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A Procedure to Study Stress-Induced Relapse of Heroin Seeking after Punishment-Imposed Abstinence

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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.

Practice (Birmingham, England)

|May 22, 2012

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.

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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.