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Culturally Grounded Substance Use Prevention: An Evaluation of the keepin' it R.E.A.L. Curriculum
Abstract
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.
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Culturally targeted substance abuse interventions may impact initiation of substance use and help in the treatment of abuse.
“Culturally targeted substance abuse interventions may impact initiation of substance use and help in the treatment of abuse (Hetch et al., 2003; Unger, 2012).”
From National trends in pharmaceutical opioid related overdose deaths compared to other substance related overdose deaths: 1999-2009. (2013) · cites this paper as Hetch et al., 2003
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“Testing versions that were culture-specifically targeted as well as a combined multicultural curriculum proved efficacious in a clinical trial (Hecht, Graham, & Elek, 2006; Hecht et al., 2003).”
BackgroundSelf-citationCultural Adaptation Process for International Dissemination of the Strengthening Families Program
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“…materials is not strictly for cultural accommodations but is also on the basis of new research or historical and global experiences to be more acceptable for families— particularly clothing fashions in video or graphic materials (Allen et al., 2006; Hecht et al., 2003; Holleran Steiker, in press).”
BackgroundUsing Planned Adaptation to Implement Evidence‐Based Programs with New Populations
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“However, there is mixed evidence regarding the need for and the success of cultural adaptations of intervention programs (Hecht et al. 2003; Pilgrim et al. 2006).”
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Self-citationHopfer, S. (2011) · Prevention Science · doi:10.1007/s11121-011-0254-1 · Cited by 204
“This program utilizes four prototypical drug resistance narratives that adolescents commonly apply when they encounter drug offers from peers: (1) a straightforward refusal narrative [REFUSE], (2) resisting drug offers by giving an explanation [EXPLAIN], (3) avoiding situations or places where youth engage in substanc…”
BackgroundCultural Adaptation of Interventions in Real Practice Settings
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“…period between the pretest and posttest, students in the control condition participated in the existing substance use prevention programs chosen by their school or school district personnel to meet state mandates for prevention programming (see Hecht et al., 2003, for more detailed information).”
MethodSelf-citationDrug Policy and the Public Good
Babor, T. F., Caulkins, J. P., Edwards, G., Fischer, B., Foxcroft, D., Humphreys, K. N., Obot, I. S., Rehm, J. T., Reuter, P., Room, R., et al. (2009) · doi:10.1093/acprof:oso/9780199557127.001.0001 · Cited by 170
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“The questions were developmentally appropriate for this age group as shown in other studies of early adolescent drug use (Hecht et al. 2003; Kandel and Wu 1995).”
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Self-citationCano, M. Á., Schwartz, S. J., Castillo, L. G., Romero, A. J., Huang, S., Lorenzo‐Blanco, E. I., Unger, J. B., Zamboanga, B. L., Rosiers, S. E. D., Baezconde-Garbanati, L. A., et al. (2015) · Journal of Adolescence · doi:10.1016/j.adolescence.2015.03.017 · Cited by 164
“Thus, existing evidence-based, culturally tailored interventions to prevent health risk behavior among Hispanic adolescents, such as Keepin’ it REAL (Hecht et al., 2003), Family Effectiveness Training (Szapocznik et al., 1989), and Familias Unidas (Coatsworth, Pantin, & Szapocznik, 2002) may benefit from integrating m…”
BackgroundThe Principle of Cultural Grounding in School-Based Substance Abuse Prevention
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“These culturally grounded prevention programs can address cultural differences without damaging program fidelity (Hecht et al., 2003).”
BackgroundAfifi, W. A., Morgan, S. E., Stephenson, M. T., Morse, C. R., Harrison, T. R., Reichert, T., & Long, S. D. (2006) · Communication Monographs · doi:10.1080/03637750600690700 · Cited by 146
“This investigation also emphasizes the need for culture-specific health campaigns that target particular beliefs (see Hecht et al., 2003).”
