药物滥用
心理学
医学
自杀预防
伤害预防
毒物控制
同级组
物质使用
临床心理学
精神科
发展心理学
环境卫生
作者
Thomas W. Valente,Anamara Ritt‐Olson,Alan W. Stacy,Jennifer B. Unger,Janet Okamoto,Steve Sussman
出处
期刊:Addiction
[Wiley]
日期:2007-09-03
卷期号:102 (11): 1804-1815
被引量:224
标识
DOI:10.1111/j.1360-0443.2007.01992.x
摘要
To test whether a social network tailored substance abuse prevention program can reduce substance use among high-risk adolescents without creating deviancy training (iatrogenic effects).A classroom randomized controlled trial comparing control classes with those receiving an evidence-based substance use prevention program [Towards No Drug Abuse (TND)] and TND Network, a peer-led interactive version of TND. Students (n = 541, mean age 16.3 years) in 75 classes from 14 alternative high schools completed surveys before and approximately 1 year after curriculum delivery. Past-month use of tobacco, alcohol, marijuana and cocaine were assessed.Overall, TND Network was effective in reducing substance use. However, the program effect interacted with peer influence and was effective mainly for students who had peer networks that did not use substances. Students with classroom friends who use substances were more likely to increase their use.A peer-led interactive substance abuse prevention program can accelerate peer influences. For students with a peer environment that supports non-use, the program was effective and reduced substance use. For students with a peer environment that supports substance use, an interactive program may have deleterious effects.
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