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Project Success' Effects on Substance Use-Related Attitudes and Behaviors: A Randomized Controlled Trial in Alternative High Schools

NCJ Number
235075
Journal
Journal of Drug Education Volume: 41 Issue: 1 Dated: 2011 Pages: 17-44
Author(s)
Heddy Kovach Clark, Ph.D.; Chris L. Ringwalt, Dr.PH; Stephen R. Shamblen, Ph.D.; Sean M. Hanley, M.P.H.
Date Published
2011
Length
28 pages
Annotation
This study evaluated a range of secondary outcomes for participants in Project SUCCESS (Schools Using Coordinated Community Efforts to Strengthen Students), which is one of the few school-based substance-use prevention programs listed on the National Registry of Effective Programs and Practices that targets high school students at risk for substance abuse.
Abstract
Using a randomized controlled effectiveness trial in 14 schools in Washington State, the evaluation measured Project SUCCESS' effects on perceived harm from substance use, resistance self-efficacy, participation in prosocial activities, normative beliefs, positive peer support, peer pressure, and problem behaviors (rebelliousness and violent behavior). The evaluation found that Project SUCCESS successfully changed one substance-use-related attitude (perceived harm)) and demonstrated a trend toward changing a second only for marijuana (normative beliefs), but failed to change many others (resistance self-efficacy, problem behaviors, peer pressure, and participation in pro-social activities). Although Project SUCCESS significantly increased students' perceptions of harm resulting from alcohol and marijuana use, students in the control group reported greater increases in peer support. Such conflicting evidence of the program's effectiveness was also shown in two opposing trends related to students' perceptions of the prevalence and acceptability of substance use. Those in the intervention group reported positive effects for marijuana, but negative effects for alcohol. Although it is possible that Project SUCCESS and the program's evaluation may suffer from a variety of threats to validity, including implementation, program activities, measurement, or theory failure, the simplest explanation is that students in the intervention group did not attend their alternative schools with sufficient frequency (or for a sufficient length of time on the days they did attend) in order to participate fully in the program. Schools were randomly assigned to program participation (n=7) and control (n=7). 2 tables and 86 references