Cited by 316Substance Abuse Treatment and OutcomesSmoking Behavior and CessationSchool Health and Nursing Education

A review of 25 long-term adolescent tobacco and other drug use prevention program evaluations

Skara, Silvana, Sussman, Steve·2003·Preventive Medicine

Abstract

Background Although the initial effectiveness of psychosocial strategies programming in preventing smoking and other drug abuse among adolescents has been well established through literature reviews and meta-analyses, much less evidence exists for the long-term follow-up success of these interventions. The primary goal of this paper, therefore, is to summarize the effectiveness of published program evaluation studies that have followed adolescents across the transitional period between junior high and high school for a period of at least 2 years. Methods Studies for inclusion in this review were accessed primarily through a computerized search of Medline, Healthstar, and PsychINFO databases. Intervention studies that met five core criteria were retained for review. Two authors independently abstracted data on study characteristics, methodology, and program outcomes. Results Search results yielded 25 studies suitable for examination. The majority of these studies reported significant program effects for long-term smoking, alcohol, and marijuana outcomes, while indicating a fairly consistent magnitude of program effects. Conclusions This review provides long-term empirical evidence of the effectiveness of social influences programs in preventing or reducing substance use for up to 15 years after completion of programming. However, this conclusion is still somewhat tenuous given the lack of significant program effects reported in several studies and the great variability that existed in the level of internal and external validity across all studies.

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Crossref · 10.1016/s0091-7435(03)00166-x

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  • There is some empirical evidence of the effectiveness of social influences programs in preventing or reducing substance use for up to 15 years after completion of programming.

    “One review suggested that there is some empirical evidence of the effectiveness of social influences programs in preventing or reducing substance use for up to 15 years after completion of programming.”
  • The conclusion about social influences programs is prone to great variability in the level of internal and external validity across all studies.

    “However, this conclusion is prone to great variability in the level of internal and external validity across all studies [74].”

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Authors
Skara, S., & Sussman, S.
Affiliations
University of Southern California (US)
Corresponding author
Skara, Silvana
Venue
Preventive Medicine
Publisher
Elsevier BV
Published
2003-11
Volume
37
Issue
5
Pages
451-474
ISSN
0091-7435 (ISSN-L)
OpenAlex
W2001903565
Cited by
310
References
75
Citations by year
2026: 1 · 2025: 2 · 2023: 3 · 2022: 4 · 2021: 6 · 2020: 50 · 2019: 3 · 2018: 6 · 2017: 5 · 2016: 9 · 2015: 16 · 2014: 14 · 2013: 11 · 2012: 15
FWCI
2.34
Type
journal article
Language
en
Open access
closed
Locations
  • Preventive Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
Keywords
adolescent substance use prevention, tobacco use prevention, smoking prevention, alcohol prevention, cannabis use, psychosocial interventions, program evaluation
MeSH terms
Smoking Prevention, Adolescent, Community Health Services, Cross-Sectional Studies, Data Interpretation, Statistical, Female, Humans, Longitudinal Studies, Male, Research Design, School Health Services, Reproducibility of Results, Program Evaluation, Substance Abuse Treatment Centers, Adolescent Health Services, Outcome Assessment, Health Care, Evidence-Based Medicine, Substance-Related Disorders

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