Journal of Primary Prevention

, Volume 25, Issue 2, pp 211–232 | Cite as

Life Skills Training: Empirical Findings and Future Directions

  • Gilbert J. Botvin
  • Kenneth W. Griffin


Alcohol, tobacco, and other drug use are important problems that typically begin during adolescence. Fortunately, substantial progress has been made in developing effective drug abuse prevention programs for youth over the past two decades. The Life Skills Training (LST) program is an effective primary prevention program for adolescent drug abuse that addresses the risk and protective factors associated with drug use initiation and teaches skills related to social resistance and enhancing social and personal competence. This paper provides an overview of the theoretical underpinnings of the LST program, along with a description of the program's core components, materials, and methods. Findings from over two decades of evaluation research are reviewed, including results from a series of small scale efficacy studies and large scale effectiveness trials with a variety of adolescent populations. These studies have demonstrated positive behavioral effects of LST on smoking, alcohol, marijuana use as well as the use of multiple substances and illicit drugs, with prevention effects lasting up until the end of high school. Further research is needed to understand the mediating mechanisms through which prevention programs such as LST are effective, and ways to widely disseminate research-based programs into schools.

drug abuse prevention adolescence Life Skills Training 


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  1. Andrews, J. A., Tildesley, E., Hops, H., & Li, F. (2002). The influence of peers on young adult substance use. Health Psychology, 21, 349-357.Google Scholar
  2. Bangert-Drowns, R. L. (1988). The effects of school-based substance abuse education: A meta-analysis. Journal of Drug Education, 18, 243-265.Google Scholar
  3. Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173-1181.Google Scholar
  4. Bell, R. M., Ellickson, P. L., & Harrison, E. R. (1993). Do drug prevention effects persist into high school? How Project ALERT did with ninth graders. Preventive Medicine, 22, 463-483.Google Scholar
  5. Botvin, G. J. (2000). Preventing drug abuse in schools: Social and competence enhancement approaches targeting individual-level etiological factors. Addictive Behaviors, 25, 887-897.Google Scholar
  6. Botvin, G. J., Baker, E., Botvin, E. M., Filazzola, A. D., & Millman, R. B. (1984). Prevention of alcohol misuse through the development of personal and social competence: A pilot study. Journal of Studies on Alcohol, 45, 550-552.Google Scholar
  7. Botvin, G. J., Baker, E., Dusenbury, L., Botvin, E. M., & Diaz, T. (1995). Long-term follow-up results of a randomized drug abuse prevention trial in a White middle-class population. Journal of the American Medical Association, 273, 1106-1112.Google Scholar
  8. Botvin, G. J., Baker, E., Dusenbury, L., Tortu, S., & Botvin, E. M. (1990). Preventing adolescent drug abuse through a multimodal cognitive–behavioral approach: Results of a three-year study. Journal of Consulting and Clinical Psychology, 58, 437-446.Google Scholar
  9. Botvin, G. J., Baker, E., Filazzola, A., & Botvin, E. M. (1990). A cognitive–behavioral approach to substance abuse prevention: A one-year follow-up. Addictive Behaviors, 15, 47-63.Google Scholar
  10. Botvin, G. J., Baker, E., Renick, N., Filazzola, A. D., & Botvin, E. M. (1984). A cognitive–behavioral approach to substance abuse prevention. Addictive Behaviors, 9, 137-147.Google Scholar
  11. Botvin, G. J., Batson, H., Witts-Vitale, S., Bess, V., Baker, E., & Dusenbury, L. (1989). A psychosocial approach to smoking prevention for urban black youth. Public Health Reports, 104, 573-582.Google Scholar
  12. Botvin, G. J., Dusenbury, L., Baker, E., James-Ortiz, S., Botvin, E. M., & Kerner, J. (1992). Smoking prevention among urban minority youth: Assessing effects on outcome and mediating variables. Health Psychology, 11, 290-299.Google Scholar
  13. Botvin, G. J., Epstein, J. A., Baker, E., Diaz, T., & Ifill-Williams, M. (1997). School-based drug abuse prevention with innercity minority youth. Journal of Child and Adolescent Substance Abuse, 6, 5-20.Google Scholar
  14. Botvin, G. J., & Eng, A. (1980). A comprehensive school-based smoking prevention program. Journal of School Health, 50, 209-213.Google Scholar
