Abstract
The series of seminal meta-analytic studies of school-based substance use prevention program studies conducted by the late Nancy S. Tobler and colleagues concluded that programs with content focused on social influences' knowledge, drug refusal skills, and generic competency skills and that use participatory or interactive teaching strategies were more effective than programs focused on knowledge and attitudes and favoring traditional didactic instruction. The present study compared current school practice against evidence-based standards for “effective content” and “effective delivery,” derived from the Tobler findings. Respondents were the lead staff who taught substance use prevention in the 1998–1999 school year in a national sample of public and private schools that included middle school grades (N = 1,795). Results indicate that most providers (62.25%) taught effective content, but few used effective delivery (17.44%), and fewer still used both effective content and delivery (14.23%). Those who taught an evidence-based program (e.g., Life Skills Training, Project ALERT), however, were more likely to implement both effective content and delivery, as were those teachers who were recently trained in substance use prevention and were comfortable using interactive teaching methods. The findings indicate that the transfer to practice of research knowledge about school-based substance use prevention programming has been limited.
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REFERENCES
Battistich, V., Solomon, D., Kim, D., Watson, M., & Schaps, E. (1995). Schools as communities, poverty levels of student populations, and students' attitudes, motives, and performance: A multilevel analysis. American Educational Research Journal, 32(3), 627-658.
Bosworth, K., & Sailes, J. (1993). Content and teaching strategies in 10 selected drug abuse prevention curricula. Journal of School Health, 63(6), 247-253.
Brink, S. G., Basen-Engquist, K., O'Hara-Tompkins, N. M., Parcel, G. S., Gottlieb, N. H., & Lovato, C. Y. (1995). Diffusion of an effective tobacco prevention curriculum Part 1: Evaluation of the dissemination phase. Health Education Research, 10, 283-295.
Centers for Disease Control and Prevention. (1994). Guidelines for school health programs to prevent tobacco use and addiction. Morbidity and Mortality Weekly Reports, 43(RR-2), 1-18.
Centers for Disease Control and Prevention. (2001). Programs that work [Web Page]. Retrieved from http://www.cdc.gov/nccdphp/dash/rtc/tob-curric.htm
Centers for Substance Abuse Prevention. (2001). CSAP's prevention portal: Model programs [Web Page]. Retrieved from http://www.samhsa.gov/centers/csap/modelprograms/default.htm
Drug Strategies. (1999). Making the grade: A guide to school drug prevention programs. Washington, DC: Drug Strategies.
Dusenbury, L., & Falco, M. (1995). Eleven components of effective drug abuse prevention curricula. Journal of School Health, 65(10), 420-425.
Glynn, T. J. (1989). Essential elements of school-based smoking-prevention programs. Journal of School Health, 59(5), 181-188.
Gottfredson Associates. (1997). National Study of Delinquency in Schools, Principal's Questionnaire. Ellicott City, MD: Gottfredson Associates.
McCormick, L. K., Steckler, A. B., & McLeroy, K. R. (1995). Diffusion of innovations in schools: A study of the adoption and implementation of school-based tobacco curricula. American Journal of Health Promotion, 9(3), 210-219.
National Institute on Drug Abuse. (1997). Preventing drug use among children and adolescents: A research-based guide. Rockville, MD: National Institute on Drug Abuse.
Parcel, G. S., Eriksen, M. P., Lovato, C. Y., Gottlieb, N. H., Brink, S. G., & Green, L. W. (1989). The diffusion of school-based tobacco use prevention programs: Project description and baseline data. Health Education Research, 4(1), 111-124.
Quality Education Data. (1998). Denver, CO: Quality Education Data, Inc.
Ringwalt, C., Ennett, S. T., Vincus, A., Thorne, J., & Rohrbach, L. (2002). The prevalence of effective substance use prevention curricula in U.S. middle schools. Prevention Science, 3(4), 257-265.
Rogers, E. M. (1995). Diffusion of innovations (4th ed.). New York: The Free Press.
Rohrbach, L. A., D'Onofrio, C. N., Backer, T. E., & Montgomery, S. B. (1996). Diffusion of school-based substance abuse prevention programs. American Behavioral Scientist, 39(7), 919-934.
Rohrbach, L. A., Graham, J. W., & Hansen, W. B. (1993). Diffusion of a school-based substance abuse prevention program: Predictors of program implementation. Preventive Medicine, 22, 237-260.
Shah, B. V., Barnwell, G. S., & Bieler, G. S. (1996). SUDAAN user's manual. Research Triangle Park, NC: Research Triangle Institute.
Steckler, A., Goodman, R. M., McLeroy, K. R., Davis, S., & Koch, G. (1992). Measuring the diffusion of innovative health promotion programs. American Journal of Health Promotion, 6(3), 214-224.
Tobler, N. S. (1986). Meta-analysis of 143 adolescent drug prevention programs: Quantitative outcome results of program participants compared to a control or comparison group. Journal of Drug Issues, 16(4), 537-567.
Tobler, N. S. (1992). Drug prevention programs can work: Research findings. Journal of Addictive Diseases, 11(3), 1-28.
Tobler, N. S. (1997). Meta-analysis of adolescent drug prevention programs: Results of the 1993 meta-analysis. In W. J. Bukoski (Ed.), Meta-analysis of drug abuse prevention programs (NIDA Research Monograph 170th ed., pp. 5-68). Rockville, MD: National Institute on Drug Abuse.
Tobler, N. S., Lessard, T., Marshall, D., Ochshorn, P., & Roona, M. (1999). Effectiveness of school-based drug prevention programs for marijuana use. School Psychology International, 20(1), 105-137.
Tobler, N. S., Roona, M. R., Ochshorn, P., Marshall, D. G., Streke, A. V., & Stackpole, K. M. (2000). School-based adolescent drug prevention programs: 1998 meta-analysis. Journal of Primary Prevention, 20(4), 275-336.
Tobler, N. S., & Stratton, H. H. (1997). Effectiveness of school-based drug prevention programs: A meta-analysis of the research. Journal of Primary Prevention, 18(1), 71-128.
U.S. Department of Education. (1998). Safe and drug-free schools program: Notice of final principles of effectiveness. Federal Register, 63(014), 29902-29906.
U.S. Department of Education. (2001). Safe and drug-free schools and communities program: Model programs [Web Page]. Retrieved from http://www.ed.gov/offices/OESE/SDFS/programs.html
Wenter, D. L., Ennett, S. T., Ribisl, K., Vincus, A. A., Rohrbach, L. R. C. L., & Jones, S. M. (2002). Comprehensiveness of substance use prevention programs in U.S. middle schools. Journal of Adolescent Health, 30(6), 455-462.
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Ennett, S.T., Ringwalt, C.L., Thorne, J. et al. A Comparison of Current Practice in School-Based Substance Use Prevention Programs with Meta-Analysis Findings. Prev Sci 4, 1–14 (2003). https://doi.org/10.1023/A:1021777109369
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DOI: https://doi.org/10.1023/A:1021777109369