BackgroundThe Drug Resistance Strategies Intervention: Program Effects on Substance Use
Hecht, M. L., Graham, J. W., & Elek, E. (2006) · Health Communication · doi:10.1207/s15327027hc2003_6 · Cited by 133
“The typical model for evaluating prevention outcomes such as those from keepin’ it REAL compares mean group differences (Hecht et al, 2003).”
BackgroundMethodInfluentialSelf-citationParsai, M., Voisine, S., Marsiglia, F. F., Kulis, S., & Nieri, T. A. (2008) · Youth & Society · doi:10.1177/0044118x08318117 · Cited by 133
“This study is a secondary analysis of data drawn from the pretest surveys of a randomized trial of a drug prevention program administered to middle school students in a southwestern city in the United States (for details, see Hecht et al., 2003).”
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“Nonetheless, the frequency of drug use found in the current study is consistent with national reports (Johnston et al. 2009).”
BackgroundResultInfluentialColby, M., Hecht, M. L., Miller-Day, M. A., Krieger, J. L. R., Syvertsen, A. K., Graham, J. A., & Pettigrew, J. (2012) · American Journal of Community Psychology · doi:10.1007/s10464-012-9524-8 · Cited by 122
“This line of research was initiated in the 1970s first to articulate an ethnic perspective on communication in general (see summary in Hecht et al. 2003a).”
BackgroundInfluentialSelf-citationCastro, F. G., Stein, J. A., & Bentler, P. M. (2009) · The Journal of Primary Prevention · doi:10.1007/s10935-009-0174-z · Cited by 129
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“the program’s effectiveness in preventing substance use, strengthening anti-drug norms and attitudes, and increasing the use of drug resistance strategies (Hecht et al., 2003), but it did not differentiate any effects on current substance”
BackgroundInfluentialSelf-citationOkamoto, S. K., Kulis, S., Marsiglia, F. F., Steiker, L. K. H., & Dustman, P. A. (2013) · The Journal of Primary Prevention · doi:10.1007/s10935-013-0334-z · Cited by 117
“…prevention curriculum, which is an evidence-based curriculum evaluated with a predominantly Mexican/Mexican–American youth sample in the Southwest US (Hecht et al., 2003), was found to be generalizable to other ethnocultural groups in the region except for American Indian youth (Dixon et al.,…”
BackgroundMethodInfluentialSelf-citationWalton, M. A., Resko, S., Barry, K. L., Chermack, S. T., Zucker, R. A., Zimmerman, M. A., Booth, B. M., & Blow, F. C. (2014) · Addiction · doi:10.1111/add.12469 · Cited by 111
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Hodder, R. K., Freund, M., Wolfenden, L., Bowman, J., Nepal, S., Dray, J., Kingsland, M., Yoong, S. L., & Wiggers, J. (2017) · Preventive Medicine · doi:10.1016/j.ypmed.2017.04.003 · Cited by 120
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“Such interventions may focus directly on adolescents’ perceptions of peer and parent disapproval (e.g., Barnett, Far, Mauss, & Miller, 1996; Hecht et al., 2003) or indirectly on teaching youth and their parents to effectively communicate disapproval of alcohol and other substance use to their peers…”
Brief school-based interventions and behavioural outcomes for substance-using adolescents
Carney, T., Myers, B. J., Louw, J., & Okwundu, C. I. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd008969.pub3 · Cited by 99
Lorenzo‐Blanco, E. I., & Unger, J. B. (2015) · Journal of Youth and Adolescence · doi:10.1007/s10964-015-0339-4 · Cited by 97
Identity Gaps and Level of Depression Among Korean Immigrants
Jung, E., & Hecht, M. L. (2008) · Health Communication · doi:10.1080/10410230802229688 · Cited by 113
Self-citationReligion and Substance Use among Youths of Mexican Heritage: A Social Capital Perspective
Hodge, D., Marsiglia, F., & Nieri, T. (2011) · Social work research (Print) · doi:10.1093/swr/35.3.137 · Cited by 55
“Modeled on items used by Flannery, Flannery, Vasonyi, Torquati, and Fridrich (1994), these measures were selected for their developmental appropriateness and for their similarity to measures used in other large studies of substance use among early adolescents (Hecht et al., 2003; Kandel & wu, 1995).”
