Abstract
An interactive CD-ROM program designed to reduce adolescent substance use was developed and evaluated. The program uses video vignettes to teach refusal skills and socially acceptable responses to substance use situations, specifically offers of marijuana. In a randomized pretest-to-posttest experiment with 74 public school students from six classes in three high schools, significant changes were observed at posttest on (1) the adolescent's personal efficacy to refuse the offer of marijuana, (2) the adolescent's intention to refuse marijuana if offered, and (3) the adolescent's perceptions of the social norms associated with substance use and the importance of respecting another's decision to refuse a drug offer. In addition, adolescents in the treatment condition were able to recall approximately 50% of the portrayed refusal strategies. Findings are discussed with regard to the potential benefits of an interactive multimedia approach for conducting substance use interventions.
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REFERENCES
Ary, D. V., Biglan, A., Glasgow, R., Zoref, L., Black, C., Ochs, L., Severson, H., Kelly, R., Weissman, W., Lichtenstein, E., Brozovsky, P., Wirt, R., and James, L. E. (1990). The efficacy of social-influence prevention programs vs “standard care”: Are new initiatives needed? J. Behav. Med. 13: 281-296.
Bandura, A. (1969). Principles of Behavior Modification, Holt, Rinehart and Winston, New York.
Botvin, G. J. (1986). Substance abuse prevention research: Recent developments and future directions. J. School Health 56: 369-374.
Connor, M. J. (1994). Peer relations and peer pressure. Educ. Psychol. Pract. 9: 207-215.
Flay, B. R. (1985). Psychosocial approaches to smoking prevention: A review of findings. Health Psychol. 4: 449-488.
Hansen, W. B. (1992). School-based substance abuse prevention: A review of the state of the art in curriculum, 1980–1990. Health Educ. Res. 7: 403-430.
Hansen, W. B., Graham, J. W., Wolkensteing, B. H., Lundy, B. Z., Pearson, J. L., Flay, B. R., and Johnson, C. A. (1988). Differential impact of three alcohol prevention curricula on hypothesized mediating variables. J. Drug Educ. 18(2): 143-153.
Hawkins, J. D., Catalano, R. F., and Miller, J. Y. (1992). Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for substance abuse prevention. Psych. Bull. 112: 64-105.
Johnston, L. D., O'Malley, P. M., and Bachman, J. G. (1994). National Survey Results on Drug Use from the Monitoring the Future Study, 1975–1993, U.S. Department of Health & Human Services, PHS, NIH, Rockville, MD.
Johnston, L. D., O'Malley, P. M., and Bachman, J. G. (1998). National Survey Results on Drug Use from the Monitoring the Future Study, 1975–1997, U.S. Department of Health & Human Services, PHS, NIH, Rockville, MD.
Kazdin, A. E. (1974). Effects of covert modeling and model reinforcement on assertive behavior. J. Abnorm. Psychol. 83: 240-252.
Kazdin, A. E. (1976). Effects of covert modeling, multiple models, and model reinforcement on assertive behavior. Behav. Ther. 7: 211-222.
McFall, R. M. (1982). A review & reformulation of the concept of social skills. Behav. Assess. 4: 1-33.
Minkin, N., Braukmann, C. J., Minkin, B. L., Timbers, G. D., Timbers, B. J., Fixsen, D. L., Phillips, E. L., and Wolf, M. M. (1976). The social validation and training of conversational skills. J. Appl. Behav. Anal. 9: 127-139.
Murray, D. M., Davis-Hearn, M., Goldman, A. I., Pirie, P., and Luepker, R. V. (1988). Fourand five-year follow-up results from four seventh-grade smoking prevention strategies. J. Behav. Med. 11: 395-405.
National Household Survey on Drug Abuse (1997). The Substance Abuse and Mental Health Data Archive (SAMHDA). Preliminary Results From 1997. http://www.icpsr.umich. edu/SAMHDA/
Schinke, S. P., Botvin, G. J., Trimble, J. E., Orlandi, M. A., Gilchrist, L. D., and Locklear, V. S. (1988). Preventing substance abuse among American-Indian adolescents: A bicultural competence skills approach. J. Counsel. Psychol. 35: 87-90.
Stanton, W. R., and Silva, P. A. (1992). A longitudinal study of the influence of parents and friends on children's initiation of smoking. J. Appl. Dev. Psychol. 13: 423-434.
Williams, S. L., Walker, H. M., Holmes, D., Todis, B., and Fabre, T. R. (1988). Social validation of adolescent social skills by teachers and students, Unpublished manuscript, University of Oregon, Eugene.
Zeger, S. L., and Liang, K. Y. (1986). The analysis of discrete and continuous longitudinal data. Biometrics 42: 121-130.
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Duncan, T.E., Duncan, S.C., Beauchamp, N. et al. Development and Evaluation of an Interactive CD-ROM Refusal Skills Program to Prevent Youth Substance Use: “Refuse to Use”. J Behav Med 23, 59–72 (2000). https://doi.org/10.1023/A:1005420304147
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DOI: https://doi.org/10.1023/A:1005420304147