Adolescent substance-use prevention and legalization of marijuana in Uruguay: A feasibility trial of the keepin’ it REAL prevention program.

This article describes a feasibility pilot of the linguistically adapted keepin’ it REAL (kiR) substance-use prevention curriculum in Uruguay within the context of marijuana legalization. Originally developed for middle school students in the USA, kiR teaches life skills, risk assessment, and decisi...

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Publicado en:Journal of Substance Use Vol. 23; no. 5; pp. 457 - 466
Autores principales: Marsiglia, Flavio F., Kulis, Stephen S., Kiehne, Elizabeth, Ayers, Stephanie L., Libisch Recalde, Carlos A., Sulca, Lucia Barros
Formato: research Journal Article
Publicado: Taylor & Francis Ltd 2018
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        10.1080/14659891.2017.1358308
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        atl: Adolescent substance-use prevention and legalization of marijuana in Uruguay: A feasibility trial of the keepin’ it REAL prevention program.
      aug:
        au:
          Marsiglia, Flavio F.
          Kulis, Stephen S.
          Kiehne, Elizabeth
          Ayers, Stephanie L.
          Libisch Recalde, Carlos A.
          Sulca, Lucia Barros
        affil: Center for International Translational Intervention Research, Arizona State University, Phoenix, AZ, USA
      sug:
        subj:
          Substance Abuse Prevention and Control
          Cannabis Legislation and Jurisprudence
          Program Implementation
          Human
          Pilot Studies
          Uruguay
          Random Assignment
          Descriptive Statistics
          Data Analysis Software
          Paired T-Tests
          Pretest-Posttest Control Group Design
          Outcome Assessment
          Male
          Female
          Adolescence
          Child
          Questionnaires
          Students, Middle School
          Chi Square Test
          Adolescent: 13-18 years
          Child: 6-12 years
          Male
          Female
      ab: This article describes a feasibility pilot of the linguistically adapted keepin’ it REAL (kiR) substance-use prevention curriculum in Uruguay within the context of marijuana legalization. Originally developed for middle school students in the USA, kiR teaches life skills, risk assessment, and decision-making. Two tuition-free privately managed schools in Montevideo were randomly assigned into intervention and comparison conditions. Trained teachers in the intervention condition delivered kiR to two cohorts of 7th grade students. Before implementation, all students (N = 316) completed pretests; posttests (88% completion) were completed six weeks after the final lesson. We assessed the kiR intervention relative to the comparison group using paired t-tests, baseline adjusted general linear models, and Cohen’s d estimates of effect sizes. The intervention group reported the desired changes in four of six last 30-day substance-use outcomes: relatively smaller increases or actual reductions in frequency of alcohol and marijuana use and in amounts of cigarette and marijuana use. Following an eco-developmental perspective, analysis of the findings considered changing substance-use attitudes, behaviors, and policies in Uruguay. Based on this first evaluation of an evidence-based youth intervention, recommendations for substance-use prevention in the context of drug policy change in Uruguay are offered.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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