MethodSelf-citationSchool-based programs to prevent and reduce alcohol use among youth.
Stigler, M. H., Neusel, E., & Perry, C. L. (2011) · Europe PMC (PubMed Central) · Cited by 82
Effects of a School-Based Prevention Program on European Adolescents' Patterns of Alcohol Use
Caria, M. P., Faggiano, F., Bellocco, R., & Galanti, M. R. (2010) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2010.06.003 · Cited by 82
School-Based Drug Prevention Programs: A Review of What Works
Soole, D. W., MAZEROLLE, L. G., & Rombouts, S. (2008) · Australian & New Zealand Journal of Criminology · doi:10.1375/acri.41.2.259 · Cited by 81
“…DeWit et al., 2000; Eisen, Zellman, Massett, & Murray, 2002; Eisen et al., 2003; Griffin, Botvin, Nichols, & Doyle, 2003; Hansen & Dusenbury, 2004; Hecht et al., 2003; McNeal, Hansen, Harrington, & Giles, 2004; Piper, Moberg & King, 2000; Scheier, Botvin, & Griffin, 2001; Schinke, Tepavac, &…”
Flay, B. R. (2009) · Tobacco Induced Diseases · doi:10.1186/1617-9625-5-7 · Cited by 79
Kulis, S., Hodge, D. R., Ayers, S. L., Brown, E. F., & Marsiglia, F. F. (2012) · The American Journal of Drug and Alcohol Abuse · doi:10.3109/00952990.2012.670338 · Cited by 78
Self-citationCaputi, T. L., & McLellan, A. T. (2016) · Drugs Education Prevention and Policy · doi:10.1080/09687637.2016.1208731 · Cited by 77
“The programme was developed specifically for a Hispanic audience (Gosin, Marsiglia, & Hecht, 2003; Hecht et al., 2003), and there is evidence that a Hispanic adaptation of KiR is effective with a predominantly Hispanic audience, as expected.”
BackgroundInfluentialElek, E., Wagstaff, D., & Hecht, M. (2010) · Journal of Drug Education · doi:10.2190/de.40.1.e · Cited by 69
“The positive substance use expectancies scale consisted of an average of three reverse-scored items adapted from Hansen and Graham (1991) and Hecht et al. (2003): “Drinking alcohol makes parties more fun,” “Smoking cigarettes makes people less nervous,” and “Smoking marijuana makes it easier to be…”
BackgroundMethodResultInfluentialSelf-citationAcculturation Status and Substance Use Prevention with Mexican and Mexican-American Youth
Marsiglia, F. F., Kulis, S., Wagstaff, D. A., Elek, E., & Dran, D. (2005) · Journal of Social Work Practice in the Addictions · doi:10.1300/j160v5n01_05 · Cited by 76
“…the pretest and posttest, students in the control condition participated in the existing substance use prevention programs chosen and instituted by their school or school district personnel to meet state mandates for prevention programming (see Hecht et al., 2003, for more detailed information).”
MethodSelf-citationPlanned Missing Data Designs in Educational Psychology Research
Rhemtulla, M., & Hancock, G. R. (2016) · Educational Psychologist · doi:10.1080/00461520.2016.1208094 · Cited by 75
“Several longitudinal studies have implemented multiform designs within one or more measurement occasions (e.g., Conrad-Hiebner, Schoemann, Counts, & Chang, 2015; Flay, Graumlich, Segawa, Burns, & Holliday, 2004; Hecht et al., 2003; Lin, Crnic, Luecken, & Gonzales, 2014).”
