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Effectiveness of Drug Abuse Resistance Education (Project DARE): Five-Year Follow-Up Results

NCJ Number
171547
Journal
Preventive Medicine Volume: 25 Dated: (1996) Pages: 307-318
Author(s)
R R Clayton; A M Cattarello; B M Johnstone
Date Published
1996
Length
12 pages
Annotation
This article reports the results of a 5-year, longitudinal evaluation of the effectiveness of Drug Abuse Resistance Education (DARE), a school-based primary drug prevention curriculum designed for introduction during the last year of elementary education.
Abstract
A total of 23 elementary schools were randomly assigned to receive DARE, and 8 were designated comparison schools. Students in the DARE schools received 16 weeks of protocol-driven instruction, and students in the comparison schools received a drug education unit as part of the health curriculum. All students were pretested during the sixth grade prior to delivery of the programs, posttested shortly after completion, and resurveyed each subsequent year through the 10th grade. Three- stage mixed effects regression models were used to analyze these data. Findings show no significant differences between intervention and comparison schools regarding cigarette, alcohol, or marijuana use during the seventh grade approximately 1 year after completion of the program, or over the full 5-year measurement interval. Significant intervention effects in the hypothesized direction were observed during the seventh grade for measures of students' general and specific attitudes toward drugs, the capability to resist peer pressure, and estimated level of drug use by peers. Over the full measurement interval, however, average trajectories of change for these outcomes were similar in the intervention and comparison conditions. The findings of this study largely agree with the results obtained from prior short-term evaluations of the DARE curriculum, which have reported limited effects of the program upon drug use, greater efficacy with respect to attitudes, social skills, and knowledge, but a general tendency for curriculum effects to deteriorate over time. These findings underscore the need for more robust prevention programming targeted at-risk factors, the inclusion of booster sessions to sustain positive effects, and greater attention to interrelationships between developmental processes in adolescent substance use individual-level characteristics and social context. 5 tables, 4 figures, and 28 references