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Longitudinal effects of universal preventive intervention on prescription drug misuse: Three randomized controlled trials with late adolescents and young adults

Author

Listed:
  • Spoth, R.
  • Trudeau, L.
  • Shin, C.
  • Ralston, E.
  • Redmond, C.
  • Greenberg, M.
  • Feinberg, M.

Abstract

Objectives: We examined long-term prescription drug misuse outcomes in 3 randomized controlled trials evaluating brief universal preventive interventions conducted during middle school. Methods: In 3 studies, we tested the Iowa Strengthening Families Program (ISFP); evaluated a revised ISFP, the Strengthening Families Program: For Parents and Youth 10-14 plus the school-based Life Skills Training (SFP 10-14 + LST); and examined the SFP 10-14 plus 1 of 3 school-based interventions. Self-reported outcomes were prescription opioid misuse (POM) and lifetime prescription drug misuse overall (PDMO). Results: In study 1, ISFP showed significant effects on POM and PDMO, relative reduction rates (RRRs; age 25 years) of 65%, and comparable benefits for higher- and lower-risk subgroups. In study 2, SFP 10-14 + LST showed significant or marginally significant effects on POM and PDMO across all ages (21, 22, and 25 years); higher-risk participants showed stronger effects (RRRs = 32%-79%). In study 3, we found significant results for POM and PDMO (12th grade RRRs = 20%-21%); higher-risk and lower-risk participants showed comparable outcomes. Conclusions: Brief universal interventions have potential for public health impact by reducing prescription drug misuse among adolescents and young adults.

Suggested Citation

  • Spoth, R. & Trudeau, L. & Shin, C. & Ralston, E. & Redmond, C. & Greenberg, M. & Feinberg, M., 2013. "Longitudinal effects of universal preventive intervention on prescription drug misuse: Three randomized controlled trials with late adolescents and young adults," American Journal of Public Health, American Public Health Association, vol. 103(4), pages 665-672.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.301209_6
    DOI: 10.2105/AJPH.2012.301209
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    Citations

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    Cited by:

    1. Gorman, Dennis M., 2017. "The decline effect in evaluations of the impact of the Strengthening Families Program for Youth 10-14 (SFP 10-14) on adolescent substance use," Children and Youth Services Review, Elsevier, vol. 81(C), pages 29-39.
    2. Huang, Chien-Chung & Chen, Yafan & Greene, Loren & Cheung, Shannon & Wei, Yuhan, 2019. "Resilience and emotional and behavioral problems of adolescents in China: Effects of a short-term and intensive mindfulness and life skills training," Children and Youth Services Review, Elsevier, vol. 100(C), pages 291-297.
    3. Katherine Dowling & Margaret M. Barry, 2020. "Evaluating the Implementation Quality of a Social and Emotional Learning Program: A Mixed Methods Approach," IJERPH, MDPI, vol. 17(9), pages 1-17, May.

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