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Related Experiment Videos

Brief prevention for adolescent risk-taking behavior.

Elizabeth J D'Amico1, Kim Fromme

  • 1University of California, San Diego, Department of Psychology, La Jolla 92093-0109, USA. edamico@psy.ucsd.edu

Addiction (Abingdon, England)
|May 30, 2002
PubMed
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A new Risk Skills Training Program (RSTP) showed initial success in reducing adolescent risk-taking behaviors, but these effects were not sustained long-term. Further strategies are needed to ensure lasting behavioral changes in youth substance use prevention.

Area of Science:

  • Adolescent Health
  • Substance Use Prevention
  • Behavioral Science

Background:

  • Adolescent risk-taking, including substance use and driving after drinking, remains a significant public health concern despite prevention efforts.
  • Existing programs like Drug Abuse and Resistance Education (DARE-A) have had limited success in long-term behavior modification.

Purpose of the Study:

  • To compare the efficacy of a new Risk Skills Training Program (RSTP) against an abbreviated DARE-A program and a control group.
  • To evaluate the feasibility of a brief, personalized, group-based prevention program for adolescent risk behaviors.

Main Methods:

  • A longitudinal study involving 300 adolescents (ages 14-19) randomly assigned to RSTP, DARE-A, or a control group.
  • Interventions were delivered in a group setting, with assessments at baseline, 2-month post-test, and 6-month follow-up.

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  • Measured variables included substance use, driving after drinking, riding with drunk drivers, risk-taking behaviors, and alcohol expectancies.

    • Main Results:

    • RSTP participants showed a decrease in risk behaviors at the 2-month follow-up, but this was not maintained at 6 months.
    • The DARE-A and control groups showed changes in alcohol expectancies, with the control group increasing alcohol consumption.
    • No significant long-term reduction in overall risk behaviors was observed across all groups.

    Conclusions:

    • A brief, personalized, group prevention program (RSTP) is feasible for reducing adolescent risk-taking behaviors.
    • Current findings highlight the need for enhanced strategies to ensure that the positive changes induced by prevention programs are sustained long-term.
    • Further research is required to develop and test interventions that promote lasting behavioral change in adolescent substance use and risk-taking.