title: Results of a transtheoretical model-based alcohol, tobacco and other drug intervention in middle schools.
abstract: BACKGROUND
  Early use of alcohol, tobacco, and other drugs threatens the physical and mental well-being of students and continued use negatively affects many areas of development. An internet-based, tailored intervention based on the Transtheoretical Model of Behavior Change was delivered to middle school students to reduce alcohol, tobacco, and other drug use. This internet-based approach requires very little faculty and staff time, which is efficient given curricular demands.
  
  
  METHODS
  Twenty-two middle schools in the United States were matched and randomly assigned to either the intervention or control conditions (N=1590 students who had ever used substances). Participants received one pre-test assessment, three thirty-minute intervention sessions over three months, and two post-test assessments (3 and 14 months after pre-test, respectively).
  
  
  RESULTS
  Random effects logistic models showed significant treatment effects for the intervention group when compared to the control group at the 3-month post-test.
  
  
  CONCLUSIONS
  This program has the potential to be applied as stand-alone practice or as part of more intensive interventions to promote substance use cessation.
authors.affiliation: Pro-Change Behavior Systems, Inc., P.O. Box 755, West Kingston, Rhode Island 02892 USA. kevers@prochange.com
authors.forename: Kerry E
authors.initials: KE
authors.lastname: Evers
authors.forename: Andrea L
authors.initials: AL
authors.lastname: Paiva
authors.forename: Janet L
authors.initials: JL
authors.lastname: Johnson
authors.forename: Carol O
authors.initials: CO
authors.lastname: Cummins
authors.forename: James O
authors.initials: JO
authors.lastname: Prochaska
authors.forename: Janice M
authors.initials: JM
authors.lastname: Prochaska
authors.forename: Julie
authors.initials: J
authors.lastname: Padula
authors.forename: N Simay
authors.initials: NS
authors.lastname: Gökbayrak
mesh_terms: D000293:Adolescent; D000428:Alcohol Drinking / Q000517:prevention & control*; D001521:Behavior Therapy / Q000379:methods*; D002648:Child; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D012423:Rural Health; D012572:School Health Services; D000074606:Smoking Prevention; D013334:Students / Q000523:psychology / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000517:prevention & control*; D016896:Treatment Outcome; D014504:Urban Health