Short-term impact of cognition-motivation-emotional intelligence-resistance skills program on drug use prevention for school students in Wuhan, China

Abstract

Drug abuse continues to be a serious public health threat worldwide. Most drug abuse prevention research has been conducted with predominantly American or European adolescent populations. Little is known about approaches that work best to prevent the initiation of Chinese adolescent drug use. For targeting risk factors of drug initiation in Chinese adolescents, a school-based health intervention program named “Cognition-Motivation-Emotional Intelligence-Resistance Skills” (CMER) was developed to enhance cognition upon drug use, to decrease motivation of drug use and to improve emotional adjusting and drug resistance skills in this study. A total of 798 students from 3 senior high schools in Wuhan, a city in central China, were assigned randomly to intervention and control groups. The intervention group received the CMER program in which knowledge, development of positive attitude and motivation towards drugs and training of peer resistance skills were basic elements. The immediate impact was compared by measuring the above mentioned elements prior to and three-month after the training session. Students from both groups were asked to complete a self-administered questionnaire. The questionnaire included demographic items, self-reported drug use behavior, cognition, attitude, and motivation associated with the initiation of drug use and resistance skills. Three months after the intervention, significant effects were found on “illegal substance use at least once” (P<0.05) between the intervention and control groups. Immediate effects of the intervention were also found on knowledge, motivation and peer resistance skills (P<0.05), but there was no clear evidence for any effects on attitude towards substance use (P>0.05). It was concluded that the CMER program, which significantly increased the knowledge of drugs and peer resistance skills, was effective in the drug abuse prevention in a sample of school students in Wuhan, China.

Keywords

drug abuse prevention / intervention model / immediate impact / adolescent

References

[1] LiuZ.M., LvX.X.. Summary of China’s national drug abuse surveillance. Chin J Drug Depend (Chinese), 2004, 13(1): 11-17

[2] WangX.Y.. Enhancing education of perniciousness of drug with history. Cheng De Min Zu Shi Zhuan Xue Bao (Chinese), 2000, 20(30): 71-72

[3] JinC.B.. Search for strategy to prevent adolescent to use drug. Qing Shao Nian Yan Jiu (Chinese), 1999, 10(4): 25-26

[4] DiClementeR., HansenW., PontonL.. DiClementeR., HansenW., PontonL.. Adolescents at risk: a generation in jeopardy. Handbook of adolescent risk behavior, 1996, New York, Plenum Press, 1-4

[5] HawkinsJ.D., CatalanoR.F., MillerJ.Y.. Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for substance abuse prevention. Psychol Bull, 1992, 112(1): 64-105

[6] BotvinG.J., GriffinK.W., DiazT., et al.. Drug abuse prevention among minority adolescents: Posttest and one-year follow-up of a school-based prevention intervention. Prev Sci, 2001, 20(1): 1-14

[7] BotvinG.J., GriffinK.W.. . Drug abuse prevention in schools. Handbook of drug prevention: Theory, science, and practice, 2003, New York, Kluwer Academic/Plenum Publishers, 45-74

[8] BotvinG.J., GriffinK.W.. Life skills training: empirical findings and future directions. J Prim Prev, 2004, 25(2): 211-232

[9] Coggans N, Cheyne B, McKellar S. The life skills training drug education programme: A review of research. Scottish Executive Effective Interventions Unit, Scottish Executive Drug Misuse Research Programme. Scotland: University of Strathclyde, 2003,67

[10] McBrideN.A.. Systematic review of school drug education. Health Educ Res, 2003, 18(6): 729-742

[11] SkaraS., SussmanS.. A review of 25 long-term adolescent tobacco and other drug use prevention program evaluations. Prev Med, 2003, 37(5): 451-474

[12] ToblerN.S., StrattonH.H.. Effectiveness of school-based drug prevention programs: A meta-analysis of the research. J Prim Prev, 1997, 18(1): 71-128

[13] DusenburyL., BranniganR., FalcoM., et al.. A review of research on fidelity of implementation: Implications for drug abuse prevention in school settings. Health Educ Res, 2003, 18(2): 237-256

[14] EnnettS.T., RingwaltC.L., ThorneJ., et al.. A comparison of current practice in school-based substance use prevention programs with meta-analysis findings. Prev Sci, 2003, 4(1): 1-14

[15] ToblerN.S., RoonaM.R., OchshornP., et al.. . School-based J Prim Prev, 2000, 20(4): 275-336

[16] GottfredsonD.C., WilsonD.B.. Characteristics of effective school-based substance abuse prevention. Prev Sci, 2003, 4(1): 27-38

[17] EvansR.I.. Smoking in children: Developing a social psychological strategy of deterrence. Prev Med, 1976, 5(1): 122-127

[18] BotvinG.J., EngA., WilliamsC.L.. Preventing the onset of cigarette smoking through life skills training. Prev Med, 1980, 9(1): 135-143

[19] BotvinG.J., BakerE., DusenburyL., et al.. Long-term follow-up results of a randomized drug abuse prevention trial in a white middle class population. JAMA, 1995, 273(14): 1106-1112

[20] PerryC.L., WilliamsC.L., Veblen-MortensonS.. Project Northland: Outcomes of a communitywide alcohol use prevention program during early adolescence. Am J Public Health, 1996, 86(7): 956-965

[21] WilliamsC.L., PerryC.L., FarbakhshK., et al.. Project Northland: Comprehensive alcohol use prevention for young adolescents, their parents, schools, peers and communities. J Stud Alcohol, 1999, 13(Suppl): 112-124

[22] GongJ., ChenX.G., ZengJ., et al.. The impact of social norm and susceptibility on drugs use among adolescents. Chin J Public Health (Chinese), 2006, 22(8): 919-920

[23] ElderJ.P., SallisJ.F.. Tobacco-refusal skills and tobacco use among high-risk adolescents. J Behav Med, 1993, 16(6): 629-641

[24] GuoR., WangZZ. E.. valuation of reliability and validity of questionnaire on cognition, intention, resistance skill about drug abuse in the middle school students. Chin J Sch Health, 2007, 28(9): 776-778

[25] GuoQ., JohnsonC.A., UngerJ.B., et al.. Utility of the theory of reasoned action and theory of planned behavior for predicting Chinese adolescent smoking. Addict Behav, 2007, 32(5): 1066-1081

[26] CuijpersP., JonkersR., deW.I., et al.. The effects of drug abuse prevention at school: The Healthy School and Drugs’ project. Addiction, 2002, 97(1): 67-73

[27] TrimbleJ.E.. BotvinG.J., SchinkeS., OrlandiM.A.. Toward an understanding of ethnicity and ethnic identity and their relationship with drug use research. Drug abuse prevention with multiethnic youth, 1995, Thousand Oaks, Sage Publications, 3-27