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Dissonance-Based Interventions for Substance Using Alternative High-School Youth
Lori Holleran Steiker1, Tara Powell
1University of Texas at Austin School of Social Work.
Summary
This study introduces a novel intervention using drug-abusing adolescents as "experts" to adapt prevention curricula. This dissonance-based approach aims to shift attitudes and behaviors before substance dependence develops.
Area of Science:
- Public Health
- Psychology
- Substance Abuse Research
Background:
- Adolescent substance abuse is a significant public health concern.
- Existing interventions may not engage youth not yet ready for formal treatment.
- Dissonance-based interventions (DBIs) show promise for behavioral change but are underutilized in adolescent substance abuse.
Purpose of the Study:
- To describe an innovative intervention for drug-abusing adolescents not ready for treatment.
- To utilize adolescents as "experts" in adapting prevention curricula for engagement and change.
- To explore the potential of dissonance-based change to prevent substance dependence.
Main Methods:
- A community-based design involving adolescents in adapting prevention materials.
- Leveraging the "Preventionist" role to create cognitive dissonance with personal substance use.
- Pilot research findings from a National Institute on Drug Abuse (NIDA) funded project.
Main Results:
- Youth engaged in program adaptation actively discussed drug and alcohol use consequences.
- The "Preventionist" role appeared to induce dissonance, potentially shifting attitudes and behaviors.
- Pilot data suggests feasibility and engagement of the target population.
Conclusions:
- This dissonance-based intervention (DBI) offers a novel approach for early intervention in adolescent substance abuse.
- Engaging youth as "experts" can be an effective mechanism for driving behavioral change.
- Further research is warranted to validate this approach for preventing substance dependence.
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