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. 2012 Apr;4(1):56-78.

Direct and Mediated Effects of a Social-Emotional and Character Development Program on Adolescent Substance Use

Kendra M Lewis, Niloofar Bavarian, Frank J Snyder, Alan Acock, Joseph Day, David L Dubois, Peter Ji, Marc B Schure, Naida Silverthorn, Samuel Vuchinich, Brian R Flay

Direct and Mediated Effects of a Social-Emotional and Character Development Program on Adolescent Substance Use

Kendra M Lewis et al. Int J Emot Educ. 2012 Apr.

Abstract

Mitigating and preventing substance use among adolescents requires approaches that address the multitude of factors that influence this behavior. Such approaches must be tested, not only for evidence of empirical effectiveness, but also to determine the mechanisms by which they are successful. The aims of the present study were twofold: 1) To determine the effectiveness of a school-based social-emotional and character development (SECD) program, Positive Action (PA), in reducing substance use (SU) among a sample of U.S. youth living in a low-income, urban environment, and 2) to test one mechanism by which the program achieves its success. We used longitudinal mediation analysis to test the hypotheses that: 1) students attending PA intervention schools engage in significantly less SU than students attending control schools, 2) students attending PA intervention schools show significantly better change in SECD than students attending control schools, and 3) the effect of the PA intervention on SU is mediated by the change in SECD. Analyses revealed program effects on both SECD and SU, a relationship between SECD and SU, and the effects of PA on SU were completely mediated by changes in SECD. Future research directions and implications for school-based social-emotional and character development efforts and substance use prevention are addressed.

Keywords: Adolescence; Longitudinal; Mediation; Social-emotional; Substance Use.

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Conflict of interest statement

Notice of potential conflict of interest: The research described herein was conducted using the program, the training, and technical support of Positive Action, Inc. in which Dr. Flay’s spouse holds a significant financial interest. Issues regarding conflict of interest were reported to the relevant institutions and appropriately managed following the institutional guidelines.

Figures

Figure 1
Figure 1
Terminology for the mediation model. Note: Adapted from MacKinnon (2008)
Figure 2
Figure 2
A model of the effects of Positive Action on substance use, as mediated by change in SECD. Note: PA=Positive Action. Standardized results are reported. Correlated residuals of slope and intercept were insignificant and are not shown. Correlated errors of the mediator measurements not shown. Model results similar when SU was parceled into individual outcomes for the following: cigarettes or other tobacco use, drinking, getting drunk, and marijuana use. Numbers in boxes indicate Wave and years since implementation.
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