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National Conference on Drug Abuse Prevention Research:
Presentations, Papers, and Recommendations

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Plenary Session

Preventing Drug Abuse Through the Community: Multicomponent Programs Make the Difference

Mary Ann Pentz, Ph.D.
Associate Professor, Department of Preventive Medicine
Director
Center for Prevention Policy Research
University of Southern California


National Conference on Drug Abuse Prevention Research

Table 1. Characteristics and effects of community-based drug prevention programs

Program Components
N/Type of StudiesBaseModelSchoolParentMediaCommunity OrganizationPolicyDrug Use Outcome
TheoryResearchProcessStructure
2 drug prevention studies (Schinke et al. 1992; St. Pierre et al. 1992) YYNN   Community leader and peer training, education, complementary club activities Decrease in cigarette, alcohol, marijuana use
1 smoking prevention review (50 coalitions) (Gottlieb et al. 1993)NYNY   Coalitions for training, distribution, release of materials, mass media coverage, lobbying Not reported
2 smoking prevention studies (Kaufman et al.1994; Flynn et al.1992)NYNNEducation vs* Education coverage  Smoking decreased during intervention
1 smoking prevention study, 1 review (4 studies) (Flay et al.1995, 1985)YYNNEducation vsHomework, education vsEducation  Parent decreased smoking with school + parental intervention
1 smoking prevention study (Murray et al. 1994) YYNNEducation, vsHomework, education vsCampaign  No effects
4 drug prevention studies (Rosenbaum et al. 1994; Wiener et al.1993; Carlson 1990,1994)NNNYEducation, SAPs  Police as trainers, task force Delayed onset in 1 study; no overall effects
3 cardiovascular health studies with smoking prevention component (Perry et al. 1992; Barthold et al. 1993; Shea et al. 1992)YYYYEducationHomeworkCoverage, campaignsTask force, distribution of materials, community educationProduct availability8% difference in weekly smoking at 5 -year followup
1 smokeless tobacco prevention study (Stevens et al. 1993)NYNYEducation vsEducation vs Task force No effects
1 drug prevention study (Kantor et al. 1992)NNNYSAPs, core team  Involvement in core team Not reported
1 alcohol prevention study (Perry et al. 1996) YYNYPeer-led educationHomework, education Task force, educationPolicy change6% difference in monthly alcohol use at 3-year followup
1 drug prevention study (Eggert et al. 1990) NYNNEducation, counselingParent reinforcement education Peer support Decreased drug use reported in 1 study
1 smoking prevention study (Jason et al. 1991)NNNNPolicy education Policy education PossessionSmoking decreased during intervention
1 drug prevention study (Johnson et al.1990; Pentz et al. 1989; Pentz 1993)YYYYEducation, lobbyingEducationProgram, coverage Task force, training20% to 40% decrease in monthly and daily use through 5-year followup; effects on parent use at 3-year followup
1 alcohol prevention study (Hingson et al. 1996)NYNYPeer-led education CampaignTask forceRestricted access39% decrease in youth DUI fatalities
1 drug prevention study (12 demonstrations) (Sobol et al. 1989) NNNY  Information campaignCommunity coalition, service agency networking, law enforcement No effects on drug use
1 drug prevention study (24 demonstrations) (Center for Substance Abuse Prevention 1996)NNYY  Information campaignCommunity partnership coalition, law enforcementPolicy changeNo effects on youth drug use

* Refers to a comparison between program components included in a study, e.g., a school educational program compared to media coverage of education.

SOURCE: Reprinted with permission. M.A. Pentz, 1998.


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