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首页> 外文期刊>World Journal of Preventive Medicine >Preventing Daily Substance Use among High School Students Using a Cognitive-Behavioral Competence Enhancement Approach
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Preventing Daily Substance Use among High School Students Using a Cognitive-Behavioral Competence Enhancement Approach

机译：使用认知行为能力增强方法防止高中生日常使用物质

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The present study tested the effectiveness of a substance abuse prevention program for deterring tobacco, alcohol, and marijuana use among high school students. The prevention program teaches social resistance skills and general personal and social competence skills. Rates of substance use behavior were examined among students (N = 452) from 12 public high schools that were randomly assigned to either receive the prevention program (5 schools, n = 196) or serve as a treatment-as-usual control group (7 schools, n = 256). The impact of the prevention program was tested using composite indicators of daily substance use based on items measuring the frequency of smoking, drinking, drunkenness, marijuana use, and marijuana intoxication. Data were analyzed using generalized estimating equations to adjust for school-level clustering. Comparison of the posttest adjusted means (controlling for school clustering, gender, race/ethnicity, and family structure) revealed that the intervention produced significant prevention effects on daily substance use, both in terms of a daily polysubstance use index and the proportion of daily substance users across experimental condition. Findings indicated that there were 52% fewer daily substance users in the intervention condition compared to controls. Conclusions drawn from this study are that: (1) daily substance use can be prevented in high school students using a competence enhancement approach that addresses key risk and protective factors; (2) prevention approaches that are effective for middle school students can also be effective for high school students, if adapted to be developmentally appropriate; and (3) universal prevention approaches delivered by classroom teachers with minimal specialized training offer the potential for widespread dissemination and a cost-effective approach to an important public health problem.
机译：本研究测试了防止滥用药物的计划对阻止高中生吸烟，吸烟和使用大麻的有效性。预防计划教授社会抵抗力技能以及一般的个人和社会能力技能。调查了来自12所公立中学的学生（N = 452）的药物滥用行为发生率，这些学生被随机分配接受预防计划（5所学校，n = 196）或作为照常治疗对照组（7）学校，n = 256）。预防计划的效果是根据日常吸烟量的综合指标来测试的，该指标基于测量吸烟，饮酒，醉酒，使用大麻和大麻中毒的频率的项目。使用广义估计方程对数据进行分析，以针对学校水平的聚类进行调整。事后调整后的均值（控制学校集群，性别，种族/族裔和家庭结构的控制）的比较表明，该干预措施对日常用药产生了显着的预防作用，无论是从日常使用的多种物质使用指数还是在日常使用的物质比例方面跨实验条件的用户。研究结果表明，与对照组相比，干预条件下的日常吸毒者减少了52％。从这项研究得出的结论是：（1）通过使用针对关键风险和保护因素的能力增强方法，可以防止高中学生日常使用毒品; （2）对中学生有效的预防方法，如果适应于发展的需要，对高中学生也有效; （3）课堂教师在接受最少专业培训的情况下采取的普遍预防方法为广泛传播和解决重要的公共卫生问题提供了具有成本效益的方法。

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