL - HOW PROJECT ALERT DID WITH 9TH GRADERS
DO DRUG PREVENTION EFFECTS PERSIST INTO HIGH-SCHOOL - HOW PROJECT ALERT DID WITH 9TH GRADERS
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DOI：
10.1006/pmed.1993.1038
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发表时间：
1993-07-01
影响因子：
5.1
通讯作者：
HARRISON, ER
中科院分区：
文献类型：
--
作者：
BELL, RM;ELLICKSON, PL;HARRISON, ER
背景。这篇文章报道了一个多地点毒品预防项目在九年级期间的随访结果，该项目在初中期间抑制了大麻和香烟的使用。该课程以社会影响预防模式为基础，旨在激励年轻人反对吸毒，并教他们抵制毒品倾向压力的技能。来自加州和俄勒冈州八个城市、农村和郊区社区的30所学校被随机分配到三个实验条件下，两个治疗组和一个对照组。20所学校的学生共上了11节课，7年级8节，8年级3节；在10所接受治疗的学校中，年龄较大的青少年在项目实施中协助成年教师。学生们在课程开始前（7年级）进行了预测试，并在24个月后（9年级）进行了后测试。在青少年领导学校，对认知风险因素（药物使用的感知后果、规范信念、抵抗自我效能和对未来使用的期望）的早期影响持续到九年级；在没有青少年参与的成年人授课的情况下，先前对信念的有益影响在很大程度上被削弱了。所有早期对实际使用的影响在9年级时就消失了，不管谁教这些课。可能需要继续加强早期课程，以便在向高中过渡期间保持预防成果。
Background. This article reports follow-up results during grade 9 for a multisite drug prevention program that curbed both marijuana and cigarette use during junior high. Based on the social influence model of prevention, the curriculum sought to motivate young people against drug use and to teach them skills for resisting pro-drug pressures.Methods. Thirty schools drawn from eight urban, rural, and suburban communities in California and Oregon were randomly assigned to three experimental conditions, two treatment groups and one control. Students in 20 schools received 11 lessons, 8 during grade 7 and 3 in grade 8; in 10 of the treatment schools, older teens assisted an adult teacher in program delivery. Students were pretested prior to the program (grade 7) and post-tested 24 months later (grade 9).Results. Earlier effects on cognitive risk factors (perceived consequences of drug use, normative beliefs, resistance self-efficacy, and expectations of future use) persisted through grade 9 in the teen leader schools; in the condition under which adults taught the lessons without teens, the prior beneficial effects on beliefs largely eroded. All of the earlier effects on actual use disappeared by grade 9, regardless of who taught the lessons.Conclusion. Continued reinforcement of earlier lessons may be required to sustain prevention gains through the transition to high school.