An earlier trial of a school-based, preventative intervention, HealthWise South Africa, demonstrated some efficacy in preventing adolescent drinking and smoking in the Western Cape, South Africa. This was followed by the current implementation trial, which examined how implementation support conditions influenced adolescent drinking and smoking…

Objective: Low socioeconomic status young people in low- and middle-income countries use tobacco at higher rates than their wealthier peers. School-based tobacco use prevention interventions that employ a life skills approach are effective at preventing tobacco use. In India, the Salaam Bombay Foundation (SBF) has implemented a multiyear,…

This article presents the results of a mediation analysis of Project MYTRI (Mobilizing Youth for Tobacco Related Initiatives in India), a randomized, controlled trial of a multiple-component, school-based tobacco prevention program for sixth- to ninth-graders (n = 14,085) in Delhi and Chennai, India. A mediation analysis identifies "how"…

This exploratory study sought to determine if a popular school-based drug prevention program might be effective in schools that are making adequate yearly progress (AYP). Thirty-four schools with grades 6 through 8 in 11 states were randomly assigned either to receive Project ALERT (n = 17) or to a control group (n = 17); of these, 10 intervention…

Substance use among youth is a significant health concern in the rural United States, particularly among at-risk students. While evidence-based programs are available, literature suggests that an underdeveloped rural health prevention workforce often limits the adoption of such programs. Additionally, population-size restrictions of national…

Few studies have examined school-based factors associated with variability in the victimization and health of lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth. Among 15,965 students in 45 Wisconsin schools, we identified differences based on Gay-Straight Alliance (GSA) presence. Youth in schools with GSAs reported less truancy,…

This article represents a replication and extension of previous studies of the effects of "Project ALERT", a school-based substance use prevention program, on the prodrug beliefs of adolescents. Specifically, the authors' research examined "Project ALERT's" effects on adolescents' intentions to use substances in the future, beliefs about substance…

Objective: Although current UK policy argues that schools have a key role in raising health standards, emphasis on the core curriculum restricts teachers' opportunities to undertake health promotion activities. The challenge is to design effective health promotion interventions that minimize pressures on teaching staff and curriculum space. Here…

Purpose: This study examined the awareness and impact of antitobacco media messages among rural, suburban, and urban youth. Method: Self-administered questionnaires were received from 1,622, 1,059, and 1,177 middle school (sixth, seventh, and eighth grade) students in rural, suburban, and urban locations, respectively. Logistic regression compared…

To examine cumulative impact of anti-smoking messages, 300+ sixth, seventh, and eighth graders at three southern, private schools completed the Youth Tobacco Survey during both fall and spring, 2001-2002. One school had tobacco lessons plus health-promotion teams, the other tobacco lessons, and the third classes as usual. In attitudes and…

The purpose of this article is to outline the process, content, and evaluation of a 14-week health education program for 6th, 7th, and 8th grade students in an inner city Catholic grade school who are at risk for multiple health problems. The process includes a needs assessment with findings, followed by construction of an age-appropriate program.…

Studies of athletes suggest that they are at increased risk for using alcohol, smokeless tobacco, steroids, and marijuana. They are also a readily available audience during annual preparticiaption physical examinations. In this article, Dr. Werch and colleagues report on the results from their pilot study, using a modified version of STARS (Start…

The Minnesota Drug Abuse Resistance Education (DARE) Plus project augmented the DARE curriculum with community, parent involvement, and extracurricular activity components. Of the 24 schools in the DARE Plus project, the 8 receiving the DARE Plus intervention are examined in this study. The association of participation in the extracurricular…

The objective of this study was to evaluate the impact of a revised state-of-the-art drug prevention program, Project ALERT, on risk factors for drug use in mostly rural midwestern schools and communities. Fifty-five middle schools from South Dakota were randomly assigned to treatment or control conditions. Treatment-group students received 11…