  15. Botvin, G. J., & Eng, A. (1982). The efficacy of a multicomponent approach to the prevention of cigarette smoking. Preventive Medicine, 11, 199-211.Google Scholar
  16. Botvin, G. J., Griffin, K. W., Diaz, T., & Ifill-Williams, M. (2001a). Drug abuse prevention among minority adolescents: One-year follow-up of a school-based preventive intervention. Prevention Science, 2, 1-13.Google Scholar
  17. Botvin, G. J., Griffin, K. W., Diaz, T., & Ifill-Williams, M. (2001b). Preventing binge drinking during early adolescence: One-and two-year follow-up of a school-based preventive intervention. Psychology of Addictive Behaviors, 15, 360-365.Google Scholar
  18. Botvin, G. J., Griffin, K. W., Diaz, T., Miller, N., & Ifill-Williams, M. (1999). Smoking initiation and escalation in early adolescent girls: One-year follow-up of a school-based prevention intervention for minority youth. Journal of the American Medical Women's Association, 54, 139-143.Google Scholar
  19. Botvin, G. J., Griffin, K. W., Diaz, T., Scheier, L. M., Williams, C., & Epstein, J. A. (2000). Preventing illicit drug use in adolescents: Long-term follow-up data from a randomized control trial of a school population. Addictive Behaviors, 5, 769-774.Google Scholar
  20. Botvin, G. J., Griffin, K. W., Nichols, T. R., & Doyle, M. M. (2002). Preventing aggression and delinquency through a school-based drug abuse prevention approach. Paper presented at the 10th Annual Conference of the Society for Prevention Research, Seattle, WA.Google Scholar
  21. Botvin, G. J., Renick, N. L., & Baker E. (1983). The effects of scheduling format and booster sessions on a broad-spectrum psychosocial smoking prevention program. Journal of Behavioral Medicine, 6, 359-379.Google Scholar
  22. Botvin, G. J., Schinke, S. P., Epstein, J. A., & Diaz, T. (1994). The effectiveness of culturally-focused & generic skills training approaches to alcohol and drug abuse prevention among minority youth. Psychology of Addictive Behaviors, 8, 116-127.Google Scholar
  23. Botvin, G. J., Schinke, S. P., Epstein, J. A., Diaz, T., & Botvin, E. M. (1995). Effectiveness of culturally focused and generic skills training approaches to alcohol and drug abuse prevention among minority adolescents: Two-year follow-up results. Psychology of Addictive Behaviors, 9, 183-194.Google Scholar
  24. Botvin, G. J., Schinke, S., & Orlandi, M. A. (1995). Drug abuse prevention with multiethnic youth. Thousand Oaks, CA: Sage.Google Scholar
  25. Bruvold, W. H., & Rundall, T. G. (1988). A meta-analysis and theoretical review of school based tobacco and alcohol intervention programs. Psychology and Health, 2, 53-78.Google Scholar
  26. Cicchetti, D., & Luthar, S. S. (1999). Developmental approaches to substance use and abuse. Development and Psychopathology, 11, 655-656.Google Scholar
  27. Dishion, T. J., Owen, L. D. (2002). A longitudinal analysis of friendships and substance use: Bidirectional influence from adolescence to adulthood. Developmental Psychology, 38, 480-491.Google Scholar
  28. Donaldson, S. I., Graham, J. W., & Hansen, W. B. (1994). Testing the generalizability of intervening mechanism theories: Understanding the effects of adolescent drug use prevention interventions. Journal of Behavioral Medicine, 17, 195-216.Google Scholar
  29. Donaldson, S. I., Sussman, S., MacKinnon, D. P., Severson, H. H., Glynn, T., & Murray, D. M., et al. (1996). Drug abuse prevention programming: Do we know what content works? American Behavioral Scientist, 39, 868-883.Google Scholar
  30. Ellickson, P. L., Tucker, J. S., & Klein, D. J. (2001). High risk behaviors associated with early smoking: Results from a 5-year follow-up study. Journal of Adolescent Health, 28, 465-473.Google Scholar
  31. Epstein, J. A., Griffin, K. W., & Botvin, G. J. (2000a). A model of smoking among inner-city adolescents: The role of personal competence and perceived benefits of smoking. Preventive Medicine, 31, 107-114.Google Scholar
  32. Epstein, J. A., Griffin, K. W., & Botvin, G. J. (2000b). Competence skills help deter smoking among inner-city adolescents. Tobacco Control, 9, 33-39.Google Scholar
  33. Epstein, J. A., Griffin, K. W., & Botvin, G. J. (2000c). Role of general and specific competence skills in protecting inner-city adolescents from alcohol use. Journal of Studies on Alcohol, 61, 379-386.Google Scholar
  34. Epstein, J. A., Griffin, K. W., & Botvin, G. J. (2002). Positive impact of competence skills and psychological wellness in protecting inner-city adolescents from alcohol use. Prevention Science, 3, 95-104.Google Scholar
