Cited by 383Substance Abuse Treatment and OutcomesYouth, Drugs, and ViolenceCrime Patterns and Interventions

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Culturally Grounded Substance Use Prevention: An Evaluation of the keepin' it R.E.A.L. Curriculum

Hecht, Michael L., Marsiglia, Flavio Francisco, Elek, Elvira, Wagstaff, David A., Kulis, Stephen, Dustman, Patricia, Miller-Day, Michelle·2003·Prevention Science

DOI 10.1023/a:1026016131401

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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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“The keepin' it REAL curriculum ( Gosin, Marsiglia, & Hecht, 2003 ) is funded by the National Institute on Drug Abuse (NIDA) and approved as an effective, research-based prevention program, recognized by the National Registry of Effective Programs, and is a Substance Abuse and Mental Health Services Administration Mode…”
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Leow, D. M. (2006) · Cited by 6
Risk factors for legal involvement among a nationally representative sample of Hispanic adolescents
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“It is imperative that prevention programming incorporates cultural beliefs and the participation of both parent and child due to the strong influence of cultural values within the Hispanic population (Hecht et al., 2003).”
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Sheer, V. C., Mao, C., & Yeo, T. E. D. (2017) · Drugs Education Prevention and Policy · doi:10.1080/09687637.2017.1291581 · Cited by 5
“Comparing our findings to drug refusal studies (e.g. Hecht et al., 2003; Kulis et al., 2011), we discovered very few confrontational tactics.”
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Substance and Behavioral Addictions Assessment Instruments
Grigsby, T. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.012 · Cited by 6
A systematic review of the effect of the school-based drug prevention program Keepin’ it REAL: translated and implemented in Brazil by PROERD
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“Although the use of planned missing data designs is the exception rather than the rule, numerous developmental researchers (e.g., Flay, Graumlich, Segawa, Burns, & Holliday, 2004; Foorman, Herrera, Petscher, Mitchell, & Truckenmiller, 2015; Hecht et al., 2003) have effectively utilized the three-formmethod in their st…”
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“Although relative strides have been made to design and implement culturally responsive services for youth (Castro & Alarcon, 2002; Hecht et al., 2003; Marsiglia et al., 2012;)”
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“Consistent with previous related research, single item measures were used (Hecht et al., 2003; Kutter & McDermott, 1997; Ritt-Olson et al., 2004).”
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“Such strategies, which include refusing or saying no, leaving and avoiding situations where offers are made, or providing an explanation to turn down an offer, have been found to be effective in reducing substance use among youths in both the U.S. and abroad [6,13–15].”
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“Prevention programs that have focused on intra-cultural norms of different ethnic groups (e.g., Hecht et al., 2003) have produced both positive (Hecht, Graham, & Elek, 2006) and null (Komro et al., 2008) results.”
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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.
ORCID: Hecht, Michael L.
Marsiglia, Flavio Francisco
Elek, Elvira
Kulis, Stephen
Miller-Day, Michelle
Venue: Prevention Science
Publisher: Springer Science and Business Media LLC
Published: 2003-12
Volume: 4
Issue: 4
Pages: 233-248
ISSN: 1389-4986 (ISSN-L)
1573-6695
DOI: 10.1023/a:1026016131401
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: www.springernature.com/gp/researchers/text-and-data-mining (tdm)
www.springernature.com/gp/researchers/text-and-data-mining (vor)
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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Culturally Grounded Substance Use Prevention: An Evaluation of the keepin' it R.E.A.L. Curriculum

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