Meta-analysis of the effectiveness of school substance abuse prevention programs in Spain

  1. Espada Sánchez, José Pedro
  2. Gonzálvez Maestre, Maria Teresa
  3. Orgilés Amorós, Mireia
  4. Lloret Irles, Daniel
  5. Guillén Riquelme, Alejandro
Revista:
Psicothema

ISSN: 0214-9915

Año de publicación: 2015

Volumen: 27

Número: 1

Páginas: 5-12

Tipo: Artículo

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Otras publicaciones en: Psicothema

Resumen

Background: There has been an increase in adolescent substance use that has led to the development and implementation of prevention programs. New evidence is needed in order to improve them and optimize the resources. The aim of this paper is to use a meta-analysis to analyze the effectiveness of school drug prevention programs in Spain. Method: Twenty-one studies that evaluated drug abuse prevention programs in schools, were published between 2002 and 2013, and that met the selection criteria were identified. Results: Preventive program effectiveness was low (d= 0.16), although it was higher at the follow-up (d= 0.30). The programs were most effective in changing attitudes (d= 0.44) towards drugs. The models of health education (d= 0.48) and social learning (d= 0.20) were also very effective, especially in combination with oral, written, and audiovisual support material (d= 0.21) and the implementation of joint programs by health education professionals and faculty members (d= 0.25). Conclusions: Is possible to determine the need for more rigorous evaluations of interventions to establish useful programs.

