A school-based resilience intervention to decrease tobacco, alcohol and marijuana use in high school students

BMC Public Health. 2011 Sep 24:11:722. doi: 10.1186/1471-2458-11-722.

Abstract

Background: Despite schools theoretically being an ideal setting for accessing adolescents and preventing initiation of substance use, there is limited evidence of effective interventions in this setting. Resilience theory provides one approach to achieving such an outcome through improving adolescent mental well-being and resilience. A study was undertaken to examine the potential effectiveness of such an intervention approach in improving adolescent resilience and protective factor scores; and reducing the prevalence of adolescent tobacco, alcohol and marijuana use in three high schools.

Methods: A non-controlled before and after study was undertaken. Data regarding student resilience and protective factors, and measures of tobacco, alcohol and marijuana use were collected from grade 7 to 10 students at baseline (n = 1449) and one year following a three year intervention (n = 1205).

Results: Significantly higher resilience and protective factors scores, and significantly lower prevalence of substance use were evident at follow up.

Conclusions: The results suggest that the intervention has the potential to increase resilience and protective factors, and to decrease the use of tobacco, alcohol and marijuana by adolescents. Further more rigorous research is required to confirm this potential.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Alcohol Drinking / epidemiology
  • Alcohol Drinking / prevention & control*
  • Alcohol Drinking / psychology
  • Child
  • Cross-Sectional Studies
  • Curriculum
  • Feasibility Studies
  • Female
  • Follow-Up Studies
  • Health Promotion / methods*
  • Humans
  • Male
  • Marijuana Smoking / epidemiology
  • Marijuana Smoking / prevention & control*
  • Marijuana Smoking / psychology
  • New South Wales
  • Pilot Projects
  • Prevalence
  • Program Evaluation
  • Resilience, Psychological
  • Schools*
  • Smoking / epidemiology
  • Smoking / psychology
  • Smoking Prevention*
  • Students*
  • Surveys and Questionnaires