Background: Comprehensive health education in schools can effectively prevent drug use and related outcomes, but successful implementation remains challenging. Contextual determinants, including intervention-setting compatibility, focus on the intervention, available resources, and leadership support, influence implementation success. This study…

The goal of the current study is to examine the degree to which measures of quality of implementation and student engagement moderate pretest--posttest changes in mediating variables that are targeted by DARE "keepin' it REAL." DARE officers (10 elementary school, five middle school) taught DARE "keepin' it REAL lessons to 1,017…

Similar to national trends, in Illinois, fatal opioid overdoses have risen. Black men (35+) outrank all other racial subgroups for the highest rate of fatal opioid overdoses in the state. To address this, Prevention First and the Illinois Department of Human Services developed a public health education campaign to support increasing enrollment in…

Schools are an important venue for implementing drug prevention programmes. School-based programmes have been shown to be an efficacious and cost-effective method of reducing substance use disorders among youth. There exists lack of consensus, however, regarding who makes the most effective programme providers. Drug prevention programmes are led…

The study investigates the effectiveness and appropriateness of the Drug Abuse Resistance Education (D.A.R.E.) Keepin' it REAL (KiR) curriculum--America's most prevalent in-school prevention programme--using a modified systematic review procedure as adapted from the Cochrane Handbook. No published studies research the D.A.R.E. version of KiR, and…

This article discusses a qualitative evaluation of the Florida 4-H Health Rocks! program aimed at youth alcohol, tobacco, and other drug use prevention. A questionnaire was distributed to Extension professionals across Florida to gain insight into the strengths and barriers they faced with programming. Programmatic strengths included targeting a…

Purpose: The current study aims to examine the influence of contextual and provider-level factors on the implementation fidelity of a research-based substance abuse prevention program. Also, it aims to investigate whether two provider-level factors, self-efficacy and beliefs about the value of the program, statistically moderate and mediate the…

We present the short-term results of a quasi-experimental evaluation of the revised D. A. R. E. (Drug Abuse Resistance Education) curriculum. Study outcomes examined were D. A. R. E.'s effects on three substances, namely students' lifetime and 30-day use of tobacco, alcohol, and marijuana, as well as their school attendance and academic…

Classroom behavior management interventions have been used successfully with drug prevention programs to prevent subsequent antisocial behavior and substance use among youth. This article presents results from implementation of the All Stars Challenge, a classroom-based behavior management component to a drug prevention program for fifth graders.…

Zili Sloboda, Sc.D., and colleagues at the University of Akron, Ohio, designed and evaluated "Take Charge of Your Life", a substance abuse prevention curriculum for 7th- and 9th-grade students delivered by D.A.R.E. (Drug Abuse Resistance Education) police officers. They designed "Take Charge of Your Life" to impact students'…

There is now ample evidence that teachers tend to make substantial modifications to both the prescribed content and methods of the curricula they administer, and that such modifications are likely to attenuate curricula effects. We examine the fidelity with which teachers implement "Protecting You, Protecting Me," an underage alcohol use…

Public schools are under increased pressure to implement evidence-based substance abuse prevention programs. A number of model programs have been identified, but little research has examined the effectiveness of these programs when "brought to scale" or implemented district-wide. The current paper summarizes the application of the Adelman and…

This study was conducted in 1988-1989 to examine the current status of drug education in the public schools in Nebraska. The sample consisted of the 215 attendance centers (out of 280 surveyed) which responded to the study questionnaire. This information was sought: (1) the percentage of schools offering drug education as a part of their regular…

Pursuant to a request from a U.S. Senate committee, this document reviews the implementation of the Drug Free Schools and Communities Act of 1986, whose major purpose was to help schools and communities establish drug abuse education and prevention programs. Information gathering efforts were conducted in large urban school districts within five…

Objective: To investigate the process, implementation, and short-term outcomes of a drug education programme (SPICED) introduced in Kirklees schools, West Yorkshire. Design: A retrospective evaluation using mixed methods. Setting: Ten primary schools in West Yorkshire. Methods: Interviews with professionals, survey of parents, focus groups with…