Lions Quest Skills for Adolescence Program as a School Intervention to Prevent Substance Use—a Pilot Study Across Three South East European Countries
Development of personal and social skills in a classroom prevents later drug use and alcohol abuse, and influence-related risk factors. However, clinical trials on the potential impact of such programs from low- or middle-income countries remain limited. Lions Quest Skills for Adolescence (LQSFA), a school-based prevention intervention supporting life skills, was implemented in three South East European countries. This was a collaboration between the United Nations Office on Drugs and Crime, the Lions Clubs International Foundation, and the Ministries of Education of Serbia, the Former Yugoslav Republic of Macedonia and Montenegro. The pilot was a multisite non-randomized trial. A total of 2964 elementary school students received the intervention through 232 instructors trained by the same internationally certified trainer. These were compared to 2232 students following the regular curriculum, which does not include LQFSA, in the same elementary schools. The assessment was done at the beginning and at the end of the same academic year (period of 10 months). Despite limited fluctuations, the overall results indicated an encouraging outcome on the current use of substances (alcohol, cigarettes, and marijuana) as well as intention to using these substances in the next 3 months among current users. This study attempts to address this aforementioned gap in literature and contributes to the body of research demonstrating the value, feasibility, and transferability of life skills programs in achieving prevention outcomes in South East Europe. Moreover, it paves the way to a future randomized clinical trial to further corroborate the results, overcoming limitation in current study design.
KeywordsDrug prevention South East Europe Adolescents Life skills education Lions quest skills for adolescence
Ms. Marianne Jansson, the Lions Quest Senior trainer Coach, Stockholm, Sweden; Ministries of Education of Montenegro, Ministry of Education and Science of FYRO Macedonia and Ministry of Education, Science and Technological Development of Serbia; Dr. Gilberto Gerra, Chief of Drug Prevention and Health Branch of UNODC; Ms. Ekaterina Kolykhalova—Coordinator of the UNODC Regional Programme for South Eastern Europe; Mr. Bojan Milosavljevic, UNODC Programme Office in Serbia, Ms. Nina Fabiola Montero Salas, UNODC Office in Vienna; the members of Lions Clubs International of Montenegro, FYRO Macedonia, and Serbia; and finally all instructors and study participants.
The study was funded by the Lions Clubs International Foundation (LCIF) and the Government of Sweden.
Compliance with Ethical Standards
Conflict of Interest
The Lions Clubs International Foundation (LCIF) is the owner of the copyright to the Lions Quest program. Matthew Kiefer is the program manager for LCIF. He receives no commission or financial incentive for increased sales of the program.
This was a pilot study, which was reviewed and approved by the Ministries of Education of the three countries, the representatives of the schools, and the UNODC Drug Prevention and Health Branch. Also, no personal identifiers, for the participating students, were collected. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Permit for the study was received from the Ministries of Education, schools, and teachers. Informed assent was received, verbally, from the students, and their participation was voluntarily. No personal identifiers were collected and students were given the option to opt-out by submitting the self-filled questionnaire blank, in case they prefer not to answer.
- Ahlstrom, S. K., & Oserberg, E. L. (2005). International perspectives on adolescent and young adult drinking. Alcohol Research & Health, 28(4), 258–268.Google Scholar
- Amtmann, E. A., Matischeck-Jauk, M., & Krammer, G. C. (2017). Austria’s innovative initial teacher education reform and its implications for the quality of academic teaching. In 42nd ATEE conference 2017 changing perspectives and approaches in contemporary teaching.Google Scholar
- Campello, G., Heikkila, H., & Maalouf, W. (2016). International standards on drug use prevention. In The Cambridge handbook of international prevention science (pp. 134–159). Cambridge University Press. doi: https://doi.org/10.1017/9781316104453.008
- CASEL. (2013). Preschool and elementary edition—CASEL guide.Google Scholar
- Cohen, J. (1988). Statistical power analysis for the behavioral sciences. (J. Cohen, Ed.) Second edition. New York: Department of Psychology, New York University.Google Scholar
- Davis, S. (2015). H.R.497—Supporting emotional learning act. https://www.congress.gov/bill/114th-congress/house-bill/497. Accessed 15 Feb 2019.
- El-Khatib, Z. (2004). EpiData for data entry and documentation. Retrieved from http://www.epidata.dk/downloads/epidataguideziad.pdf. Accessed 15 Feb 2019.
