Engaging ethnically diverse teens in a substance use prevention advocacy program
M A Winkleby1, E C Feighery, D A Altman
1Stanford University School of Medicine, Stanford Center for Research in Disease Prevention, Palo Alto, California, USA.
American Journal of Health Promotion : AJHP
|August 29, 2001
Summary
Teen activists improved community involvement and self-perception but did not reduce alcohol, tobacco, and other drug use. The program engaged high school students in advocacy for healthier schools and communities.
Area of Science:
- Public Health
- Adolescent Health
- Community Psychology
Background:
- Adolescent substance use is a significant public health concern.
- Low-income communities often face greater risks for substance use and fewer resources for prevention.
- Engaging youth in advocacy can empower them to create healthier environments.
Purpose of the Study:
- To evaluate the Teen Activists for Community Change and Leadership Education program.
- To assess the program's impact on adolescent substance use, community involvement, and social cognitive factors.
- To understand the program's effectiveness in low-income neighborhoods.
Main Methods:
- A nine-month intervention involving 116 high school freshmen and sophomores in low-income areas.
- Utilized social cognitive theory constructs: sense of community, self-efficacy, outcome expectancies, incentive value, policy control, and leadership competence.
- Conducted 30-90 minute meetings focused on community advocacy and leadership skills.
Main Results:
- No significant changes were observed in individual alcohol, tobacco, and other drug use by the program's end.
- Participants showed improvements in community involvement.
- Self-perception related to social cognitive constructs, such as sense of community and self-efficacy, significantly improved.
Conclusions:
- The Teen Activists program effectively enhanced community involvement and positive self-perceptions among adolescents.
- While not directly reducing substance use, the program fostered leadership and advocacy skills crucial for long-term community change.
- Future research could explore sustained effects and modifications to directly impact substance use behaviors.
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