Culturally grounded substance use prevention: an evaluation of the keepin' it R.E.A.L. curriculum.
This paper reports on the evaluation of a culturally grounded prevention intervention targeting substance use among urban middle-school students. The curriculum consists of 10 lessons promoting antidrug norms and teaching resistance and other social skills, reinforced by booster activities and a media campaign. Three versions were delivered: Mexican American, combined African American and European American, and Multicultural. Thirty-five middle schools were randomly assigned to 1 of the 3 versions or the control. Students completed baseline and follow-up questionnaires over a 2-year period (total 6,035 respondents). Analyses utilizing a generalized estimating equations approach assessed the overall effectiveness of cultural grounding and the cultural matching hypothesis. Support was found for the intervention's overall effectiveness, with statistically significant effects on gateway drug use as well as norms, attitudes, and resistance strategies but with little support for the cultural matching hypothesis. Specific contrasts found the Mexican American and Multicultural versions impacted the most outcomes.
Department of Communication, Arts and Sciences, The Pennsylvania State University, University Park, Pennsylvania 16802, USA. mlh10@psu.edu
Michael L
ML
Hecht
Flavio Francisco
FF
Marsiglia
Elvira
E
Elek
David A
DA
Wagstaff
Stephen
S
Kulis
Patricia
P
Dustman
Michelle
M
Miller-Day
D000293:Adolescent; D003469:Culture; D003479:Curriculum; D005006:Ethnicity / Q000193:education*; D006266:Health Education / Q000379:methods*; D006801:Humans; D015397:Program Evaluation; D012572:School Health Services; D020377:Self Efficacy; D019966:Substance-Related Disorders / Q000208:ethnology* / Q000517:prevention & control*; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology