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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Project Towards No Drug Abuse: long-term substance use outcomes evaluation.
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Project Towards No Drug Abuse: long-term substance use outcomes evaluation.

机译:禁止滥用药物的项目:长期药物使用结果评估。

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OBJECTIVES: This paper presents up to 5 years post-program outcomes of Project Towards No Drug Abuse (Project TND), a drug abuse prevention program conducted in South California alternative high school system during years 1994-1999. METHODS: The effects of a 9-session health motivation--social skills--decision-making curriculum were evaluated. Twenty-one schools recruited were randomly assigned to standard care (control), classroom only, or a classroom plus semester-long school-as-community component. Last 30-day use of cigarettes, alcohol, marijuana, and hard drugs were assessed at three time intervals: short-term (year 1), middle-term (years 2 or 3), and long-term (years 4 or 5). Multilevel random coefficients modeling were employed to estimate the adjusted levels of substance use. RESULTS: Among 1578 baseline subjects, follow-up data were available for 68% (year 1), 66% (years 2 or 3), and 46% (years 4 or 5) of subjects, respectively. Results revealed significant positive long-term program effects for hard drug use at year 4 or 5 for the two program interventions (P = 0.02). CONCLUSIONS: Project TND reduced hard drug use in the 46% who were successfully followed. It is the first program to demonstrate long-term self-reported behavioral effects on hard drug use among high-risk youth by using a school-based, limited-session model.
机译:目的:本文介绍了1994年至1999年间在南加州替代高中系统实施的一项预防滥用药物计划,该计划旨在防止毒品滥用计划(TND)的计划结果达到5年。方法:评估了9个阶段的健康动机-社会技能-决策课程的影响。招募的21所学校被随机分配到标准照护(对照),仅教室或教室加上一学期的学校社区活动。在三个时间间隔内评估了最近30天的香烟,酒精,大麻和硬药使用情况:短期(第1年),中期(第2或3年)和长期(第4或5年) 。采用多级随机系数模型来估计药物使用的调整水平。结果:在1578名基线受试者中,分别有68%(第1年),66%(第2或3年)和46%(第4或5年)受试者获得了随访数据。结果显示,两种方案干预措施在第4年或第5年使用硬药物对长期方案产生了积极的积极影响(P = 0.02)。结论:TND项目减少了46%被成功追踪的硬性药物的使用。这是第一个通过使用基于学校的有限会话模型来证明高危青年中长期自我报告的行为对硬毒品使用的影响的程序。

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