Document Detail


Culturally grounded substance use prevention: an evaluation of the keepin' it R.E.A.L. curriculum.
MedLine Citation:
PMID:  14598996     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This paper reports on the evaluation of a culturally grounded prevention intervention targeting substance use among urban middle-school students. The curriculum consists of 10 lessons promoting antidrug norms and teaching resistance and other social skills, reinforced by booster activities and a media campaign. Three versions were delivered: Mexican American, combined African American and European American, and Multicultural. Thirty-five middle schools were randomly assigned to 1 of the 3 versions or the control. Students completed baseline and follow-up questionnaires over a 2-year period (total 6,035 respondents). Analyses utilizing a generalized estimating equations approach assessed the overall effectiveness of cultural grounding and the cultural matching hypothesis. Support was found for the intervention's overall effectiveness, with statistically significant effects on gateway drug use as well as norms, attitudes, and resistance strategies but with little support for the cultural matching hypothesis. Specific contrasts found the Mexican American and Multicultural versions impacted the most outcomes.
Authors:
Michael L Hecht; Flavio Francisco Marsiglia; Elvira Elek; David A Wagstaff; Stephen Kulis; Patricia Dustman; Michelle Miller-Day
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Prevention science : the official journal of the Society for Prevention Research     Volume:  4     ISSN:  1389-4986     ISO Abbreviation:  Prev Sci     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2003-11-05     Completed Date:  2004-03-02     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  100894724     Medline TA:  Prev Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  233-48     Citation Subset:  IM    
Affiliation:
Department of Communication, Arts and Sciences, The Pennsylvania State University, University Park, Pennsylvania 16802, USA. mlh10@psu.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Culture*
Curriculum*
Ethnic Groups / education*
Health Education / methods*
Humans
Program Evaluation
Questionnaires
School Health Services*
Self Efficacy
Substance-Related Disorders / ethnology*,  prevention & control*
United States / epidemiology
Grant Support
ID/Acronym/Agency:
R01 DA 05629/DA/NIDA NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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