Adolescent Substance Use Behavior Change through School Intervention Is Improved by Teacher and School Implementation Support Together, Especially for Girls

Autor/inn/en	Layland, Eric K.; Caldwell, Linda L.; Ram, Nilam; Smith, Edward A.; Wegner, Lisa; Jacobs, Joachim J.
Titel	Adolescent Substance Use Behavior Change through School Intervention Is Improved by Teacher and School Implementation Support Together, Especially for Girls
Quelle	In: Prevention Science, 23 (2022) 7, S.1251-1263 (13 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Layland, Eric K.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1389-4986
DOI	10.1007/s11121-022-01394-0
Schlagwörter	Adolescents; Substance Abuse; Drinking; Smoking; Behavior Change; Grade 8; Grade 9; Grade 10; Secondary School Students; Intervention; Prevention; Educational Environment; Teacher Role; Gender Differences; Program Effectiveness + Suchen Sie Ihr Suchwort? Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Drug use; Drug consomption; Drogenkonsum; Trinken; Rauchen; School year 08; 8. Schuljahr; Schuljahr 08; School year 09; 9. Schuljahr; Schuljahr 09; Sekundarschüler; Prävention; Vorbeugung; Lernumgebung; Pädagogische Umwelt; Schulumwelt; Lehrerrolle; Geschlechterkonflikt
Abstract	An earlier trial of a school-based, preventative intervention, HealthWise South Africa, demonstrated some efficacy in preventing adolescent drinking and smoking in the Western Cape, South Africa. This was followed by the current implementation trial, which examined how implementation support conditions influenced adolescent drinking and smoking behavior change in the HealthWise intervention. The hybridized implementation-effectiveness trial included 34 schools (n = 2175 students) that provided student data at four waves through Grades 8 to 10. Implementation support conditions included a combination of two components (enhanced school environment and teacher consultation), resulting in four conditions: enhanced school environment, teacher consultation, both components, and standard delivery. Using configural frequency analysis, we examined how drinking and smoking behavior change differed across four configurations of intervention support longitudinally and by gender. For baseline non-smokers, results indicated sustained differences in abstention from smoking and smoking initiation between schools that received both support components and schools in the standard delivery condition. These results were primarily driven by girls. For baseline drinkers and smokers in the both components condition, changes in drinking were delayed until Grade 9 and smoking delayed by Grade 10. Results suggest that providing both school and teacher implementation support synergistically facilitates improved intervention outcomes both immediately following intervention and 2 years later across schools with diverse resource levels. Future iterations of HealthWise, and other interventions, may benefit from a multilevel implementation support strategy to improve student outcomes. More research is needed to understand how to improve HealthWise effectiveness among boys. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01