title: Engaging ethnically diverse teens in a substance use prevention advocacy program.
abstract: Teen Activists for Community Change and Leadership Education is designed to engage high school students living in low-income neighborhoods in community advocacy efforts to transform their schools and communities so they do not reinforce use of alcohol, tobacco, and other drugs. This nine month intervention for 116 freshmen and sophomores in and near San Jose, California consisted of 30-90 minute meetings. Social cognitive constructs of sense of community, perceived self-efficacy, outcome expectancies, incentive value, policy control, and leadership competence guided the program. No changes in individual use of alcohol, tobacco, and other drugs were observed by the end of the program, but improvements in community involvement and self-perception of many of the constructs were observed.
authors.affiliation: Stanford University School of Medicine, Stanford Center for Research in Disease Prevention, Palo Alto, California, USA.
authors.forename: M A
authors.initials: MA
authors.lastname: Winkleby
authors.forename: E C
authors.initials: EC
authors.lastname: Feighery
authors.forename: D A
authors.initials: DA
authors.lastname: Altman
authors.forename: S
authors.initials: S
authors.lastname: Kole
authors.forename: E
authors.initials: E
authors.lastname: Tencati
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000208:ethnology*; D000428:Alcohol Drinking / Q000517:prevention & control; D002140:California; D018864:Cultural Diversity; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008385:Marijuana Smoking / Q000517:prevention & control; D010379:Peer Group; D010565:Persuasive Communication; D020377:Self Efficacy; D000074606:Smoking Prevention; D019966:Substance-Related Disorders / Q000517:prevention & control*; D011795:Surveys and Questionnaires