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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >Preventing Adolescent Substance Use Through an Evidence-Based Program: Effects of the Italian Adaptation of Life Skills Training
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Preventing Adolescent Substance Use Through an Evidence-Based Program: Effects of the Italian Adaptation of Life Skills Training

机译：通过基于证据的程序使用防止青少年物质：意大利人生命技能培训的影响

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摘要

Evidence-based preventive interventions for adolescent substance use, violence, and mental health issues are increasingly being adapted and disseminated internationally. In the present paper, we report the results of an effectiveness study that was part of a comprehensive initiative by a coalition of health promotion organizations in the Lombardy region of Italy to select, culturally adapt, implement, evaluate, and sustain an evidence-based drug abuse prevention program developed in the USA. Findings are presented from a large-scale effectiveness study of the Life Skills Training prevention program among over 3000 students attending 55 middle schools in Italy. The prevention program taught drug refusal skills, antidrug norms, personal self-management skills, and general social skills. Relative to comparison group students, students who received the prevention program were less likely to initiate smoking at the post-test and 2-year follow-up, and less likely to initiate weekly drunkenness at the 1-year follow-up. The program had direct positive effects on several cognitive, attitudinal, and skill variables believed to play a protective role in adolescent substance use. The findings from this study show that a drug abuse prevention program originally designed for adolescents in the USA is effective in a sample of Italian youth when a rigorous and systematic approach to cultural adaptation is followed that incorporates the input of multiple stakeholders.
机译：针对青少年药物使用、暴力和心理健康问题的循证预防干预措施正越来越多地在国际上进行调整和传播。在本文中，我们报告了一项有效性研究的结果，该研究是意大利伦巴第地区健康促进组织联盟的一项综合倡议的一部分，旨在选择、文化适应、实施、评估，并维持美国开发的基于证据的药物滥用预防计划。研究结果来自对意大利55所中学3000多名学生进行的生活技能培训预防计划的大规模有效性研究。该预防计划教授拒绝药物技能、抗药物规范、个人自我管理技能和一般社交技能。与对照组学生相比，接受预防计划的学生在测试后和2年随访时不太可能开始吸烟，在1年随访时不太可能开始每周酗酒。该项目对一些认知、态度和技能变量产生了直接的积极影响，这些变量被认为在青少年物质使用中起到保护作用。这项研究的结果表明，最初为美国青少年设计的药物滥用预防计划在意大利青少年样本中是有效的，如果遵循严格和系统的文化适应方法，并纳入多个利益相关者的投入。

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