Purpose: To be effective, evidence-based programs should be delivered as prescribed. This suggests that adaptations that deviate from intervention goals may limit a program's effectiveness. This study aims to examine the impact that number and quality of adaptations have on substance use outcomes. Design/methodology/approach: The authors examined…

Research-based substance use prevention curricula typically yield small effects when implemented by school teachers under real-world conditions. Using a randomized controlled trial, the authors examined whether expert coaching improves the effectiveness of the All Stars prevention curriculum. Although a positive effect on students' cigarette use…

Four articles are included: (1) a study that identified barriers to effective extension programing for at-risk youth; (2) Project LEAD, which is designed to prevent delinquency by positively affecting attitudes of youth at risk; (3) Illinois extension's approach to drug education; and (4) Ohio's Tobacco Risk Awareness Program. (JOW)