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. 2013;28(1):40-52.
doi: 10.1080/10410236.2012.720245.

Reconceptualizing efficacy in substance use prevention research: refusal response efficacy and drug resistance self-efficacy in adolescent substance use

Hye Jeong Choi  1 , Janice L Krieger, Michael L Hecht
Affiliations

Reconceptualizing efficacy in substance use prevention research: refusal response efficacy and drug resistance self-efficacy in adolescent substance use

Hye Jeong Choi et al. Health Commun. 2013.

Abstract

The purpose of this study is to utilize the Extended Parallel Process Model (EPPM) to expand the construct of efficacy in the adolescent substance use context. Using survey data collected from 2,129 seventh-grade students in 39 rural schools, we examined the construct of drug refusal efficacy and demonstrated relationships among response efficacy (RE), self-efficacy (SE), and adolescent drug use. Consistent with the hypotheses, confirmatory factor analyses of a 12-item scale yielded a three-factor solution: refusal RE, alcohol-resistance self-efficacy (ASE), and marijuana-resistance self-efficacy (MSE). Refusal RE and ASE/MSE were negatively related to alcohol use and marijuana use, whereas MSE was positively associated with alcohol use. These data demonstrate that efficacy is a broader construct than typically considered in drug prevention. Prevention programs should reinforce both refusal RE and substance-specific resistance SE.

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Figures

FIGURE 1
FIGURE 1
Factor structure of efficacy (color figure available online).
FIGURE 2
FIGURE 2
The relationship between efficacies and alcohol use. The path weights in the graph are unstandardized. RE, refusal response efficacy; ASE, alcohol-resistance self-efficacy (color figure available online).
FIGURE 3
FIGURE 3
The relationship between efficacies and marijuana use. The path weights in the graph are unstandardized. RE, refusal response efficacy; MSE, marijuana-resistance self-efficacy (color figure available online).
FIGURE 4
FIGURE 4
The interactive effect of refusal response efficacy and alcohol-resistance self-efficacy on alcohol use. RE, refusal response efficacy; ASE, alcohol-resistance self-efficacy (color figure available online).
FIGURE 5
FIGURE 5
The interactive effect of refusal response efficacy and marijuana-resistance self-efficacy on marijuana use. RE, refusal response efficacy; MSE, marijuana-resistance self-efficacy (color figure available online).
See this image and copyright information in PMC

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