Abstract
This article describes a feasibility pilot of the linguistically adapted keepin’ it REAL (kiR) substance-use prevention curriculum in Uruguay within the context of marijuana legalization. Originally developed for middle school students in the USA, kiR teaches life skills, risk assessment, and decision-making. Two tuition-free privately managed schools in Montevideo were randomly assigned into intervention and comparison conditions. Trained teachers in the intervention condition delivered kiR to two cohorts of 7th grade students. Before implementation, all students (N = 316) completed pretests; posttests (88% completion) were completed six weeks after the final lesson. We assessed the kiR intervention relative to the comparison group using paired t-tests, baseline adjusted general linear models, and Cohen’s d estimates of effect sizes. The intervention group reported the desired changes in four of six last 30-day substance-use outcomes: relatively smaller increases or actual reductions in frequency of alcohol and marijuana use and in amounts of cigarette and marijuana use. Following an eco-developmental perspective, analysis of the findings considered changing substance-use attitudes, behaviors, and policies in Uruguay. Based on this first evaluation of an evidence-based youth intervention, recommendations for substance-use prevention in the context of drug policy change in Uruguay are offered.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1-9 |
| Number of pages | 9 |
| Journal | Journal of Substance Use |
| DOIs | |
| State | Accepted/In press - Sep 14 2017 |
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Keywords
- Adolescents
- substance
- Uruguay
- use prevention
ASJC Scopus subject areas
- Health(social science)
- Medicine (miscellaneous)
Cite this
Adolescent substance-use prevention and legalization of marijuana in Uruguay : A feasibility trial of the keepin’ it REAL prevention program. / Marsiglia, Flavio; Kulis, Stephen; Kiehne, Elizabeth; Ayers, Stephanie L.; Libisch Recalde, Carlos A.; Barros Sulca, Lucia.
In: Journal of Substance Use, 14.09.2017, p. 1-9.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Adolescent substance-use prevention and legalization of marijuana in Uruguay
T2 - A feasibility trial of the keepin’ it REAL prevention program
AU - Marsiglia, Flavio
AU - Kulis, Stephen
AU - Kiehne, Elizabeth
AU - Ayers, Stephanie L.
AU - Libisch Recalde, Carlos A.
AU - Barros Sulca, Lucia
PY - 2017/9/14
Y1 - 2017/9/14
N2 - This article describes a feasibility pilot of the linguistically adapted keepin’ it REAL (kiR) substance-use prevention curriculum in Uruguay within the context of marijuana legalization. Originally developed for middle school students in the USA, kiR teaches life skills, risk assessment, and decision-making. Two tuition-free privately managed schools in Montevideo were randomly assigned into intervention and comparison conditions. Trained teachers in the intervention condition delivered kiR to two cohorts of 7th grade students. Before implementation, all students (N = 316) completed pretests; posttests (88% completion) were completed six weeks after the final lesson. We assessed the kiR intervention relative to the comparison group using paired t-tests, baseline adjusted general linear models, and Cohen’s d estimates of effect sizes. The intervention group reported the desired changes in four of six last 30-day substance-use outcomes: relatively smaller increases or actual reductions in frequency of alcohol and marijuana use and in amounts of cigarette and marijuana use. Following an eco-developmental perspective, analysis of the findings considered changing substance-use attitudes, behaviors, and policies in Uruguay. Based on this first evaluation of an evidence-based youth intervention, recommendations for substance-use prevention in the context of drug policy change in Uruguay are offered.
AB - This article describes a feasibility pilot of the linguistically adapted keepin’ it REAL (kiR) substance-use prevention curriculum in Uruguay within the context of marijuana legalization. Originally developed for middle school students in the USA, kiR teaches life skills, risk assessment, and decision-making. Two tuition-free privately managed schools in Montevideo were randomly assigned into intervention and comparison conditions. Trained teachers in the intervention condition delivered kiR to two cohorts of 7th grade students. Before implementation, all students (N = 316) completed pretests; posttests (88% completion) were completed six weeks after the final lesson. We assessed the kiR intervention relative to the comparison group using paired t-tests, baseline adjusted general linear models, and Cohen’s d estimates of effect sizes. The intervention group reported the desired changes in four of six last 30-day substance-use outcomes: relatively smaller increases or actual reductions in frequency of alcohol and marijuana use and in amounts of cigarette and marijuana use. Following an eco-developmental perspective, analysis of the findings considered changing substance-use attitudes, behaviors, and policies in Uruguay. Based on this first evaluation of an evidence-based youth intervention, recommendations for substance-use prevention in the context of drug policy change in Uruguay are offered.
KW - Adolescents
KW - substance
KW - Uruguay
KW - use prevention
UR - http://www.scopus.com/inward/record.url?scp=85029421577&partnerID=8YFLogxK
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U2 - 10.1080/14659891.2017.1358308
DO - 10.1080/14659891.2017.1358308
M3 - Article
SP - 1
EP - 9
JO - Journal of Substance Use
JF - Journal of Substance Use
SN - 1465-9891
ER -