title: One-year outcomes of a drug abuse prevention program for older teens and emerging adults: evaluating a motivational interviewing booster component.
abstract: OBJECTIVE
  The present study tested the efficacy of motivational interviewing-based booster sessions for Project Toward No Drug Abuse (TND), a 12-session school-based curriculum targeting youth at risk for drug abuse. In addition, generalization of effects to risky sexual behavior was assessed. The 1-year outcomes evaluation of the project is presented.
  
  
  METHODS
  A total of 24 schools were randomized to one of three conditions: standard care control (SCC), TND classroom program only (TND-only), and TND plus motivational interviewing booster (TND + MI). A total of 1186 participants completed baseline and 1-year follow-up surveys. Following the classroom program, youth in the TND + MI condition received up to 3 sessions of MI in person or by telephone. Effects were examined on 30-day cigarette, alcohol, marijuana, and hard drug use, as well as measures of risky sexual behavior (number of sex partners, condom use, having sex while using drugs or alcohol).
  
  
  RESULTS
  Collapsed across the 2 program conditions, results showed significant reductions in alcohol use, hard drug use, and cigarette smoking relative to controls. These effects held for an overall substance use index. The MI booster component failed to achieve significant incremental effects above and beyond the TND classroom program. No effects were found on risky sexual behavior.
  
  
  CONCLUSIONS
  While the program effects of previous studies were replicated, the study failed to demonstrate that an adequately implemented MI booster was of incremental value at 1-year follow-up.
authors: Department of Preventive Medicine and Psychology, University of Southern California, Los Angeles 90033-9045, USA. ssussma@usc.edu
authors: Steve
authors: S
authors: Sussman
authors: Ping
authors: P
authors: Sun
authors: Louise A
authors: LA
authors: Rohrbach
authors: Donna
authors: D
authors: Spruijt-Metz
mesh_terms: D000293:Adolescent; D000428:Alcohol Drinking / Q000523:psychology*; D001521:Behavior Therapy; D003376:Counseling; D003479:Curriculum; D003625:Data Collection; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D009042:Motivation; D015397:Program Evaluation; D012309:Risk-Taking; D012574:Schools; D012725:Sexual Behavior / Q000523:psychology*; D012907:Smoking / Q000523:psychology; D000074606:Smoking Prevention; D019966:Substance-Related Disorders / Q000517:prevention & control; D047568:Unsafe Sex; D055815:Young Adult