BackgroundCochrane Review: Universal school‐based prevention programs for alcohol misuse in young people
Foxcroft, D. R., & Tsertsvadze, A. (2012) · Evidence-Based Child Health: A Cochrane Review Journal · doi:10.1002/ebch.1829 · Cited by 87
Franklin, C., Kim, J. S., Beretvas, S. N., Zhang, A., Guz, S., Park, S., Montgomery, K. L., Chung, S., & Maynard, B. R. (2017) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-017-0235-4 · Cited by 83
Reducing substance use during adolescence: a translational framework for prevention
Stanis, J. J., & Andersen, S. L. (2014) · Psychopharmacology · doi:10.1007/s00213-013-3393-1 · Cited by 73
Primary Prevention of Cannabis Use: A Systematic Review of Randomized Controlled Trials
Norberg, M. M., Kezelman, S., & Lim-Howe, N. (2013) · PLoS ONE · doi:10.1371/journal.pone.0053187 · Cited by 68
Parsai, M., Castro, F. G., Marsiglia, F. F., Harthun, M. L., & Valdez, H. (2010) · Prevention Science · doi:10.1007/s11121-010-0188-z · Cited by 68
“However, despite demonstrated program efficacy (Hecht et al. 2003; Marsiglia et al. 2005), the Arizona-based developers in partnership with parents, students, teachers, and school principals and superintendents (community partners, stakeholders and key informants who participated in the development…”
BackgroundSelf-citationThe intersection of men's sexual violence perpetration and sexual risk behavior: A literature review
Davis, K. C., Neilson, E. C., Wegner, R., & Danube, C. L. (2018) · Aggression and Violent Behavior · doi:10.1016/j.avb.2018.04.001 · Cited by 68
“…program participants and stakeholders who can represent the community’s concerns be developed to ensure the mechanisms of action are delivered with fidelity and enhanced through adaptation to the needs of the community (Donovan, Daley, Brigham, Hodgkins, Perl, & Floyd, 2011; Hecht et al., 2003).”
BackgroundThe Cambridge Handbook of Substance and Behavioral Addictions
Sussman, S. Y. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591 · Cited by 64
Substance abuse prevention intervention research with Hispanic populations
Castro, F. G., Barrera, M., Pantin, H. M., Martínez, C. R., Félix‐Ortiz, M., Rios, R., López, V., & Lopez, C. (2006) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2006.05.005 · Cited by 64
How prevention curricula are taught under real‐world conditions
Miller-Day, M. A., Pettigrew, J., Hecht, M. L., Shin, Y., Graham, J., & Krieger, J. L. R. (2013) · Health Education · doi:10.1108/09654281311329259 · Cited by 72
“Indeed, many prevention programs are not developed with cultural diversity in mind (Hecht et al., 2003) and, so, may require adaptation for different cultural audiences.”
BackgroundSelf-citationParsai, M., Marsiglia, F. F., & Kulis, S. (2008) · The British Journal of Social Work · doi:10.1093/bjsw/bcn100 · Cited by 63
Self-citationDixon, A. L., Yabiku, S. T., Okamoto, S. K., Tann, S. S., Marsiglia, F. F., Kulis, S., & Burke, A. M. (2007) · The Journal of Primary Prevention · doi:10.1007/s10935-007-0114-8 · Cited by 62
“The cultural specificity of the program components is based on prior research, which found ethnic differences in common communication styles, competencies, and norms (Hecht and Ribeau 1984; Hecht et al. 1990) and drug use contexts (Gosin et al. 2003).”
BackgroundSelf-citationJumper-Reeves, L., Dustman, P. A., Harthun, M. L., Kulis, S., & Brown, E. F. (2014) · Prevention Science · doi:10.1007/s11121-012-0361-7 · Cited by 61
“The process utilized their expertise in a systematic cultural adaptation of an existing national model prevention curriculum, with the objective of increasing its applicability for Native adolescents (Hecht et al. 2003).”
