The effectiveness of a school-based substance abuse prevention program: 18-Month follow-up of the EU-Dap cluster randomized controlled trial
In: Drug and alcohol dependence, Jg. 108 (2010), Heft 1-2, S. 56-64
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Zugriff:
Aim: To evaluate the effectiveness of a school-based substance abuse prevention program developed in the EU-Dap study (EUropean Drug Addiction Prevention trial). Materials and methods: Cluster Randomized Controlled Trial. Seven European countries participated in the study; 170 schools (7079 pupils 12-14 years of age) were randomly assigned to one of three experimental conditions or to a control condition during the school year 2004/2005. The program consisted of a 12-h curriculum based on a comprehensive social influence approach. A pre-test survey assessing past and current substance use was conducted before the implementation of the program, while a post-test survey was carried out about 18 months after the pre-test. The association between program condition and change in substance use at post-test was expressed as adjusted prevalence odds ratio (POR), estimated by multilevel regression models. Results: Persisting beneficial program effects were found for episodes of drunkenness (any, POR = 0.80; 0.67-0.97; frequent, POR=0.62; 0.47-0.81) and for frequent cannabis use in the past 30 days (POR = 0.74; 0.53-1.00), whereas daily cigarette smoking was not affected by the program as it was at the short-term follow-up. Baseline non-smokers that participated in the program progressed in tobacco consumption to a lower extent than those in the control condition, but no difference was detected in the proportion of quitters or reducers among baseline daily smokers. Conclusion: The experimental evaluation of an innovative school curriculum based on a comprehensive social influence approach, indicated persistent positive effects over 18 months for alcohol abuse and for cannabis use, but not for cigarette smoking.
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The effectiveness of a school-based substance abuse prevention program: 18-Month follow-up of the EU-Dap cluster randomized controlled trial
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Autor/in / Beteiligte Person: | FAGGIANO, Fabrizio ; VIGNA-TAGLIANTI, Federica ; VAN DER KREEFT, Peer ; VASSARA, Maro ; WIBORG, Gudrun ; GALANTI, Maria Rosaria ; BURKHART, Gregor ; BOHRN, Karl ; CUOMO, Luca ; GREGORI, Dario ; PANELLA, Massimiliano ; SCATIGNA, Maria ; SILIQUINI, Roberta ; VARONA, Laura ; EU-Dap Study Group |
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Zeitschrift: | Drug and alcohol dependence, Jg. 108 (2010), Heft 1-2, S. 56-64 |
Veröffentlichung: | Shannon: Elsevier, 2010 |
Medientyp: | academicJournal |
Umfang: | print, 1 p |
ISSN: | 0376-8716 (print) |
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