  35. Gresham, F. M., Gansle, K. A., Noell, G. H., Cohen, S., & Rosenbaum, S. (1993). Treatment integrity of school-based behavioral intervention studies. School Psychology Review, 22, 254-272.Google Scholar
  36. Griffin, K. W., Botvin, G. J., Doyle, M. M., Diaz, T., & Epstein, J. A. (1999). Asix-year follow-up study of determinants of heavy cigarette smoking among high school seniors. Journal of Behavioral Medicine, 22, 271-284.Google Scholar
  37. Griffin, K. W., Botvin, G. J., Nichols, T. R., & Doyle, M. M. (2003). Effectiveness of a universal drug abuse prevention approach for youth at high risk for substance use initiation. Preventive Medicine, 36, 1-7.Google Scholar
  38. Griffin, K. W., Botvin, G. J., Scheier, L. M., Diaz, T., & Miller, N. L. (2000). Parenting practices as predictors of substance use, delinquency, and aggression in urban minority youth: Moderating effects of family structure and gender. Psychology of Addictive Behaviors, 14, 174-184.Google Scholar
  39. Griffin, K. W., Botvin, G. J., Scheier, L. M., Epstein, J. A., & Diaz, T. (2002). Personal competence skills, distress, and well-being as determinants of substance use in a predominantly minority urban adolescent sample. Prevention Science, 3, 23-33.Google Scholar
  40. Griffin, K. W., Epstein, J. A., Botvin, G. J., & Spoth, R. L. (2001). Social competence and substance use among rural youth: Mediating role of social benefit expectancies of use. Journal of Youth and Adolescence, 30, 485-498.Google Scholar
  41. Griffin, K. W., Scheier, L. M., Botvin, G. J., & Diaz, T. (2001). The protective role of personal competence skills in adolescent substance use: Psychological well-being as a mediating factor. Psychology of Addictive Behaviors, 15, 194-203.Google Scholar
  42. Hallfors, D., & Godette, D. (2002). Will the ‘Principles of Effectiveness’ improve prevention practice? Early findings from a diffusion study. Health Education Research, 17, 461-470.Google Scholar
  43. Hansen, W. B., & McNeal, R. B. (1997). How D.A.R.E. works: An examination of program effects on mediating variables. Health Education and Behavior, 24, 165-176.Google Scholar
  44. Hartel, C. R., & Glantz, M. D. (1997). Drug abuse: Origins and interventions. Washington, DC: American Psychological Association.Google Scholar
  45. Hawkins, J. D., Catalano, R. F., & Miller, J. Y. (1992). Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for substance abuse prevention. Psychological Bulletin, 112, 64-105.Google Scholar
  46. Jessor, R., & Jessor, S. L. (1977). Problem behavior and psychosocial development: A longitudinal study of youth. New York: Academic Press.Google Scholar
  47. Johnston, L. D., O'Malley, P. M., & Bachman, J. G. (2000). National survey results on drug use from the Monitoring the Future Study, 19751999. Volume I Secondary School Students. Rockville, MD: US Department of Health and Human Services.Google Scholar
  48. Judd, C. G., & Kenny, D. A. (1981). Process analysis: Estimating mediation in treatment evaluations. Evaluation Review, 5, 602-619.Google Scholar
  49. Kandel, D. (2002). Examining the gateway hypothesis: Stages and pathways of drug involvement. New York: Cambridge University Press.Google Scholar
  50. Kandel, D. B., Yamaguchi, K., & Chen, K. (1992). Stages of progression in drug involvement from adolescence to adulthood: Further evidence for the Gateway Theory. Journal of Studies on Alcohol, 53, 447-457.Google Scholar
  51. Kann, L., Kinchen, S. A., Williams, B. I., Ross, J. G., Lowry, R., Grunbaum, J., et al. (2000). Youth Risk Behavior Surveillance–United States, 1999. Morbidity and Mortality Weekly Report, 49 (No. SS-5), 1-95.Google Scholar
  52. Khantzian, E. J. (1997). The self-medication hypothesis of substance use disorders: A reconsideration and recent applications. Harvard Review of Psychiatry, 4, 231-244.Google Scholar
  53. Koop, C. E., & Lundberg, G. D. (1992). Violence in America: A public health emergency. Journal of the American Medical Association, 267, 3076-3077.Google Scholar
  54. Kopstein, A. N., Crum, R. M., Celentano, D. D., & Martin, S. S. (2001). Sensation seeking needs among 8th and 11th graders: Characteristics associated with cigarette and marijuana use. Drug and Alcohol Dependence, 62, 195-203.Google Scholar