MethodSelf-citationMarsiglia, F. F., Kulis, S., Yabiku, S. T., Nieri, T. A., & Coleman, E. (2010) · Prevention Science · doi:10.1007/s11121-010-0189-y · Cited by 59
“These findings confirm earlier findings on the effectiveness of keepin’ it REAL from its original RCT with middle school students (Hecht et al. 2003; Kulis et al. 2005).”
ResultSelf-citationParra‐Cardona, R., López‐Zerón, G., Leija, S. G., Maas, M. K., Villa, M., Zamudio, E., Arredondo, M., Yeh, H., & Domenech Rodríguez, M. M. (2019) · Family Process · doi:10.1111/famp.12381 · Cited by 60
“…these challenges, exemplar culturally relevant family-based prevention programs have been developed to benefit low-income Latino/a populations (Gonzales et al., 2012; Hecht et al., 2003; Kumpfer & Alvarado, 2003; Martinez & Eddy, 2005; Prado et al., 2007; Smokowski, David-Ferdon, & Bacallao, 2009).”
BackgroundBody Image, Acculturation, and Substance Abuse Among Boys and Girls in the Southwest
Nieri, T. A., Kulis, S., Keith, V. M., & Hurdle, D. E. (2005) · The American Journal of Drug and Alcohol Abuse · doi:10.1081/ada-200068418 · Cited by 60
“Data came from 3,563 eighth grade students completing the final wave of data collection (Spring 2000) in a 2-year, 4-wave drug prevention study in a large southwestern city (43).”
BackgroundSelf-citationHarthun, M. L., Dustman, P. A., Reeves, L. J., Marsiglia, F. F., & Hecht, M. L. (2009) · PubMed · Cited by 55
Self-citationPsychosocial Mediators of the Impact of Acculturation on Adolescent Substance Abuse
Saint‐Jean, G., Martínez, C. A. A., & Crandall, L. A. (2007) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-007-9060-z · Cited by 54
Liu, X., Guo, Y.-X., & Wang, X. (2023) · World Journal of Psychiatry · doi:10.5498/wjp.v13.i7.409 · Cited by 54
Cultural accommodation of the Strengthening Families Programme 10-14: UK Phase I study
Allen, D., Coombes, L., & FOXCROFT, D. R. (2006) · Health Education Research · doi:10.1093/her/cyl122 · Cited by 54
Voisine, S., Parsai, M., Marsiglia, F. F., Kulis, S., & Nieri, T. A. (2008) · Families in Society The Journal of Contemporary Social Services · doi:10.1606/1044-3894.3742 · Cited by 53
Self-citationLatent class analysis of substance use among adolescents presenting to urban primary care clinics
Bohnert, K. M., Walton, M. A., Resko, S. M., Barry, K., Chermack, S. T., Zucker, R. A., Zimmerman, M. A., Booth, B. M., & Blow, F. C. (2013) · The American Journal of Drug and Alcohol Abuse · doi:10.3109/00952990.2013.844821 · Cited by 53
Elek, E., Harris, S. L., Squire, C. M., Margolis, M. A., Weber, M. K., Dang, E. P., & Mitchell, B. (2013) · American Journal of Health Education · doi:10.1080/19325037.2013.768906 · Cited by 53
Self-citationWarren, J. R., Hecht, M. L., Wagstaff, D. A., Elek, E., Ndiaye, K., Dustman, P. A., & Marsiglia, F. F. (2006) · Journal of Applied Communication Research · doi:10.1080/00909880600574153 · Cited by 53
“Previous research has demonstrated its overall efficacy (Hecht et al., 2003).”