Referencias bibliográficas

  • Adame, M.L. (2005). Evaluación de la eficacia de un programa de prevención del consumo de tabaco entre adolescentes. Doctoral Thesis. University of Granada.
  • Ariza, C., Nebot, M., Tomás, Z., Giménez, E., Valmayor, S., Tarilonte, V., & de Vries, H. (2008). Longitudinal effects of the European smoking prevention framework approach (ESFA) project in Spanish adolescents. European Journal of Public Health, 18, 491-497.
  • Ariza, C., Pérez, A., Sánchez-Martínez, F., Diéguez, M., Espelt, A., Pasarín, M.I., …, & Nebot, M. (2013). Evaluation of the effectiveness of a school-based cannabis prevention program. Drug and Alcohol Dependence, 132, 257-264.
  • Bangert-Drowns, RL. (1988). The effects of school-based substance abuse education-a meta-analysis. Journal of Drug Education, 18(3), 243-264.
  • Cuijpers, P. (2002). Effective ingredients of school-based drug prevention programs: A systematic review. Addictive Behaviors, 27, 1009-1023.
  • de Vries, H., Dijk, F., Wetzels, J., Mudde, A., Kremers, S., Ariza, C., …, & Candel, M. (2006). The European Smoking prevention Framework Approach (ESFA): Effects after 24 and 30 months. Health Education Research, 21, 116-132.
  • de Vries, H., Mudde, A., Kremers, S., Wetzels, J., Uiters, E., Ariza, C., …, & Candel, M. (2003). The European Smoking Prevention Framework (ESFA): Short-term effects. Health Education Research, 18, 649-663.
  • Espada, J.P., Griffin, K.W., Pereira, J. R., Orgilés, M., & García-Fernández, J.M. (2012). Component analysis of a school-based substance use prevention program in Spain: Contributions of problem solving and social skills training content. Prevention Science, 13, 86-95.
  • Espada, J.P., Hernández, O., Orgilés, M., & Méndez, X. (2010). Comparación de distintas estrategias para la modificación de la actitud hacia el consumo de drogas en escolares [Comparison of different strategies for changing attitudes towards drug use in school]. Electronic Journal of Research in Educational Psychology, 8, 1033-1050.
  • Espada, J.P., Méndez, X., Botvin, G.J., Griffin, K.W., Orgilés, M., & Rosa, A.I. (2002). ¿Éxito o fracaso de la prevención del abuso de drogas en el contexto escolar? Un meta-análisis de los programas en España [Success or failure of prevention of drug abuse in the school context? A meta-analysis of programs in Spain]. Psicología Conductual, 3, 581-602.
  • Espada, J.P., Orgilés, M., Méndez, X., García-Fernández, J.M., & Inglés, C.J. (2008). Efectos del programa Saluda sobre factores cognitivos relacionados con el consumo de drogas [Effects of Saluda program on cognitive factors related to drug use]. Salud y Drogas, 8, 29-50.
  • Espada, J.P., Rosa, A.I., & Méndez, F.X. (2003). Eficacia de los programas de prevención escolar de drogas con metodología interactiva [Effectiveness of school-based prevention programs drug with interactive methodology]. Salud y Drogas, 3, 61-82.
  • Faggiano, F., Vigna-Taglianti, F.D., Versino, E., Zambon, A., Borraccino, A., & Lemma, P. (2005). School-based prevention for illicit drugs use. Cochrane Database of Systematic Reviews, 2.
  • Faggiano, F., Vigna-Taglianti, F.D., Versino, E., Zambon, A., Borraccino, A., & Lemma, P. (2008). School-based prevention for illicit drugs use: A systematic review. Preventive Medicine, 46, 385-396.
  • Fernández, M.J., Carballo, R., & García, N. (2003). Eficacia de un programa de intervención curricular de educación para la salud en 2º ciclo de la E.S.O. [Effectiveness of an intervention program curriculum for health education 2nd cycle of E.S.O.]. Revista Española de Pedagogía, 225, 285-308.
  • García, P., Fernández, A., Sánchez, J.M., Carrilo, A., Alcaraz, J., & Abad, E. (2005). Ensayo controlado aleatorizado de un programa de promoción de la salud para la prevención del tabaquismo en un grupo de escolares [Randomized controlled trial of a program of health promotion for smoking prevention in a group of school]. Revista de Calidad Asistencial, 20, 4-13.
  • García, J.A., López, C., Fernández, I., & Catala, L. (2003). Evaluación del programa de prevención de drogas “Barbacana” [Evaluation of “Barbacana” drug prevention program]. Salud y Drogas, 3, 33-55.
  • García-Vázquez, J, Arbesú, E., Rodríguez, L., Álvarez, G., Fernández, S., & Mosquera, C. (2009). Evaluación de una intervención de promoción de espacios sin humo en el ámbito educativo [Evaluation of an intervention to promote smoke-free environments in education]. Gaceta Sanitaria, 23, 23-28.
  • Gázquez, M. (2010). Comparación de tres programas de prevención de drogas en el ámbito escolar [Comparison of three drug prevention programs in schools]. Doctoral Thesis. Miguel Hernández University.
  • Gázquez, M., García, J.A., & Espada, J.P. (2011). Eficacia diferencial de dos programas de prevención escolar sobre el consumo de tabaco, según el tipo de aplicador [Differential effectiveness of two schoolbased prevention programs on the consumption of snuff, according to the type of applicator]. Psicothema, 23, 537-543.
  • Gómez, G., Barrueco, M., Aparicio, I., Maderuelo, J.A., & Torrecilla, M. (2009). Programa de prevención del tabaquismo en alumnos de Enseñanza Secundaria [Smoking prevention program in secondary school students]. Archivos de Bronconeumología, 45, 16-23.
  • Gómez, J.A., Luengo, A., & Romero, E. (2002). Prevención del consumo de drogas en la escuela: cuatro años de seguimiento de un programa [Prevention of drug use in school: Four-year follow-up of a program]. Psicothema, 14, 685-692.
  • Griffin, K.W., Botvin, G.J., Scheier, L.M., & Nichols, T.R. (2002). Factors associated with regular marijuana use among high schools students: A long-term follow-up study. Substance Use and Misuse, 37, 225-238.
  • Hernández, O. (2010). Análisis de los componentes del programa Saluda: compromiso público, resistencia a la presión publicitaria y fomento del ocio saludable [Component Analysis of Saluda program: Public commitment, resistance to advertising pressure and promoting healthy leisure]. Doctoral Thesis. Miguel Hernández University.
  • Marín-Martínez, F., Sánchez-Meca, J., & López-López, J.A. (2009). El metaanálisis en el ámbito de las Ciencias de la Salud: una metodología imprescindible para la eficiente acumulación del conocimiento [The meta-analysis in the field of Health Sciences: An essential methodology for efficient accumulation of knowledge]. Fisioterapia, 31, 107-114.
  • Marrero, M.M. (2011). Diagnóstico de la situación y eficacia de una intervención educativa ante el consumo de tabaco y alcohol en adolescentes del municipio de Arucas [Analysis of the status and effectiveness of an educational intervention to snuff consumption and alcohol in adolescents of Arucas township]. Doctoral Thesis. Las Palmas de Gran Canaria University.
  • Moral, M.V., Ovejero, A., Sirvent, C., & Rodríguez, F.J. (2005). Prevención e intervención psicosocial sobre el consumo juvenil de sustancias psicoactivas: comparación de la eficacia preventiva de cuatro programas [Prevention and psychosocial intervention on youth substance use: Comparing the preventive efficacy of four programs]. Intervención Psicosocial, 14, 189-208.
  • Moral, M.V., Rodríguez, F.J., Ovejero, A., & Sirvent, C. (2009). Cambios actitudinales y reducción del consumo de alcohol en adolescentes a partir de un programa de intervención psicosocial [Attitudinal changes and reduction of alcohol consumption in adolescents from a psychosocial intervention program]. Adicciones, 21, 207-220.
  • Moral-Jiménez, MV., Ovejero-Bernal, A., Castro, A., Rodríguez-Díaz, F.J., & Sirvent-Ruiz, C. (2011). Modificación de actitudes hacia el consumo de sustancias en adolescentes: seguimiento de las diferentes inter-género [Changing attitudes toward substance use in adolescents: Tracking different inter-gender]. International Journal of Clinical and Health Psychology, 11, 291-311.
  • Rooney, B.L., & Murray, D.M. (1996). A meta-analysis of smoking prevention programs after adjustment for errors in the unit of analysis. Health Education Quarterly, 23, 48-64.
  • Rundall, T.G., & Bruvold, W.H. (1988). A meta-analysis of school-based smoking and alcohol use prevention programs. Health Education Quarterly, 15, 317-334.
  • Sánchez-Meca, J, & Botella, J. (2010). Revisiones sistemáticas y metaanálisis: herramientas para la práctica profesional [Systematic reviews and meta-analyzes: Tools for professional practice]. Papeles del Psicólogo, 31, 7-17.
  • Thomas, R. (2004). School-based programmes for preventing smoking (Cochrane Review). The Cochrane Library, Update Software. Oxford, Capítulo 2.
  • Tobler, N.S. (1986). Meta-analysis of 143 adolescent drug prevention programs: Quantitative outcomes results of program participants compared to a control or comparison group. Journal of Drug Issues, 16, 537-567.
  • Tobler, N.S., Lessard, T., Marshall, D., Ochshorn, P., & Roona, M. (1999). Effectiveness of school-based drug prevention programs for marijuana use. School Psychology International, 20, 105-137.
  • Viechtbauer, W. (2010). Conducting meta-analyses in R with the metafor package. Journal of Statistical Software, 36, 1-48.
Fuente de los datos: Dialnet