  55. Levy, R., & Carella, L. (2001). What makes a school-based drug abuse prevention program effective? The importance of skills-based provider training. Paper presented at annual meeting of the American Public Health Association, Atlanta.Google Scholar
  56. MacKinnon, D. P., Johnson, C. A., Pentz, M. A., Dwyer, J. H., Hansen, W. B., Flay, B. R., et al. (1991). Mediating mechanisms in a school-based drug prevention program: First year effects of the Midwestern Prevention Project. Health Psychology, 10, 164-172.Google Scholar
  57. McCool, J. P., Cameron, L. D., & Petrie, K. J. (2001). Adolescent perceptions of smoking imagery in film. Social Science and Medicine, 52, 1577-1587.Google Scholar
  58. Moskowitz, J. M. (1989). The primary prevention of alcohol problems: A critical review of the research literature. Journal of Studies on Alcohol, 50, 54-88.Google Scholar
  59. National Institute on Drug Abuse. (1999). Principles of drug addiction treatment: A research based guide (NIH Publication No. 99-4180). Bethesda, MD: National Institute on Drug Abuse.Google Scholar
  60. Newcomb, M. D., & Bentler, P. M. (1988). Consequences of adolescent drug use: Impact on the lives of young adults. New York: Sage.Google Scholar
  61. Office of National Drug Control Policy. (1997). The National Drug Control Strategy, 1997. Washington, DC: Executive Office of the President. (Document NCJ163915).Google Scholar
  62. Paglia, A., & Room, R. (1999). Preventing substance use problems among youth: A literature review and recommendations. Journal of Primary Prevention, 20, 3-50.Google Scholar
  63. Petraitis, J., Flay, B. R., & Miller, T. Q. (1995). Reviewing theories of adolescent substance use: Organizing pieces in the puzzle. Psychological Bulletin, 117, 67-86.Google Scholar
  64. Piko, B. (2001) Smoking in adolescence: Do attitudes matter? Addictive Behaviors, 26, 201-217.Google Scholar
  65. Rogers, E. M. (1995). Diffusion of innovations (4th ed.). New York: The Free Press.Google Scholar
  66. Russell, J. A, & Carroll, J. M. (1999). On the bipolarity of positive and negative affect. Psychological Bulletin, 125, 3-30.Google Scholar
  67. Saal, D., Dong, Y., Bonci, A., & Malenka, R. C. (2003). Drugs of abuse and stress trigger a common synaptic adaptation in dopamine neurons. Neuron, 37, 577-582.Google Scholar
  68. Scheier, L. M. (2001). Etiologic studies of adolescent drug use: A compendium of data resources and their implications for prevention. Journal of Primary Prevention, 22, 125-168.Google Scholar
  69. Scheier, L. M., Botvin, G. J., & Griffin, K. W. (2001). Preventive intervention effects on developmental progression in drug use: Structural equation modeling analyses using longitudinal data. Prevention Science, 2, 89-100.Google Scholar
  70. Shoal, G. D., & Giancola, P. R. (2003). Negative affectivity and drug use in adolescent boys: Moderating and mediating mechanisms. Journal of Personality and Social Psychology, 84, 221-233.Google Scholar
  71. Simons-Morton, B., Haynie, D. L., Crump, A. D., Saylor, K. E., Eitel, P., & Yu, K. (1999). Expectancies and other psychosocial factors associated with alcohol use among early adolescent boys and girls. Addictive Behaviors, 24, 229-238.Google Scholar
  72. Swadi, H. (1999). Individual risk factors for adolescent substance use. Drug and Alcohol Dependence, 55, 209-224.Google Scholar
  73. Tobler, N. (1986). Meta-analysis of 143 adolescent drug prevention programs: Quantitative outcome results of program participants compared to a control or comparison group. Journal of Drug Issues, 16, 537-567.Google Scholar
  74. Tobler, N. (1992). Drug prevention programs can work: Research findings. Journal of Addictive Diseases, 11, 1-28.Google Scholar
  75. Tobler, N. S., & Stratton, H. H. (1997). Effectiveness of school-based drug prevention programs: A meta-analysis of the research. Journal of Primary Prevention, 18, 71-128.Google Scholar
  76. Wills, T. A., & Stoolmiller, M. (2002). The role of self-control in early escalation of substance use: A time-varying analysis. Journal of Consulting and Clinical Psychology, 70, 986-997.Google Scholar
  77. Windle, M. (1996). Effect of parental drinking on adolescents. Alcohol Health and Research World, 20, 181-184.Google Scholar

Copyright information

© Springer Science+Business Media, Inc. 2004

Authors and Affiliations

  • Gilbert J. Botvin
    • 1
  • Kenneth W. Griffin
    • 1
  1. 1.Institute for Prevention ResearchWeill Medical College of Cornell UniversityNew York

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