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A Comparison of Current Practice in School-Based Substance Use Prevention Programs with Meta-Analysis Findings
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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“Training is an effective component of preparing implementers to deliver an intervention with quality and fidelity (e.g., Dusenbury et al. 2003, 2005; Ennett et al. 2003; Fagan et al. 2008; Gager and Elias 1997).”
From Translational research in South Africa: evaluating implementation quality using a factorial design (2012) · cites this paper as Ennett et al. 2003
In the citing paper
“In general, preventive interventions are not currently widely implemented in schools and communities.71 72”
From Physical activity and exercise in youth mental health promotion: a scoping review (2020) · cites this paper as [72]
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“the quality of implementation of preventive interventions when delivered in “real-world” settings is often suboptimal (Gottfredson and Gottfredson 2002; Hallfors and Godette 2002; Ennett et al. 2003).”
From Standards of Evidence for Efficacy, Effectiveness, and Scale-up Research in Prevention Science: Next Generation (2015) · cites this paper as Ennett et al. 2003
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Metadata
- Authors
- Ennett, S. T., Ringwalt, C. L., Thorne, J., Rohrbach, L. A., Vincus, A., Simons-Rudolph, A., & Jones, S.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Pacific Institute For Research and Evaluation (US)
- Westat (United States) (US)
- University of Southern California (US)
- RTI International (US)
- Corresponding author
- Ennett, Susan T.
- Venue
- Prevention Science
- Published
- 2003-03
- Volume
- 4
- Issue
- 1
- Pages
- 1-14
- ISSN
- 1389-4986 (ISSN-L)
- 1573-6695
- OpenAlex
- W79003115
- Cited by
- 276
- References
- 22
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 6 · 2021: 14 · 2020: 5 · 2019: 14 · 2018: 10 · 2017: 10 · 2016: 7 · 2015: 15 · 2014: 23 · 2013: 20 · 2012: 20
- FWCI
- 7.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Prevention Science (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Drug Abuse (R01DA011492, 5R01 DA11492)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › School Health and Nursing Education
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- prevention program effectiveness, evidence-based practice, program content, interactive teaching methods, social influence, life skills training, Project ALERT
- MeSH terms
- Adolescent, Child, Curriculum, Health Education, Humans, School Health Services, Teaching, United States, Meta-Analysis as Topic, Program Evaluation, Evidence-Based Medicine, Substance-Related Disorders
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