BackgroundMethodInfluentialSelf-citationHecht, M. L., Elek, E., Wagstaff, D. A., Kam, J. A., Marsiglia, F. F., Dustman, P. A., Reeves, L. J., & Harthun, M. L. (2008) · Journal of Drug Education · doi:10.2190/de.38.3.c · Cited by 51
“The analyses test the following hypothesis: When compared to students in the control condition, 5th grade students receiving the new keepin’ it REAL multicultural curriculum will experience: 1) a greater increase in refusal self-efficacy and the use of resistance strategies and decision-making skills; 2) less increase…”
BackgroundMethodInfluentialSelf-citationKulis, S., Yabiku, S. T., Marsiglia, F. F., Nieri, T. A., & Crossman, A. (2007) · Journal of Drug Education · doi:10.2190/c467-16t1-hv11-3v80 · Cited by 50
Self-citationReed, D. D., Naudé, G. P., Gelino, B. W., & Amlung, M. T. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.011 · Cited by 48
Making Drug and Alcohol Prevention Relevant
Steiker, L. K. H. (2008) · Family & Community Health · doi:10.1097/01.fch.0000304018.13255.f6 · Cited by 48
A Meta-analysis of the Effectiveness of Interactive Middle School Cannabis Prevention Programs
Lize, S. E., Iachini, A. L., Tang, W., Tucker, J. A., Seay, K. D., Clone, S., DeHART, D. D., & Browne, T. A. (2016) · Prevention Science · doi:10.1007/s11121-016-0723-7 · Cited by 56
Strategic Directions in Preventive Intervention Research to Advance Health Equity
Boyd, R. C., Castro, F. G., Finigan‐Carr, N., Okamoto, S. K., Barlow, A., Kim, B. E., Lambert, S. F., Lloyd, J. J., Zhang, X., Barksdale, C. L., et al. (2022) · Prevention Science · doi:10.1007/s11121-022-01462-5 · Cited by 50
“The most established example is the original keepin’ it REAL drug use refusal skills training adapted for Mexican/ Mexican American youth in the Southwest (Hecht et al., 2003).”
BackgroundYabiku, S. T., Marsiglia, F. F., Kulis, S., Parsai, M., Becerra, D., & Del‐Colle, M. (2010) · Substance Use & Misuse · doi:10.3109/10826081003728256 · Cited by 48
“The dependent variables are measures of recent substance use that were developmentally appropriate for this age group as shown in other studies (Flannery, Vazsonyi, Torquati, and Fridrich, 1994; Hecht et al., 2003; Kandel and Wu, 1995).”
MethodSelf-citationSnijder, M., Stapinski, L. A., Lees, B., Ward, J. S., Conrod, P., Mushquash, C. J., Belone, L., Champion, K. E., Chapman, C., Teesson, M., et al. (2019) · Prevention Science · doi:10.1007/s11121-019-01038-w · Cited by 51
Kulis, S. S., Ayers, S. L., & Harthun, M. L. (2017) · The Journal of Primary Prevention · doi:10.1007/s10935-016-0461-4 · Cited by 47
“…with over 6000 middle school students demonstrated the efficacy of kiR in preventing substance use and strengthening antidrug norms and attitudes (Hecht et al., 2003; Kulis, Nieri, Yabiku, Stromwall, & Marsiglia, 2007; Kulis, Yabiku, Marsiglia, Nieri, & Crossman, 2007; Marsiglia, Kulis, Yabiku,…”
BackgroundMethodInfluentialSelf-citationThe Prevention and Treatment of Gambling Disorders: Some Art, Some Science
Derevensky, J. L. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.024 · Cited by 45
Okamoto, S. K., Helm, S., Pel, S., McClain, L. L., Hill, A. P., & Hayashida, J. K. P. (2012) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-012-9304-0 · Cited by 46
Okamoto, S. K., Kulis, S., Helm, S., Chin, S. K., Hata, J., Hata, E., & Lee, A. (2019) · Asian American Journal of Psychology · doi:10.1037/aap0000164 · Cited by 51
“For example, Hecht et al. (2003) found that alcohol, cigarette, and marijuana use increased in both the intervention and control Asian Am J Psychol.”
