Historique
Périodique
Long-term follow-up results of a randomized drug abuse prevention trial in a white middle-class population
(Résultats du suivi à long terme, en matière de prévention de l'abus de drogue, d'un échantillon de population blanche de classe moyenne)
Auteur(s) :
G. J. BOTVIN ;
P. E. BAKER ;
DUSENBURY L. ;
E. M. BOTVIN ;
P. T. DIAZ
Article en page(s) :
1106-1112
Refs biblio. :
40
Domaine :
Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Thésaurus mots-clés
PREVENTION
;
PROGRAMME
;
MILIEU SCOLAIRE
;
ALCOOL
;
TABAC
;
CANNABIS
;
POLYCONSOMMATION
;
EFFICACITE
Thésaurus géographique
ETATS-UNIS
Note générale :
JAMA - Journal of the American Medical Association, 1995, 273, (14), 1106-1112
Résumé :
FRANÇAIS :
L'objectif de cette étude était d'évaluer l'efficacité à long terme d'une approche de prévention en milieu scolaire. Un programme a été soumis puis appliqué, dans 56 écoles publiques, touchant une population de 3597 élèves répartis en 3 niveaux d'enseignement. Les résultats mettent en évidence une réduction nette de l'usage de drogues et de polyconsommations (tabac, alcool, marijuana). Par rapport aux témoins, il y eut une réduction de 44% des toxicomanies simples et de 66% des polytoxicomanies. En conclusion, les programmes de prévention appliqués en milieu scolaire semblent d'autant plus efficaces et durables en matière de réduction de la consommation, qu'ils sont implantés de manière indépendante et qu'ils se déroulent au moins sur deux années d'enseignement.
ENGLISH :
Objective: To evaluate the long-term efficacy of a school-based approach to drug abuse prevention.
Design: Randomized trial involving 56 public schools that received the prevention program with annual provider training workshops and ongoing consultation, the prevention program with videotaped training and no consultation, or "treatment as usual" (ie, controls). Follow-up data were collected 6 years after baseline using school, telephone, and mailed surveys.
Participants: A total of 3597 predominantly white, 12th-grade students who represented 60.41% of the initial seventh-grade sample.
Intervention: Consisted of 15 classes in seventh grade, 10 booster sessions in eighth grade, and five booster sessions in ninth grade, and taught general "life skills" and skills for resisting social influences to use drugs.
Measures: Six tobacco, alcohol, and marijuana use self-report scales were recoded to create nine dichotomous drug use outcome variables and eight polydrug use variables.
Results: Significant reductions in both drug and polydrug use were found for the two groups that received the prevention program relative to controls. The strongest effects were produced for individuals who received a reasonably complete version of the intervention -there were up to 44 % fewer drug users and 66% fewer polydrug (tobacco, alcohol, and marijuana) users.
Conclusions: Drug abuse prevention programs conducted during junior high school can produce meaningful and durable reductions in tobacco, alcohol, and marijuana use I they (1) teach a combination of social resistance skills and general life skills, (2) are property implemented, and (3) include at least 2 years of booster sessions. (Author' s abstract)
L'objectif de cette étude était d'évaluer l'efficacité à long terme d'une approche de prévention en milieu scolaire. Un programme a été soumis puis appliqué, dans 56 écoles publiques, touchant une population de 3597 élèves répartis en 3 niveaux d'enseignement. Les résultats mettent en évidence une réduction nette de l'usage de drogues et de polyconsommations (tabac, alcool, marijuana). Par rapport aux témoins, il y eut une réduction de 44% des toxicomanies simples et de 66% des polytoxicomanies. En conclusion, les programmes de prévention appliqués en milieu scolaire semblent d'autant plus efficaces et durables en matière de réduction de la consommation, qu'ils sont implantés de manière indépendante et qu'ils se déroulent au moins sur deux années d'enseignement.
ENGLISH :
Objective: To evaluate the long-term efficacy of a school-based approach to drug abuse prevention.
Design: Randomized trial involving 56 public schools that received the prevention program with annual provider training workshops and ongoing consultation, the prevention program with videotaped training and no consultation, or "treatment as usual" (ie, controls). Follow-up data were collected 6 years after baseline using school, telephone, and mailed surveys.
Participants: A total of 3597 predominantly white, 12th-grade students who represented 60.41% of the initial seventh-grade sample.
Intervention: Consisted of 15 classes in seventh grade, 10 booster sessions in eighth grade, and five booster sessions in ninth grade, and taught general "life skills" and skills for resisting social influences to use drugs.
Measures: Six tobacco, alcohol, and marijuana use self-report scales were recoded to create nine dichotomous drug use outcome variables and eight polydrug use variables.
Results: Significant reductions in both drug and polydrug use were found for the two groups that received the prevention program relative to controls. The strongest effects were produced for individuals who received a reasonably complete version of the intervention -there were up to 44 % fewer drug users and 66% fewer polydrug (tobacco, alcohol, and marijuana) users.
Conclusions: Drug abuse prevention programs conducted during junior high school can produce meaningful and durable reductions in tobacco, alcohol, and marijuana use I they (1) teach a combination of social resistance skills and general life skills, (2) are property implemented, and (3) include at least 2 years of booster sessions. (Author' s abstract)
Affiliation :
Institute for Prevention Research, Cornell University Medical College, New York, NY, USA
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