The theoretical model of the school-based prevention programme Unplugged.

Area of Science:

• Public Health
• Psychology
• Education

Background:

• Adolescent substance misuse is a significant public health concern.
• School-based programs are effective for early intervention.
• The Unplugged program was developed within the EU-Dap trial.

Purpose of the Study:

• To define the theoretical model of the Unplugged program.
• To outline the contribution of integrated theories to program units.
• To identify targeted mediators for adolescent substance misuse prevention.

Main Methods:

• The Unplugged program is a 12-unit, school-based intervention delivered by teachers.
• It incorporates interactive training in personal and social skills.
• The program integrates Social Learning, Social Norms, Health Belief, Theory of Reasoned Action-Attitude, and Problem Behaviour theories.

Main Results:

• Each integrated theory contributes specific elements to the program's units.
• The program targets a wide range of mediators, including knowledge, risk perception, attitudes, and social skills.
• Key mediators include normative beliefs, critical thinking, communication, refusal skills, emotional regulation, and problem-solving.

Conclusions:

• The Unplugged program provides a theoretically grounded, multi-component approach to adolescent substance misuse prevention.
• By targeting diverse mediators, the program aims to enhance adolescents' resilience and decision-making skills.
• The program's structure and theoretical integration offer a robust model for school-based prevention efforts.