Effectiveness of School-Based Resilience Interventions on Adolescent Tobacco, Alcohol, and Illicit Substance Use: A
Jisoo Chae1,2, Hyekyeong Kim1,2
1Department of Health Convergence, Ewha Womans University, Seoul, Korea.
Background:
Resilience is a key protective factor in mitigating substance use behaviors in adolescence, but the effectiveness of school-based resilience interventions remains unclear.
Methods:
Randomized and quasi-experimental studies evaluating school-based resilience interventions for tobacco, alcohol, or illicit substance use among students aged 6-18 years were identified. Pooled effect sizes were estimated using random-effects meta-analysis, with subgroup and meta-regression analyses.
Results:
From 3504 records, 13 studies on tobacco, 14 on alcohol, and 12 on illicit substances met the inclusion criteria. The pooled results showed significant reductions in tobacco (OR = 0.83, 95% CI = 0.73-0.93, I2 = 61.0%), alcohol use (OR = 0.81, 95% CI = 0.74-0.90, I2 = 57.1%), and illicit substance use (OR = 0.80, 95% CI = 0.70-0.92, I2 = 45.3%). Subgroup analysis revealed that multi-level interventions yielded a greater reduction.
Implications For School Health Policy, Practice, And Equity:
School-based resilience interventions reduce adolescent substance use, providing insight into how resilience strategies operate across ecological domains. Embedding sustained, multi-level approaches within whole-school prevention frameworks may strengthen effectiveness and promote equity in school health.
Conclusions:
School-based resilience interventions are effective in reducing adolescent substance use, underscoring the need for multi-level intervention strategies.
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