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Effectiveness of a high school alcohol misuse prevention program

J T Shope¹, L A Copeland, R Maharg

¹University of Michigan Transportation Research Institute, Ann Arbor 48109-2150, USA.

Alcoholism, Clinical and Experimental Research

|August 1, 1996

Summary

A tenth-grade alcohol misuse prevention program improved knowledge and reduced alcohol misuse and risky behaviors. However, boys showed steeper increases in alcohol use and misuse than girls, indicating a need for targeted interventions.

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Area of Science:

Public Health
Adolescent Health
Substance Abuse Prevention

Background:

High school students exhibit significant alcohol use and misuse.
Effective prevention strategies are crucial for adolescent well-being.

Purpose of the Study:

To develop, implement, and evaluate a tenth-grade alcohol misuse prevention curriculum.
To assess the curriculum's impact on knowledge, behaviors, and refusal skills.

Main Methods:

A curriculum focused on social pressures, alcohol effects, and risks was delivered to 1041 tenth-grade students across four school districts.
Outcomes were evaluated through twelfth grade, comparing tenth-grade only exposure with combined sixth and tenth-grade exposure.

Main Results:

The curriculum significantly improved alcohol misuse prevention knowledge (p < 0.001) and reduced alcohol misuse (p < 0.02).
Refusal skills showed a positive trend (p < 0.09).
Boys exhibited greater increases in alcohol use, misuse, and drinking and driving compared to girls. Prior sixth-grade exposure did not enhance outcomes.

Conclusions:

A tenth-grade alcohol misuse prevention curriculum can yield positive effects on knowledge and behavior.
Targeted interventions are necessary, particularly for boys, due to their escalating rates of alcohol use and misuse.
Creative approaches are needed to address gender-specific trends in adolescent alcohol consumption.