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PROSPER delivery of universal preventive interventions with young adolescents: long-term effects on emerging adult substance misuse and associated risk behaviors

Published online by Cambridge University Press:  12 April 2017

R. Spoth*
Affiliation:
Partnerships in Prevention Science Institute, Iowa State University, Ames, Iowa, USA
C. Redmond
Affiliation:
Partnerships in Prevention Science Institute, Iowa State University, Ames, Iowa, USA
C. Shin
Affiliation:
Partnerships in Prevention Science Institute, Iowa State University, Ames, Iowa, USA
M. T. Greenberg
Affiliation:
Prevention Research Center, The Pennsylvania State University, University Park, Pennsylvania, USA
M. E. Feinberg
Affiliation:
Prevention Research Center, The Pennsylvania State University, University Park, Pennsylvania, USA
L. Trudeau
Affiliation:
Partnerships in Prevention Science Institute, Iowa State University, Ames, Iowa, USA
*
* Address for correspondence: R. Spoth, Ph.D., Partnerships in Prevention Science Institute, Iowa State University, 2625 N. Loop Drive, Suite 2400, Ames, IA 50010, USA. (Email: rlspoth@iastate.edu)

Abstract

Background

Substance misuse and associated health-risking behaviors are prevalent in emerging adulthood. There is a knowledge gap concerning the post-high school effects of community-based delivery systems for universal preventive interventions implemented during young adolescence. This study reports effects of the PROSPER delivery system through age 19, 7.5 years past baseline.

Methods

A cohort sequential design included 28 public school districts randomly assigned to the PROSPER partnership delivery system or usual-programming conditions. PROSPER community teams implemented a family-focused intervention in 6th grade and a school-based intervention in 7th grade. Outcomes for the age 19, post-high school report included lifetime, current, and frequency of substance misuse, as well as antisocial and health-risking sexual behaviors. Intent-to-treat, multi-level analyses of covariance of point-in-time outcomes were conducted, along with analyses of risk-related moderation of intervention effects.

Results

Results showed emerging adults from PROSPER communities reported significantly lower substance misuse across a range of types of substances, with relative reduction rates of up to 41.0%. No significant findings were observed for associated antisocial and health-risking sexual behavior indices; or for lifetime rates of sexually transmitted infections. Risk-related moderation effects were non-significant, suggesting generally comparable outcomes across higher- and lower-risk subgroups of emerging adults.

Conclusions

The PROSPER delivery system for brief universal preventive interventions has potential for public health impact by reducing long-term substance misuse, with positive results extending beyond high school.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2017 

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