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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 (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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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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