- European Monitoring Center for Drugs and Drug Addiction. (2016). European drug report—trends and developments. Luxembourg: Publications Office of the European Union.Google Scholar
- Faggiano, F., Minozzi, S., Versino, E., & Buscemi, D. (2016). Universal school-based prevention for illicit drug use, (1). doi: https://doi.org/10.1002/14651858.CD003020.pub3.www.cochranelibrary.com
- Jessor, R., & Jessor, S. L. (1977). Problem behavior and psychological development: A longitudinal study of youth (Academic P). New York, NY.Google Scholar
- Kahnert, H. (2002). Evaluation of the Lions Quest program Erwachsen Werden [skills for adolescence]. Germany: Final Report.Google Scholar
- Lions Club International Foundation. (2018). LCIF programs. Retrieved October 12, 2017, from http://www.lcif.org/EN/our-work/index.php. Accessed 15 Feb 2019.
- Malmin, G. (2007). It is my choice (lions quest). The impact on the behavior of students. Unpublished Internal Report.Google Scholar
- Matischek-Jauk, M., & Reicher, H. (2015). What do teachers need to establish curriculum based life skills programs? Implementation requirements for programs in every day’s school life using Lions Quest. In ECER 2015: Education and transitions—contributions from educational research. Budapest.Google Scholar
- Menrath, I., Prüssmann, M., Müller-Godeffroy, E., Prüssmann, C., Ravens-Sieberer, U., Ottova-Jordan, V., & Thyen, U. (2015). Subjective health, school victimization, and protective factors in a high-risk school sample. Journal of Developmental and Behavioral Pediatrics, 36, 305–312.CrossRefGoogle Scholar
- Nelson, S. E., Van Ryzin, M. J., & Dishion, T. J. (2015). Alcohol, marijuana, and tobacco use trajectories from age 12 to 24 years: Demographic correlates and young adult substance use problems. Development and Psychopathology, 27, 253–277. https://doi.org/10.1017/S0954579414000650.CrossRefGoogle Scholar
- Pihl, R. (2014). Understanding the risk factors for substance abuse. In Childhood and adolescent pathways to substance use disorders (pp. 1–90). Ottawa.Google Scholar
- Reicher, H., & Matischek-Jauk, M. (2015). Improving adolescent school engagement through social-emotional learning. In ECER 2015: Educational and transitions—contributions from educational research. Budapest.Google Scholar
- Salazar Silva, F. (2015). Implementación y adaptación del Programa Lions Quest (Leones Educando) en Perú, Paraguay y Colombia. In XLII National Meeting of Socidrogalcohol. Logroño, Spain.Google Scholar
- Sanchez, Z. M., Sanudo, A., Andreoni, S., Schneider, D., Paula, A., Pereira, D., & Faggiano, F. (2016). Efficacy evaluation of the school program unplugged for drug use prevention among Brazilian adolescents, 1–9. doi: https://doi.org/10.1186/s12889-016-3877-0
- Shadish, W. R., Cook, T. D., & Campbell, D. T. (2002). Experimental and quasi-experimental designs for generalized causal inference. Boston: Houghton Mifflin. (H. Mifflin, Ed.). Boston, Massachusetts.Google Scholar
- Spear, L. P. (2013). Adolescent neurodevelopment. Journal of Adolescent Health., 52, S7–S13. https://doi.org/10.1016/j.jadohealth.2012.05.006.
- StataCorp. (2011). Stata statistical software: Release 12. College Station, TX: StataCorp LP.Google Scholar
- United Nations Children’s Fund (UNICEF). (2007). Child poverty in perspective: An overview of child well-being in rich countries. Florence.Google Scholar
- United Nations Office on Drugs and Crime (UNODC). (2015). International standards on drug use prevention. Vienna.Google Scholar
- United Nations Office on Drugs and Crime (UNODC). (2017). Education sector responses to the use of alcohol, tobacco and drugs—good policy and practice in health education, Booklet 10. Vienna.Google Scholar
- United Nations Office on Drugs and Crime (UNODC). (2018). Prevention drug use among youth works. Retrieved April 10, 2018, from www.unodc.org/unodc/en/prevention/. Accessed 15 Feb 2019.
- United Nations Office on Drugs and Crime (UNODC), & World Health Organization (WHO). (2018). International standards on drug use prevention—second updated edition. Vienna.Google Scholar
- Vigna-Taglianti, F. D., Galanti, M. R., Burkhart, G., Caria, M. P., Vadrucci, S., & Faggiano, F. (2014). “Unplugged,” a European school-based program for substance use prevention among adolescents: Overview of results from the EU-Dap trial. New Directions for Youth Development, 2014, 67–82. https://doi.org/10.1002/yd.20087.CrossRefGoogle Scholar
- World Bank. (2015). World development report 2015: Mind, society and behavior. Washington DC.Google Scholar