Peer acceleration: effects of a social network tailored substance abuse prevention program among high‐risk adolescents
Open accessAbstract
Objective To test whether a social network tailored substance abuse prevention program can reduce substance use among high‐risk adolescents without creating deviancy training (iatrogenic effects). Methods A classroom randomized controlled trial comparing control classes with those receiving an evidence‐based substance use prevention program [Towards No Drug Abuse (TND)] and TND Network, a peer‐led interactive version of TND. Students ( n = 541, mean age 16.3 years) in 75 classes from 14 alternative high schools completed surveys before and approximately 1 year after curriculum delivery. Past‐month use of tobacco, alcohol, marijuana and cocaine were assessed. Results Overall, TND Network was effective in reducing substance use. However, the program effect interacted with peer influence and was effective mainly for students who had peer networks that did not use substances. Students with classroom friends who use substances were more likely to increase their use. Conclusions A peer‐led interactive substance abuse prevention program can accelerate peer influences. For students with a peer environment that supports non‐use, the program was effective and reduced substance use. For students with a peer environment that supports substance use, an interactive program may have deleterious effects.
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Intervention effects may vary as a function of the recipients' social networks.
“Studies have shown that networks can mediate intervention effects. That is, intervention effects may vary as a function of the recipients’ social networks [28, 29].”
From Social Network Analysis for Program Implementation (2015) · cites this paper as [28]
There is some evidence of harmful effects for school students with drug using friends from the US TND-Network trial.
“Moreover, there is some evidence of harmful effects for school students with drug using friends from the US TND-Network trial [27].”
From Development of a framework for the co-production and prototyping of public health interventions (2017) · cites this paper as [27]
Studies of the implementation and effectiveness of peer-led drug prevention interventions report mixed evidence.
“In contrast, studies of the implementation and effectiveness of peer-led drug prevention interventions report mixed evidence [25–27].”
From Development of a framework for the co-production and prototyping of public health interventions (2017) · cites this paper as [27]
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Self-citation
- Authors
- Valente, T. W., Ritt‐Olson, A., Stacy, A., Unger, J. B., Okamoto, J., & Sussman, S.
- Corresponding author
- Valente, Thomas W.
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2007-09-03
- Volume
- 102
- Issue
- 11
- Pages
- 1804-1815
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- OpenAlex
- W2149279767
- Cited by
- 260
- References
- 55
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 9 · 2023: 7 · 2022: 9 · 2021: 11 · 2020: 14 · 2019: 18 · 2018: 16 · 2017: 27 · 2016: 14 · 2015: 24 · 2014: 14 · 2013: 13 · 2012: 20
- FWCI
- 9.55
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Addiction (publishedVersion)
- PubMed (publishedVersion)
- Scholarship - Claremont (Claremont Colleges) (submittedVersion)
- Funders
- National Institute on Drug Abuse (P50DA016094, DA 16094)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Demography › Youth, Drugs, and Violence
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Keywords
- substance use prevention, high-risk adolescents, peer influence, iatrogenic disease, tobacco use, alcohol consumption, cannabis use, cocaine use, alternative high schools
- MeSH terms
- Adolescent, California, Female, Humans, Male, Peer Group, Risk Management, Social Perception, Social Support, Students, Program Evaluation, Substance-Related Disorders
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