New inroads in preventing adolescent drug use: results from a large-scale trial of project ALERT in middle schools |
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Authors: | Ellickson Phyllis L McCaffrey Daniel F Ghosh-Dastidar Bonnie Longshore Douglas L |
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Affiliation: | RAND, Santa Monica, CA 90407-2138, USA. phyllis_ellickson@rand.org |
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Abstract: | OBJECTIVES: We evaluated the revised Project ALERT drug prevention program across a wide variety of Midwestern schools and communities. METHODS: Fifty-five South Dakota middle schools were randomly assigned to program or control conditions. Treatment group students received 11 lessons in 7th grade and 3 more in 8th grade. Program effects for 4276 8th-graders were assessed 18 months after baseline. RESULTS: The revised Project ALERT curriculum curbed cigarette and marijuana use initiation, current and regular cigarette use, and alcohol misuse. Reductions ranged from 19% to 39%. Program effects were not significant for initial and current drinking or for current and regular marijuana use. CONCLUSIONS: School-based drug prevention programs can prevent occasional and more serious drug use, help low- to high-risk adolescents, and be effective in diverse school environments. |
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