InfluentialSelf-citationConsidering the Overlap and Nonoverlap of Compulsivity, Impulsivity, and Addiction
Blum, A. W., & Grant, J. E. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.038 · Cited by 44
Neurobiological Foundations of Behavioral Addictions
Vaccaro, A. G., & Potenza, M. N. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.016 · Cited by 45
Neurobiology of Substance Addictions
Christie, N. C., & Bechara, A. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.015 · Cited by 44
Sensitization of Incentive Salience and the Transition to Addiction
Warlow, S. M., Baumgartner, H. M., Freeland, C. M., Naffziger, E. E., Olney, J. J., Berridge, K. C., & Robinson, M. J. F. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.006 · Cited by 46
Marsiglia, F. F., Ayers, S. L., Baldwin‐White, A., & Booth, J. M. (2015) · Prevention Science · doi:10.1007/s11121-015-0574-7 · Cited by 45
“This can be compared with the original kiR study in which youth who participated in the intervention reported significantly less alcohol use at the end of 8th grade and less cigarette use at earlier waves when compared with the control group (Hecht et al. 2003; Kulis et al. 2005).”
InfluentialSelf-citationShin, Y., Miller-Day, M., Hecht, M., & Krieger, J. L. (2017) · Health Communication · doi:10.1080/10410236.2017.1321163 · Cited by 47
“The original version of kiR has proved to be effective in reducing substance use (Hecht et al., 2003; 2006).”
BackgroundSelf-citationMindfulness-Based Interventions Applied to Addiction Treatments
Kechter, A., & Black, D. S. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.040 · Cited by 43
Multiple Memory Systems, Addiction, and Health Habits: New Routes for Translational Science
Stacy, A. W., Pike, J. R., & Lee, A. Y. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.017 · Cited by 43
Tanning as an Addiction: The State of the Research and Implications for Intervention
Miller, K. A., & Mays, D. M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.037 · Cited by 43
Schulte, E. M., Schiestl, E. T., & Gearhardt, A. N. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.035 · Cited by 43
Behavioral Economics and Addictive Disorders
Jarmolowicz, D. P., & Schneider, T. D. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.005 · Cited by 42
Prevention and Treatment of Compulsive Buying Disorder
Galimov, A., & Black, D. W. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.027 · Cited by 42
Blum, K., Roy, A. K., Podesta, A., Modestino, E. J., Steinberg, B., Gondré-Lewis, M. C., Baron, D. A., Thanos, P. K., Lott, L., Badgaiyan, S., et al. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.031 · Cited by 42
Prevention and Treatment of “Food Addiction”
Davis, C., & Mason, A. E. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.023 · Cited by 42
Metadata
- Authors
- Hecht, M. L., Marsiglia, F. F., Elek, E., Wagstaff, D. A., Kulis, S., Dustman, P., & Miller-Day, M.
- Affiliations
- Pennsylvania State University (US)
- Arizona State University (US)
- Corresponding author
- Hecht, Michael L.
- Venue
- Prevention Science
- Published
- 2003-12
- Volume
- 4
- Issue
- 4
- Pages
- 233-248
- ISSN
- 1389-4986 (ISSN-L)
- 1573-6695
- OpenAlex
- W1577230560
- Cited by
- 383
- References
- 69
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 7 · 2023: 11 · 2022: 17 · 2021: 7 · 2020: 48 · 2019: 16 · 2018: 16 · 2017: 16 · 2016: 22 · 2015: 14 · 2014: 15 · 2013: 26 · 2012: 20
- FWCI
- 5.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Prevention Science (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Centers for Disease Control and Prevention
- National Institute on Drug Abuse (R01 DA 05629, R01DA005629)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Youth, Drugs, and Violence
- Social Sciences › Sociology and Political Science › Crime Patterns and Interventions
- Keywords
- substance use prevention, cultural grounding, Mexican American students, African American students, European American students, junior high school students, resistance strategies, social skills, media campaigns, multicultural curriculum
- MeSH terms
- Adolescent, Culture, Curriculum, Ethnicity, Health Education, Humans, Surveys and Questionnaires, School Health Services, United States, Program Evaluation, Substance-Related Disorders, Self Efficacy
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