A Comparison of Current Practice in School-Based Substance Use Prevention Programs with Meta-Analysis Findings

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.

[1]  T. Glynn,et al.  Essential elements of school-based smoking prevention programs. , 1989, The Journal of school health.

[2]  L. Dusenbury,et al.  Eleven components of effective drug abuse prevention curricula. , 1995, The Journal of school health.

[3]  K. Ribisl,et al.  Comprehensiveness of substance use prevention programs in U.S. middle schools. , 2002, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[4]  R. Goodman,et al.  Measuring the Diffusion of Innovative Health Promotion Programs , 1992, American journal of health promotion : AJHP.

[5]  N. Tobler Drug prevention programs can work: research findings. , 1992, Journal of addictive diseases.

[6]  G. Parcel,et al.  Diffusion of an effective tobacco prevention program. Part I: Evaluation of the dissemination phase. , 1995, Health education research.

[7]  N. Tobler Meta-analysis of Adolescent Drug Prevention Programs: Results of the 1993 Meta-analysis Additional Criteria for a Subset of Higher Quality Experimental Studies Pooling Effect Sizes over Test Intervals for a Single Program , 1993 .

[8]  D. Satcher,et al.  Managing Editor , 1946, Journal of the American Dietetic Association.

[9]  E. Robertson,et al.  Preventing Drug Use among Children and Adolescents: A Research-Based Guide for Parents, Educators, and Community Leaders. Second Edition. , 1997 .

[10]  J. Graham,et al.  Diffusion of a school-based substance abuse prevention program: predictors of program implementation. , 1993, Preventive medicine.

[11]  Tobler Ns,et al.  Meta-analysis of adolescent drug prevention programs: results of the 1993 meta-analysis. , 1997 .

[12]  N. Tobler,et al.  Effectiveness of School-Based Drug Prevention Programs for Marijuana Use , 1999 .

[13]  K. Bosworth,et al.  Content and teaching strategies in 10 selected drug abuse prevention curricula. , 1993, The Journal of school health.

[14]  E. Rogers,et al.  Diffusion of Innovations , 1964 .

[15]  Daniel Solomon,et al.  Schools as Communities, Poverty Levels of Student Populations, and Students’ Attitudes, Motives, and Performance: A Multilevel Analysis , 1995 .

[16]  N. Tobler,et al.  School-Based Adolescent Drug Prevention Programs: 1998 Meta-Analysis , 2000, Journal of Primary Prevention.

[17]  A. Steckler,et al.  Diffusion of Innovations in Schools: A Study of Adoption and Implementation of School-Based Tobacco Prevention Curricula , 1995, American journal of health promotion : AJHP.

[18]  L. Green,et al.  The diffusion of school-based tobacco-use prevention programs: project description and baseline data , 1989 .

[19]  N. Tobler,et al.  Effectiveness of School-Based Drug Prevention Programs: A Meta-Analysis of the Research , 1997, Journal of Primary Prevention.

[20]  N. Tobler,et al.  Meta-Analysis of 143 Adolescent Drug Prevention Programs: Quantitative Outcome Results of Program Participants Compared to a Control or Comparison Group , 1986 .

[21]  Louise A. Rohrbach,et al.  Diffusion of School-Based Substance Abuse Prevention Programs , 1996 .

[22]  S. Ennett,et al.  The Prevalence of Effective Substance Use Prevention Curricula in U.S. Middle Schools , 2002, Prevention Science.