Short-term Evaluation of a Life Skills-based Smoking, Drinking and Substance Use Prevention Program

本研究以新泻县两所初中七年级学生(230人)为研究对象，于2004年3月进行问卷调查，内容包括：1)自尊、2)社交技能、3)压力应对技巧、4)吸烟、饮酒及使用非法药物的态度及行为。前测结束后，实验学校的学生参加了以生活技能为基础的物质预防计划(7年级17节课，8年级10节课)。分别在每学年结束时进行后测。第一个后测阶段的结果表明，以生活技能发展为重点的综合物质使用预防方案有效地提高了自尊、社交技能和压力应对技能，并增加了对物质使用的负面态度，特别是对女孩。第二个后测阶段的结果也表明，以生活技能发展为重点的综合物质使用预防方案在提高自尊、社交技能和提高应对包括媒体和同伴压力在内的社会压力的自我效能方面有效，特别是对女孩。后测结果表明，基于生活技能的综合预防方案在预防吸烟方面是可行的，日本青少年饮酒和使用非法药物的情况。

The purpose of this three-year longitudinal study is to test the effectiveness of a comprehensive substance use prevention program focusing on personal and social skills (life skills).The subjects for this study were the students (230) from the 7th grade of two junior high schools in the Niigata prefecture.In March 2004, all students were pretested by questionnaire for 1) self-esteem, 2) social skills, 3) stress coping skills, 4) attitude and behaviors of cigarette smoking, alcohol drinking, and use of illegal drugs. After the pretest, the students in the experimental school participated in a life skills based substance prevention program (17 lessons at the 7th grade and 10 lessons at the 8th grade). The posttest was conducted at the end of each school year, respectively.The results at the first posttest stage suggested that the comprehensive substance use prevention program focusing on life skills development was effective in enhancing self-esteem, social skills and stress coping skills and increasing negative attitude toward substance use, especially for girls.The results at the second posttest stage also suggested that the comprehensive substance use prevention program focusing on life skills development was effective in enhancing self-esteem, social skills and increasing self-efficacy of dealing with social pressures including media and peer pressures, especially for girls.The results of the posttests suggested the possibility of the life skills-based comprehensive program in preventing cigarette smoking, alcohol drinking and use of illegal drugs among Japanese adolescents.